糖尿病与牙周炎关系的信息水平——来自全国糖尿病信息计划的结果。
Level of information about the relationship between diabetes mellitus and periodontitis--results from a nationwide diabetes information program.
机构信息
Department of Conservative Dentistry, Periodontology and Preventive Dentistry, Hannover Medical School, Carl-Neuberg-Strasse 1, Hannover, 30625, Germany.
出版信息
Eur J Med Res. 2013 Mar 11;18(1):6. doi: 10.1186/2047-783X-18-6.
BACKGROUND
A comprehensive knowledge about the mutual influence between diabetes and periodontitis is decisive for the successful treatment of both diseases. The present investigation aimed at assessing the diabetic and periodontal conditions and, in particular, the degree of knowledge about the relationship between diabetes and periodontitis.
METHODS
During a diabetes information program, 111 nondiabetics (ND), 101 type 1 diabetics (T1D), and 236 type 2 diabetics (T2D) were subject to a medical and dental examination and completed a self-administered questionnaire. Medical examination included measurements of glycated hemoglobin (HbA1c), blood glucose (BG), and body mass index (BMI). Full-mouth examination consisted of the assessment of the decayed, missing, filled teeth index (DMFT) and the periodontal screening index (PSI). Chi-square test, ANOVA, t test of independent samples, univariate and multivariate logistic regression models with variable selection strategies were used for statistical analyses. Due to the exploratory character of the investigation a value of P≤0.05 was considered to be statistically substantial.
RESULTS
T2D had a significantly higher PSI when compared to T1D and ND (t test: P<0.001; P=0.005). Approximately 90% of T2D suffered from periodontitis. In addition, diabetics with periodontitis showed a significantly higher BMI when compared to diabetics without periodontitis (multivariate logistic regression: P=0.002). Almost 60% of all investigated subjects were not informed about the mutual influence between diabetes and periodontitis. T2D had almost as little information about the increased risk for periodontitis as ND.
CONCLUSIONS
The data of the present investigation suggest that there is a strong association between type 2 diabetes and chronic periodontitis. The lack of awareness of the mutual influence between diabetes and periodontitis, especially in T2D, demonstrates that this topic is still neglected in dental and diabetic treatment.
背景
全面了解糖尿病和牙周炎之间的相互影响对于成功治疗这两种疾病至关重要。本研究旨在评估糖尿病和牙周状况，特别是对糖尿病和牙周炎之间关系的了解程度。
方法
在糖尿病知识宣传计划期间，对 111 名非糖尿病患者（ND）、101 名 1 型糖尿病患者（T1D）和 236 名 2 型糖尿病患者（T2D）进行了医学和牙科检查，并完成了一份自我管理的问卷。医学检查包括糖化血红蛋白（HbA1c）、血糖（BG）和体重指数（BMI）的测量。全口检查包括评估龋齿、缺失、补牙指数（DMFT）和牙周筛查指数（PSI）。使用卡方检验、方差分析、独立样本 t 检验、单变量和多变量逻辑回归模型进行统计分析。由于本研究具有探索性，因此认为 P≤0.05 具有统计学意义。
结果
与 T1D 和 ND 相比，T2D 的 PSI 显著更高（t 检验：P<0.001；P=0.005）。约 90%的 T2D 患者患有牙周炎。此外，患有牙周炎的糖尿病患者的 BMI 明显高于没有牙周炎的糖尿病患者（多变量逻辑回归：P=0.002）。几乎 60%的调查对象都没有被告知糖尿病和牙周炎之间的相互影响。T2D 对牙周炎风险增加的了解几乎与 ND 一样少。
结论
本研究的数据表明，2 型糖尿病与慢性牙周炎之间存在很强的关联。缺乏对糖尿病和牙周炎相互影响的认识，尤其是在 T2D 中，表明这一主题在牙科和糖尿病治疗中仍然被忽视。
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