Apoorva S M, Sridhar N, Suchetha A
Department of Periodontics, DAPM R V Dental College, Bangalore, Karnataka, India.
J Indian Soc Periodontol. 2013 Jan;17(1):25-9. doi: 10.4103/0972-124X.107470.
Our objective was to study the prevalence and severity of periodontal disease in type 2 diabetes mellitus (DM) patients in Bangalore city.
Four hundred and eight type 2 DM patients (Study Group) and 100 non-diabetic patients (Control Group) among the age group of 35-75 years were included in the study. The study group was divided based on Glycated hemoglobin levels into well, moderately and poorly controlled. Relevant information regarding age, oral hygiene habits and personal habits was obtained from the patients. Diabetic status and mode of anti-diabetic therapy of the study group was obtained from the hospital records with consent from the patient. Community periodontal index (CPI) was used to assess the periodontal status. The results were statistically evaluated.
The mean CPI score and the number of missing teeth was higher in diabetics compared with non-diabetics, and was statistically significant (P=0.000), indicating that prevalence and extent of periodontal disease was more frequent and more severe in diabetic patients. The risk factors like Glycated hemoglobin, duration of diabetes, fasting blood sugar, personal habits and oral hygiene habits showed a positive correlation with periodontal destruction, whereas mode of anti-diabetic therapy showed a negative correlation according to the multiple regression analysis. The odds ratio of a diabetic showing periodontal destruction in comparison with a non-diabetic was 1.97, 2.10 and 2.42 in well, moderately and poorly controlled diabetics, respectively.
Our study has made an attempt to determine the association between type 2 DM (NIDDM) and periodontal disease in Bangalore city. It was found that type 2 DM (non-insulin-dependent diabetes mellitus [NIDDM]) subjects manifested relatively higher prevalence and severity of periodontal disease as compared with non-diabetics.
我们的目的是研究班加罗尔市2型糖尿病（DM）患者牙周疾病的患病率和严重程度。
本研究纳入了408例年龄在35 - 75岁之间的2型糖尿病患者（研究组）和100例非糖尿病患者（对照组）。研究组根据糖化血红蛋白水平分为控制良好、中度控制和控制不佳三组。从患者处获取有关年龄、口腔卫生习惯和个人习惯的相关信息。经患者同意，从医院记录中获取研究组的糖尿病状态和抗糖尿病治疗方式。使用社区牙周指数（CPI）评估牙周状况。对结果进行统计学评估。
糖尿病患者的平均CPI评分和缺失牙数量高于非糖尿病患者，且具有统计学意义（P = 0.000），表明糖尿病患者牙周疾病的患病率和范围更频繁且更严重。多元回归分析显示，糖化血红蛋白、糖尿病病程、空腹血糖、个人习惯和口腔卫生习惯等危险因素与牙周破坏呈正相关，而抗糖尿病治疗方式呈负相关。与非糖尿病患者相比，控制良好、中度控制和控制不佳的糖尿病患者发生牙周破坏的比值比分别为1.97、2.10和2.42。
我们的研究试图确定班加罗尔市2型糖尿病（NIDDM）与牙周疾病之间的关联。结果发现，与非糖尿病患者相比，2型糖尿病（非胰岛素依赖型糖尿病 [NIDDM]）患者牙周疾病的患病率和严重程度相对较高。
