牙周病与1型糖尿病：与血糖控制及并发症的关联：印度视角
Periodontal disease and type 1 diabetes mellitus: associations with glycemic control and complications: an Indian perspective.
作者信息
Ajita Meenawat, Karan Punn, Vivek Govila, S Meenawat Anand, Anuj Maheshwari
机构信息
Department of Periodontics, BBD College of Dental Sciences and Research Centre, Lucknow 226 010, Uttar Pradesh, India.
出版信息
Diabetes Metab Syndr. 2013 Apr-Jun;7(2):61-3. doi: 10.1016/j.dsx.2013.03.001. Epub 2013 Mar 26.
AIM
To evaluate the frequency of periodontal disease in a group of patients with type 1 diabetes mellitus and its relationship with diabetic metabolic control, duration and complications.
MATERIALS AND METHODS
A comparison was made of periodontal parameters (plaque index, bleeding index, pocket depth and attachment loss) in a group of diabetic patients versus a group of non-diabetics (n=20). Statistical analysis was performed to evaluate the relationship between periodontal parameters and degree of metabolic control, the duration of the disease and the appearance of complications.
RESULTS
Diabetics had greater bleeding index (p<0.001), probing pocket depth (p<0.001) and clinical attachment level (p=0.001). Patients diagnosed for diabetes for shorter duration of time (4-7 years) showed bleeding index-disease severity correlation to be 1.760 ± 0.434.
CONCLUSION
Patients with type 1 diabetes have increased periodontal disease susceptibility. Periodontal inflammation is greatly increased in subjects with longer disease course, poor metabolic control and diabetic complications.
目的
评估1型糖尿病患者群体中牙周疾病的发生率及其与糖尿病代谢控制、病程和并发症的关系。
材料与方法
比较一组糖尿病患者与一组非糖尿病患者（n = 20）的牙周参数（菌斑指数、出血指数、牙周袋深度和附着丧失）。进行统计分析以评估牙周参数与代谢控制程度、疾病持续时间和并发症出现之间的关系。
结果
糖尿病患者有更高的出血指数（p<0.001）、探诊牙周袋深度（p<0.001）和临床附着水平（p = 0.001）。糖尿病诊断时间较短（4 - 7年）的患者，出血指数与疾病严重程度的相关性为1.760±0.434。
结论
1型糖尿病患者患牙周疾病的易感性增加。病程较长、代谢控制不佳和有糖尿病并发症的患者牙周炎症显著增加。
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