Al-Khabbaz Areej K
Oral Health Prev Dent. 2014;12(1):77-82. doi: 10.3290/j.ohpd.a31223.
The aim of this cross-sectional study was to determine whether type 2 diabetes is coupled with increased severity of periodontal destruction.
A total of 80 subjects with type 2 diabetes and 78 healthy control subjects underwent a fullmouth periodontal examination. The study included dentate subjects with a minimum of 7 remaining teeth in each dental arch. Plaque score, bleeding on probing and clinical attachment loss were assessed.
Diabetic patients showed a significantly lower percent of plaque-positive surfaces (P = 0.02) with a significant increase in the number and the percent of sites with clinical attachment loss ≥ 3 mm compared to controls. In the logistic regression analysis, age and diabetes were found to be associated with having > 15% sites with clinical attachment loss > 5 mm. There was a significant correlation between diabetes duration and the severity of periodontal attachment loss.
Patients with type 2 diabetes were at higher risk of having severe forms of periodontal disease compared with non-diabetic subjects. The results highlight the need for frequent supportive periodontal care for patients diagnosed with type 2 diabetes mellitus.
本横断面研究旨在确定2型糖尿病是否与牙周破坏程度加重相关。
共80名2型糖尿病患者和78名健康对照者接受了全口牙周检查。该研究纳入每个牙弓至少保留7颗牙齿的有牙受试者。评估菌斑评分、探诊出血和临床附着丧失情况。
与对照组相比，糖尿病患者菌斑阳性表面的百分比显著降低（P = 0.02），临床附着丧失≥3 mm的部位数量和百分比显著增加。在逻辑回归分析中，发现年龄和糖尿病与临床附着丧失>5 mm的部位>15%有关。糖尿病病程与牙周附着丧失的严重程度之间存在显著相关性。
与非糖尿病患者相比，2型糖尿病患者患严重牙周疾病的风险更高。结果强调了对诊断为2型糖尿病的患者进行频繁的支持性牙周护理的必要性。
