Oberoi Sukhvinder Singh, Harish Yashoda, Hiremath Shivalingaswamy, Puranik Manjunath
Department of Public Health Dentistry, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India.
Department of Public Health Dentistry, Government Dental College and Research Institute, Bengaluru, Karnataka, India.
J Indian Soc Periodontol. 2016 Jul-Aug;20(4):446-452. doi: 10.4103/0972-124X.186946.
Periodontal deterioration has been reported to be associated with systemic diseases such as cardiovascular disease (CVD), diabetes mellitus, respiratory disease, liver cirrhosis, bacterial pneumonia, nutritional deficiencies, and adverse pregnancy outcomes.
The present study assessed the periodontal disease among patients with systemic conditions such as diabetes, CVD, and respiratory disease.
The study population consisted of 220 patients each of CVD, respiratory disease, and diabetes mellitus, making a total of 660 patients in the systemic disease group. A control group of 340 subjects were also included in the study for comparison purpose. The periodontal status of the patients with these confirmed medical conditions was assessed using the community periodontal index of treatment needs (CPITNs) index.
The prevalence of CPITN code 4 was found to be greater among the patients with respiratory disease whereas the mean number of sextants with score 4 was found to be greater among the patients with diabetes mellitus and CVD. The treatment need 0 was found to be more among the controls (1.18%) whereas the treatment need 1, 2, and 3 were more among the patients with respiratory disease (100%, 97.73%, and 54.8%), diabetes mellitus (100%, 100% and 46.4%), and CVD (100%, 97.73%, and 38.1%), in comparison to the controls (6.18%).
From the findings of the present study, it can be concluded that diabetes mellitus, CVD, and respiratory disease are associated with a higher severity of periodontal disease.
据报道,牙周恶化与心血管疾病(CVD)、糖尿病、呼吸系统疾病、肝硬化、细菌性肺炎、营养缺乏及不良妊娠结局等全身性疾病有关。
本研究评估了患有糖尿病、心血管疾病和呼吸系统疾病等全身性疾病患者的牙周疾病情况。
研究人群包括220例心血管疾病、呼吸系统疾病和糖尿病患者,全身性疾病组共660例患者。还纳入了340名受试者作为对照组用于比较。使用社区牙周治疗需求指数(CPITNs)评估这些确诊患有上述疾病患者的牙周状况。
发现呼吸系统疾病患者中CPITN代码4的患病率更高,而糖尿病和心血管疾病患者中评分为4的牙面区段平均数更高。发现对照组中治疗需求0的比例更高(1.18%),而与对照组(6.18%)相比,呼吸系统疾病患者(100%、97.73%和54.8%)、糖尿病患者(100%、100%和46.4%)以及心血管疾病患者(100%、97.73%和38.1%)中治疗需求1、2和3的比例更高。
从本研究结果可以得出结论,糖尿病、心血管疾病和呼吸系统疾病与更严重的牙周疾病有关。