Alasqah Mohammed, Mokeem Sameer, Alrahlah Ali, Al-Hamoudi Nawwaf, Abduljabbar Tariq, Akram Zohaib, Vohra Fahim, Javed Fawad
Prince Sattam bin Abdulaziz University, College of Dentistry, Department of Preventive Dental Sciences, Alkharj, Kingdom of Saudi Arabia.
King Saud University, College of Dentistry, Department of Periodontics and Community Dentistry, Riyadh, Saudi Arabia.
Braz Oral Res. 2018 Aug 6;32:e81. doi: 10.1590/1807-3107bor-2018.vol32.0081.
The aim of the present study was to compare the clinical and radiographic periodontal parameters in prediabetes, type 2 diabetes mellitus (T2DM), and non-diabetic patients. Forty-one patients with prediabetes (Group 1), 43 patients with T2DM (Group 2), and 41 controls (Group 3) were included. Demographic data were recorded using a questionnaire. Full-mouth clinical (plaque index [PI], bleeding on probing [BOP], probing depth [PD], clinical attachment loss [CAL], missing teeth [MT]) and radiographic (marginal bone loss [MBL]) parameters were measured on digital radiographs. In all groups, hemoglobin A1c (HbA1c) levels were also measured. P values less than 0.05 were considered statistically significant. The mean age and HbA1c levels of participants in Groups 1, 2, and 3 were 53.4±3.5, 60.1 ± 0.6, and 56.6 ± 2.5 years and 6.1%, 8.4%, and 4.8%, respectively. The mean duration of prediabetes and T2DM in patients from Groups 1 and 2 were 1.9 ± 0.3 and 3.1 ± 0.5 years, respectively. PI, BOP, PD, MT, CAL, and MBL were significantly higher in Groups 1 (p < 0.05) and 2 (p < 0.05) than in Group 3. There was no statistically significant difference in these parameters in Groups 1 and 2. Periodontal parameters were worse between prediabetes and T2DM patients compared with controls; however, these parameters were comparable between prediabetes and T2DM patients.
本研究的目的是比较糖尿病前期、2型糖尿病（T2DM）患者和非糖尿病患者的临床及影像学牙周参数。纳入了41例糖尿病前期患者（第1组）、43例T2DM患者（第2组）和41例对照者（第3组）。使用问卷记录人口统计学数据。在数字化X线片上测量全口临床参数（菌斑指数[PI]、探诊出血[BOP]、探诊深度[PD]、临床附着丧失[CAL]、缺失牙数[MT]）和影像学参数（边缘骨丧失[MBL]）。在所有组中，还测量了糖化血红蛋白（HbA1c）水平。P值小于0.05被认为具有统计学意义。第1组、第2组和第3组参与者的平均年龄和HbA1c水平分别为53.4±3.5岁、60.1±0.6岁、56.6±2.5岁以及6.1%、8.4%、4.8%。第!组和第2组患者的糖尿病前期和T2DM平均病程分别为1.9±0.3年和3.1±0.5年。第1组（p<0.05）和第2组（p<0.05）的PI、BOP、PD、MT、CAL和MBL显著高于第3组。第1组和第2组在这些参数上无统计学显著差异。与对照组相比，糖尿病前期和T2DM患者的牙周参数更差；然而，这些参数在糖尿病前期和T2DM患者之间具有可比性。
