Bacić M, Plancak D, Granić M
Department of Periodontology, School of Dentistry Zagreb, Yugoslavia.
J Periodontol. 1988 Dec;59(12):816-22. doi: 10.1902/jop.1988.59.12.816.
The aim of this study was to investigate, using the CPITN system, the periodontal treatment needs in diabetic patients, and to shed additional light on the possible effects of the duration and control of diabetes on the periodontal status in these patients. A comparison was made between 222 diabetic patients (mean age, 46.9 years) and 189 control subjects (mean age, 43.9 years). Edentulous patients were not included in the study. The results indicated that diabetic patients demonstrated significantly more missing teeth (P less than 0.001). The mean number of missing sextants was also significantly higher in diabetics. Pathologic pockets of 6 mm or more were found in 1.3 and 0.3 sextants in the diabetic and control group subjects, respectively (P less than 0.001). Up to the age of 34, no differences were observed between the diabetic and control group subjects regarding pathologic pockets of 6 mm or more. Above this age, diabetics demonstrated significantly more sextants with deep pockets (P less than 0.001). Concerning the type of diabetes, no differences related to CPITN score were found between insulin dependent and non-insulin dependent diabetics. Neither were any differences found in the periodontal condition related to the duration and control of diabetes, whereas diabetics with advanced retinopathy demonstrated more sextants with deep pockets. Oral hygiene instructions and scaling were required in all patients from both study groups. On an average, 1.3 sextants in 50.9% of diabetics and 0.3 sextants in 17.9% of control subjects required complex treatment.
本研究旨在使用社区牙周治疗需要指数（CPITN）系统调查糖尿病患者的牙周治疗需求，并进一步阐明糖尿病的病程和控制情况对这些患者牙周状况可能产生的影响。对222例糖尿病患者（平均年龄46.9岁）和189例对照者（平均年龄43.9岁）进行了比较。无牙患者未纳入本研究。结果表明，糖尿病患者的缺牙数明显更多（P<0.001）。糖尿病患者缺失牙区的平均数也显著更高。糖尿病组和对照组分别有1.3个和0.3个牙区发现有6mm及以上的病理性牙周袋（P<0.001）。在34岁之前，糖尿病组和对照组在6mm及以上病理性牙周袋方面未观察到差异。34岁之后，糖尿病患者有深牙周袋的牙区明显更多（P<0.001）。关于糖尿病类型，胰岛素依赖型和非胰岛素依赖型糖尿病患者在CPITN评分方面未发现差异。在牙周状况与糖尿病病程和控制情况之间也未发现差异，然而患有晚期视网膜病变的糖尿病患者有深牙周袋的牙区更多。两个研究组的所有患者均需要进行口腔卫生指导和龈上洁治。平均而言，50.9%的糖尿病患者有1.3个牙区需要复杂治疗，17.9%的对照者有0.3个牙区需要复杂治疗。
