More Saudamini G, Sankeshwari Roopali M, Ankola Anil V, Gadgade Akash
Department of Public Health Dentistry, KAHER's KLE Vishwanath Katti Institute of Dental Sciences, Nehru Nagar, Belagavi, Karanataka, India.
Department of Public Health Dentistry, Bharati Vidyapeeth (Demmed to be University) Dental College and Hospital Navi Mumbai, Mumbai, India.
J Indian Soc Periodontol. 2023 Jul-Aug;27(4):386-391. doi: 10.4103/jisp.jisp_3_22. Epub 2023 Jul 1.
The World Health Organization (WHO) has recommended the age group of 35-44 years for surveillance of oral health conditions in adults. There is a growing incidence of early onset of Type 2 diabetes mellitus (T2DM) worldwide.
This study was conducted to find the strength of association between dental caries and periodontitis in patients with T2DM.
This was a case-control study conducted among 35-44-year-old patients with T2DM ( = 185) reporting to various hospitals of Belagavi city and controls ( = 185), who met the inclusion criteria. Group matching was done for age and gender. The study participants were interviewed for their sociodemographic details, relevant medical history, oral health behaviors, and dietary behaviors using a self-designed questionnaire. Dental caries and periodontal status were recorded using the WHO criteria, 2013.
The mean decayed missing filled teeth was significantly higher among controls than cases ( = 0.006). A significantly higher number of cases had periodontal pockets (crude odds ratio: 6.6) as compared to controls. Regression analysis showed that loss of attachment was significantly associated with T2DM (adjusted odds ratio: 5.9, 95% confidence interval: 2.81-6.89).
Periodontitis was found to be associated with T2DM. However, no such association was found between dental caries and T2DM.
世界卫生组织（WHO）建议将35 - 44岁年龄组作为成年人口腔健康状况监测对象。全球2型糖尿病（T2DM）早发的发病率呈上升趋势。
本研究旨在探究T2DM患者龋齿与牙周炎之间的关联强度。
这是一项病例对照研究，在贝拉加维市各医院就诊的35 - 44岁T2DM患者（n = 185）及符合纳入标准的对照组（n = 185）中进行。按年龄和性别进行组间匹配。使用自行设计的问卷对研究参与者进行社会人口学细节、相关病史、口腔健康行为及饮食行为方面的访谈。根据2013年WHO标准记录龋齿和牙周状况。
对照组的平均龋失补牙数显著高于病例组（P = 0.006）。与对照组相比，病例组牙周袋数量显著更多（粗比值比：6.6）。回归分析显示附着丧失与T2DM显著相关（调整比值比：5.9，95%置信区间：2.81 - 6.89）。
发现牙周炎与T2DM相关。然而，未发现龋齿与T2DM之间存在此类关联。
