Showayter Marwan, Aljariri Mohammad, Al Dalalah Ahmed, Al-Fuqaha Hossam, AlKhatib Ahmad, Mohammad Abeer, Aburumman Saif
Periodontics, Royal Medical Services, Amman, JOR.
Conservative Dentistry and Endodontics, Royal Medical Services, Amman, JOR.
Cureus. 2024 Aug 5;16(8):e66203. doi: 10.7759/cureus.66203. eCollection 2024 Aug.
Poorly managed diabetes mellitus can elevate oral glucose levels, fostering gum disease. Conversely, untreated periodontal disease may worsen diabetes control. This study aims to assess the prevalence of periodontal disease and its association with diabetes characteristics in South Jordan.
This cross-sectional study enrolled 249 type 2 diabetic patients from Prince Hashim Bin Abdullah II Clinic in Aqaba, Jordan. Demographics, clinical history, and periodontal indices were recorded, with glycemic control measured via HbA1c. Statistical analyses utilized SPSS.
Predominantly female (58%) and married (90%) participants had a mean age of 49.0 years, with uncontrolled diabetes prevalent in 86% (mean HbA1c: 9.16). Dyslipidemia (73%), hypertension (49%), and diabetic neuropathy (21%) were common. Periodontal indices indicated moderate to high scores, reflecting significant plaque accumulation (plaque index score (PIS) = 3: 20%), severe gingival inflammation (gingival index score (GIS) = 3: 22%), and notable bleeding upon probing (papillary bleeding index score (PBIS) = 3-4: 22%). Moreover, a considerable percentage exhibited advanced periodontal disease (community periodontal index score (CPIS) = 3-4: 19%).
A high prevalence of periodontal disease among diabetic patients in South Jordan underscores the need for integrated diabetes and periodontal care strategies. These findings emphasize the interplay between diabetes control and periodontal health, warranting further investigation into effective intervention strategies.
糖尿病管理不善会使口腔葡萄糖水平升高，从而引发牙龈疾病。反之，未经治疗的牙周疾病可能会使糖尿病控制情况恶化。本研究旨在评估约旦南部牙周疾病的患病率及其与糖尿病特征的关联。
这项横断面研究纳入了来自约旦亚喀巴哈希姆·本·阿卜杜拉二世王子诊所的249名2型糖尿病患者。记录了人口统计学信息、临床病史和牙周指数，并通过糖化血红蛋白测量血糖控制情况。使用SPSS进行统计分析。
参与者以女性（58%）和已婚者（90%）为主，平均年龄为49.0岁，86%的患者糖尿病控制不佳（平均糖化血红蛋白：9.16）。血脂异常（73%）、高血压（49%）和糖尿病神经病变（21%）较为常见。牙周指数显示为中度至高分，反映出菌斑大量积聚（菌斑指数评分（PIS）=3：20%）、严重牙龈炎症（牙龈指数评分（GIS）=3：22%）以及探诊时明显出血（龈乳头出血指数评分（PBIS）=3 - 4：22%）。此外，相当比例的患者表现出晚期牙周疾病（社区牙周指数评分（CPIS）=3 - 4：19%）。
约旦南部糖尿病患者中牙周疾病的高患病率凸显了糖尿病与牙周病综合护理策略的必要性。这些发现强调了糖尿病控制与牙周健康之间的相互作用，有必要进一步研究有效的干预策略。
