Aljoghaiman Eman, Alzahrani Abdullah, Albarqi Rakan, Alqbbani Saad, Alshiddi Hamad, AlSharief Mishali, Alsaati Mohammed, Al Jofi Faisal E
Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia.
College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam 34212, Saudi Arabia.
Clin Pract. 2025 May 19;15(5):95. doi: 10.3390/clinpract15050095.
: The association between diabetes and periodontal disease is well established, but its impact on intrabony periodontal defects remains unclear. Aims: This study examines the relationship between diabetes and intrabony periodontal defects using cone beam computed tomography (CBCT). A retrospective analysis of 99 CBCT images from Imam Abdurrahman bin Faisal University (2010-2022) was conducted. Intrabony periodontal defects were assessed, and logistic regression was used to analyze their association with diabetes. : Intrabony periodontal defects were detected in 66% of the sample, with 36% exhibiting multiple defects. Crude logistic regression showed a significant association between diabetes and intrabony periodontal defects (OR 3.986, 95% CI 1.454-10.922) and defect count (OR 3.382, 95% CI 1.430-8.003). However, multiple regression analysis did not confirm diabetes as an independent predictor (adjusted OR 0.740, 95% CI 0.087-6.314). Diabetes was not significantly associated with the prevalence or number of intrabony periodontal defects after adjusting for the confounders. However, these findings highlight the multifactorial nature of periodontal bone loss and the need for comprehensive patient assessment. Clinically, this underscores the importance of integrating both systemic and local periodontal evaluations in diabetic patients to improve early detection and personalized treatment planning. Further research with larger, more diverse samples and integrated clinical assessments is needed to refine our understanding of this relationship and enhance patient management.
糖尿病与牙周病之间的关联已得到充分证实，但其对骨内牙周缺损的影响仍不明确。目的：本研究使用锥形束计算机断层扫描（CBCT）检查糖尿病与骨内牙周缺损之间的关系。对伊玛目阿卜杜勒拉赫曼·本·费萨尔大学（2010 - 2022年）的99张CBCT图像进行了回顾性分析。评估了骨内牙周缺损情况，并使用逻辑回归分析其与糖尿病的关联。在66%的样本中检测到骨内牙周缺损，其中36%表现为多处缺损。粗逻辑回归显示糖尿病与骨内牙周缺损（比值比3.986，95%置信区间1.454 - 10.922）以及缺损数量（比值比3.382，95%置信区间1.430 - 8.003）之间存在显著关联。然而，多元回归分析未确认糖尿病是一个独立预测因素（调整后比值比0.740，95%置信区间0.087 - 6.314）。在对混杂因素进行调整后，糖尿病与骨内牙周缺损的患病率或数量无显著关联。然而，这些发现凸显了牙周骨丧失的多因素性质以及对患者进行全面评估的必要性。临床上，这强调了在糖尿病患者中综合进行全身和局部牙周评估对于改善早期检测和个性化治疗计划的重要性。需要进行更大规模、更多样化样本以及综合临床评估的进一步研究，以完善我们对这种关系的理解并加强患者管理。
