Kolte Abhay P, Kolte Rajashri A, Mohata Tushar G, Bawankar Pranjali, Bajaj Pavan, Kothekar Mahima, Thakre Shivani
Department of Periodontics and Implantology, Ranjeet Deshmukh Dental College and Research Centre, Nagpur, India.
Department of Periodontics and Implantology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research (DU), Sawangi (Meghe, Wardha, Meghe, India.
BMC Oral Health. 2025 Aug 28;25(1):1382. doi: 10.1186/s12903-025-06805-6.
Diabetes mellitus is a complex endocrine condition affecting the periodontal status of an individual. The current study aimed to assess oral health related quality of life (OHRQL), xerostomia severity, and periodontal status in both controlled and uncontrolled Type 2 Diabetes mellitus. (T2DM) METHODS: Eighty patients with type 2 diabetes aged between 35 and 70 were divided equally in Group I: patients with controlled T2DM and Group II: patients with uncontrolled T2DM. Clinical attachment level (CAL), probing depth (PD), and bleeding on probing (BOP) parameters were assessed. Additionally, xerostomia severity was determined through questionnaire of 11-point xerostomia inventory and OHRQL through 14-point oral health impact profile. (OHIP-14) RESULTS: The mean HbA1C values differed significantly in the two groups with Group I exhibiting values of 6.97 ± 0.45 gm% and Group II with 9.78 ± 2.31 gm%. The patients in Group II had significantly higher mean PD, CAL, and BOP values in comparisonto Group I. Similar corresponding values were obtained for xerostomia severity and OHIP-14 scores for OHRQL. On comparison between the groups the periodontal status manifested by clinical parameters exhibited more severity while xerostomia severity and OHRQL, was negatively impacted in Group II patients when compared with Group I.
Poor glycaemic control substantially influences periodontal health, xerostomia severity, and oral health-related quality of life. Early periodontal intervention and maintenance of optimal glycaemic control are crucial to improve overall oral and systemic health in diabetic patients.
CTRI/2025/04/086064 Date: 30 April 2025.
糖尿病是一种影响个体牙周状况的复杂内分泌疾病。本研究旨在评估2型糖尿病（T2DM）控制组和未控制组患者的口腔健康相关生活质量（OHRQL）、口干严重程度和牙周状况。
80例年龄在35至70岁之间的2型糖尿病患者被平均分为两组：I组为T2DM控制组患者，II组为T2DM未控制组患者。评估临床附着水平（CAL）、探诊深度（PD）和探诊出血（BOP）参数。此外，通过11点口干量表问卷确定口干严重程度，通过14点口腔健康影响量表（OHIP-14）确定OHRQL。
两组患者的平均糖化血红蛋白（HbA1C）值差异显著，I组为6.97±0.45 gm%，II组为9.78±2.31 gm%。与I组相比，II组患者的平均PD、CAL和BOP值显著更高。口干严重程度和OHRQL的OHIP-14评分也得到了类似的相应值。两组比较，临床参数显示的牙周状况在II组更为严重，而与I组相比，II组患者的口干严重程度和OHRQL受到负面影响。
血糖控制不佳会严重影响牙周健康、口干严重程度和口腔健康相关生活质量。早期牙周干预和维持最佳血糖控制对于改善糖尿病患者的整体口腔和全身健康至关重要。
CTRI/2025/04/086064 日期：2025年4月30日
