Thorstensson H, Hugoson A
Department of Periodontology, Institute for Postgraduate Dental Education, Jönköping, Sweden.
J Clin Periodontol. 1993 May;20(5):352-8. doi: 10.1111/j.1600-051x.1993.tb00372.x.
The aim of this study was to analyse periodontal disease experience in 40- to 70-year-old, sex-matched insulin-dependent diabetics and non-diabetics. The study involved 83 diabetics and 99 non-diabetics. The clinical and radiographic examination comprised recordings of number of teeth, presence of plaque, gingival conditions, probing pocket depth and alveolar bone level (main variable). Diabetics aged 40 to 49 years had more periodontal pockets > or = 6 mm and more extensive alveolar bone loss than non-diabetics in the same age-group. There was also a significantly higher number of subjects belonging to classification groups with severe periodontal disease experience among diabetics in that age-group. In the age-groups 50-59 and 60-69 years, no major differences were found. The disease duration in these 3 age groups was 25.6 years, 20.5 years and 18.6 years, respectively, and the age of onset thus appears to be an important risk factor for future periodontal destruction.
本研究的目的是分析年龄在40至70岁、性别匹配的胰岛素依赖型糖尿病患者和非糖尿病患者的牙周疾病情况。该研究纳入了83名糖尿病患者和99名非糖尿病患者。临床和影像学检查包括记录牙齿数量、菌斑存在情况、牙龈状况、探诊袋深度和牙槽骨水平（主要变量）。40至49岁的糖尿病患者比同年龄组的非糖尿病患者有更多深度≥6mm的牙周袋和更广泛的牙槽骨丧失。在该年龄组的糖尿病患者中，属于有严重牙周疾病经历分类组的受试者数量也显著更多。在50至59岁和60至69岁年龄组中，未发现重大差异。这三个年龄组的病程分别为25.6年、20.5年和18.6年，因此发病年龄似乎是未来牙周破坏的一个重要风险因素。
