Firatli E
Department of Periodontology, School of Dentistry, University of Istanbul, Turkey.
J Periodontol. 1997 Feb;68(2):136-40. doi: 10.1902/jop.1997.68.2.136.
The clinical periodontal status of 44 insulin-dependent diabetic children and adolescents and 20 healthy control subjects was compared for a period of approximately 5 years. Fasting blood glucose, fructosamine, and glycosylated hemoglobin (HbA1) values were determined at baseline and 5 years later. The differences in the clinical and laboratory parameters were compared during the study period. The differences between the two groups were also evaluated. The only statistically significant difference observed in the diabetic group was clinical attachment loss (CAL). The CAL was statistically significantly higher in the diabetic group compared to the controls, and a statistically significantly higher in the diabetic group compared to the controls, and a statistically significant positive correlation was observed between the duration of diabetes and CAL. Fructosamine was also correlated with the gingival index in the diabetic group while there was no correlation in the controls. It may be concluded that diabetes modifies the clinical status of the periodontal tissues and increases clinical attachment loss.
对44名胰岛素依赖型糖尿病儿童和青少年以及20名健康对照者的临床牙周状况进行了约5年的比较。在基线和5年后测定空腹血糖、果糖胺和糖化血红蛋白（HbA1）值。在研究期间比较临床和实验室参数的差异。还评估了两组之间的差异。糖尿病组中观察到的唯一具有统计学意义的差异是临床附着丧失（CAL）。与对照组相比，糖尿病组的CAL在统计学上显著更高，并且糖尿病组与对照组相比在统计学上显著更高，并且观察到糖尿病病程与CAL之间存在统计学上显著的正相关。在糖尿病组中，果糖胺也与牙龈指数相关，而在对照组中则无相关性。可以得出结论，糖尿病改变了牙周组织的临床状况并增加了临床附着丧失。
