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Tooth and Periodontal Clinical Attachment Loss are Associated With Hyperglycemia in Diabetic Patients.
MedLine Citation:
PMID:  22248217     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background / objectives: Periodontal disease has been associated with diabetes but there is still controversy on the relationship between periodontal clinical parameters and glycemic control. The purpose of this study was to assess the relationship between blood glucose levels and clinical parameters of periodontal disease in diabetic patients. Materials and Methods: A total of 65 diabetic and 81 non-diabetic individuals were included in the study. A full mouth periodontal examination and prepandrial fasting glycemia values were recorded in each subject. Glycosilated hemoglobin was only measured in diabetic patients. A comparative analysis between groups (Mann-Whitney U test) and a correlation analysis between glycemia and periodontal parameters were performed (Spearman test). Results: Non-diabetic patients presented more teeth than diabetic patients (P<0.05). Diabetic patients with periodontitis displayed loss of periodontal clinical attachment as compared to non-diabetics but the highest value was observed in periodontitis patients that reported smoking habit. Furthermore, diabetic subjects with periodontitis presented higher glycemia and glycated hemoglobin values in contrast to gingivitis subjects. Diabetic patients with hyperglycemia had higher risk to develop periodontitis (OR=2.24; 95%CI 1.02-4.93). A positive correlation was observed between glycemia and clinical attachment loss while a negative correlation between glycemia and the number of teeth present was found (P<0.05). Conclusions: tooth and periodontal clinical attachment loss were increased by hyperglycemia in diabetic subjects. This study contributes to further evidence that diabetes could aggravate periodontal disease and affect the systemic health of individuals.
Authors:
Javier Enrique Botero; Fanny Lucia Yepes; Natalia Roldán; Cesar Augusto Castrillón; Juan Pablo Hincapie; Sandra Paola Ochoa; Carlos Andrés Ospina; María Alejandra Becerra; Adriana Jaramillo; Sonia Jakeline Gutierrez; Adolfo Contreras
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-16
Journal Detail:
Title:  Journal of periodontology     Volume:  -     ISSN:  1943-3670     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8000345     Medline TA:  J Periodontol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Faculty of Dentistry, Universidad de Antioquia, Medellin Colombia.
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