Type 1 diabetes mellitus and periodontal disease: relationship to different clinical variables

• Francisco-J Silvestre ^[1] ; Lucía Miralles ^[1] ; Fernando Llambes ^[1] ; Daniel Bautista ^[2] ; Eva Solá-Izquierdo ^[1] ; Antonio Hernández-Mijares ^[1]
  1. [1] Universitat de València

     Universitat de València

     Valencia, España

     
  2. [2] Dr. Peset University Hospital. Valencia
• Localización: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, ISSN-e 1698-6946, Vol. 14, Nº. 4, 2009
• Idioma: inglés
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• Resumen

  • Objective: This study is designed to evaluate the frequency of periodontal disease in a group of patients with type 1 diabetes mellitus and how this relates with diabetes metabolic control, duration of diabetes, and presence of diabetic complications.

    Methods: A comparison was made of periodontal parameters (plaque index, bleeding index, pocket depth and attachment loss) in a group of diabetic patients (n=90) versus a group of non-diabetics (n=90). Logistic regression analysis was performed to evaluate relationship between periodontal parameters and degree of metabolic control, the duration of the disease, and the appearance of complications.

    Results: Diabetics had greater bleeding index (p<0.01), deeper periodontal pockets (p<0.01) and more periodontal attachment loss (p<0.01) than non-diabetics. Deficient metabolic control and presence of diabetic complication were associated with higher bleeding index and pocket depth (p≤0.02).

    Conclusions: Patients with type 1 diabetes appear to show increased periodontal disease susceptibility, particularly those with poorer metabolic control or with diabetic complications.