A comparison of the periodontal status in patients with type 2 diabetes based on glycated haemoglobin levels and other risk factors

被引:10
作者
Kiedrowicz, Magdalena [1 ]
Dembowska, Elzbieta [1 ]
Banach, Jadwiga [1 ]
Safranow, Krzysztof [2 ]
Pynka, Slawomir [3 ]
机构
[1] Pomeranian Med Univ, Dept Periodontol, PL-70111 Szczecin, Poland
[2] Pomeranian Med Univ, Dept Biochem & Med Chem, PL-70111 Szczecin, Poland
[3] M Curie Hosp, Diabet Outpatient Clin, Szczecin, Poland
来源
ADVANCES IN MEDICAL SCIENCES | 2015年 / 60卷 / 01期
关键词
Periodontitis; Diabetes mellitus; Glycated haemoglobin A; Risk factors; HORMONE REPLACEMENT THERAPY; C-REACTIVE PROTEIN; SEXUAL-DIMORPHISM; GLYCEMIC CONTROL; CYTOKINE LEVELS; ADULT PATIENTS; TOOTH LOSS; DISEASE; MELLITUS; ASSOCIATION;
D O I
10.1016/j.advms.2015.01.007
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Purpose: The aim of this study was to compare the periodontal status in patients with type 2 diabetes based on glycated haemoglobin levels and other risk factors. Material/methods: 75 patients with DM2 were grouped according to glycemic control: 40 subjects with HbA1c < 7.0% and 35 subjects with HbA1c >= 7.0%. We performed measurements of HbA1c, C-reactive protein (CRP), Approximal Plague Index (API), Gingival Severity Index (GSI), tooth mobility (TM) as well as periodontal parameters such as probing depth (PD) and clinical attachment level (CAL). Age, gender and duration of the disease were analyzed too. Results: No significant differences in PD, CAL API, GSI and TM were found between the analyzed groups. HbA1c positively correlated with CRP (p = 0.046) and the duration of DM2 (p = 0.012) but not with the periodontal parameters. Patients' age was positively correlated with both the duration of DM2 (p = 0.002) and CAL (p = 0.034). Regardless of HbA1c. men had significantly worse periodontal parameters compared to women (respectively: PD 2.73 mm vs. 2.18 mm, p = 0.01; CAL 3.84 mm vs. 2.54 mm. p = 0.005; proportion of deep pockets 9.06% vs. 2.97%, p = 0.01; proportion of teeth with grade 2 mobility 9.14% vs. 2.8%, p = 0.02). Conclusions: The selected group of patients attending the Diabetes Outpatient Clinic showed a similar periodontal status with regard to glycated haemoglobin levels and other risk factors except gender. Male gender turned out to be a significant risk factor for periodontal disease in patients with type 2 diabetes mellitus. (C) 2015 Medical University of Bialystok. Published by Elsevier Urban & Partner Sp. z o.o. All rights reserved.
引用
收藏
页码:156 / 161
页数:6
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