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Oral Health Prev Dent 12 (2014), No. 1     17. Mar. 2014
Oral Health Prev Dent 12 (2014), No. 1  (17.03.2014)

Page 77-82, doi:10.3290/j.ohpd.a31223, PubMed:24619786


Type 2 Diabetes Mellitus and Periodontal Disease Severity
Al-Khabbaz, Areej K.
Purpose: The aim of this cross-sectional study was to determine whether type 2 diabetes is coupled with increased severity of periodontal destruction.
Materials and Methods: A total of 80 subjects with type 2 diabetes and 78 healthy control subjects underwent a fullmouth periodontal examination. The study included dentate subjects with a minimum of 7 remaining teeth in each dental arch. Plaque score, bleeding on probing and clinical attachment loss were assessed.
Results: Diabetic patients showed a significantly lower percent of plaque-positive surfaces (P = 0.02) with a significant increase in the number and the percent of sites with clinical attachment loss ≥ 3 mm compared to controls. In the logistic regression analysis, age and diabetes were found to be associated with having > 15% sites with clinical attachment loss > 5 mm. There was a significant correlation between diabetes duration and the severity of periodontal attachment loss.
Conclusion: Patients with type 2 diabetes were at higher risk of having severe forms of periodontal disease compared with non-diabetic subjects. The results highlight the need for frequent supportive periodontal care for patients diagnosed with type 2 diabetes mellitus.

Keywords: diabetes complications, periodontal disease, type 2 diabetes mellitus
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