J Int Oral Health . 2015;7:17-20.
Relationship between Severity of Periodontal Disease and Control of Diabetes (Glycated Hemoglobin) in Patients with Type 1 Diabetes Mellitus.
Journal of international oral health : JIOH
Ankita Jindal , Anuj Singh Parihar , Meenakshi Sood , Pinojj Singh , Nandini Singh
Affiliations
Affiliations
Senior Lecturer, Department of Periodontology, RKDF Dental College and Research Centre, Bhopal, Madhya Pradesh, India.
Post-graduate Student, Department of Periodontology, People's College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.
Post-graduate Student, Department of Oral Medicine and Radiology, People's College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.
MDS, Department of Periodontology, Dr. D.Y. Patil Dental College and Hospital, Navi Mumbai, Maharashtra, India.
Private Practitioner, Lucknow, Uttar Pradesh, India.
PMID: 26668475
PMCID: PMC4672852
Abstract BACKGROUND: Both diabetes mellitus (DM) and periodontitis are chronic diseases affecting large number of the population worldwide. Changes in human behavior and lifestyle over the last century have resulted in a dramatic increase in the incidence of diabetes in the world. This study was designed to evaluate the relationship between severity of periodontal disease and control of diabetes (glycated hemoglobin [HBA1c]) in patients with Type 1 DM in a hospital based study.
MATERIALS AND METHODS: Fifty patients (n = 50) with Type 1 diabetes were enrolled in the study. They were divided into three groups based on the degree of glycemic control by measuring HbA1c levels as: "Good" (HBA1c ≤7) Group A, fair (HBA1c = 7-8) Group B and poor (HBA1c >8) Group C. All enrolled patients underwent detailed history and dental checkup. Evaluation for periodontal disease was done by measuring dental plaque (plaque index), inflammation of gums (gingival index), probing pocket depth (PPD), and clinical attachment level.
RESULTS: Type 1 diabetics with poor glycemic control had increased gingival inflammation (P < 0.05), more dental plaque (P < 0.05), increased PPDs (P < 0.05) and attachment loss (P < 0.05) as compared to those with fair and good glycemic control, respectively.
CONCLUSION: Severity of periodontal disease increases with poor glycemic control in patients with Type 1 DM.
Keywords: Glycated hemoglobin levels; Type 1 diabetes mellitus; periodontal disease
References
Can J Cardiol. 2004 Aug;20 Suppl B:29B-31B - PubMed
J Periodontal Res. 2007 Aug;42(4):345-9 - PubMed
Ann Periodontol. 2001 Dec;6(1):91-8 - PubMed
J Clin Periodontol. 2005 Aug;32(8):915-20 - PubMed
J Periodontol. 2000 May;71(5 Suppl):851-2 - PubMed
Ann Periodontol. 2001 Dec;6(1):125-37 - PubMed
J Clin Periodontol. 1993 Mar;20(3):161-5 - PubMed
Diabetes Care. 2004 May;27(5):1047-53 - PubMed
J Clin Periodontol. 2000 Aug;27(8):567-71 - PubMed
J Clin Periodontol. 1993 Jul;20(6):431-5 - PubMed
Ann Periodontol. 2001 Dec;6(1):1-8 - PubMed
J Clin Periodontol. 1994 Mar;21(3):161-5 - PubMed
J Periodontol. 1997 Dec;68(12 ):1237-45 - PubMed
Periodontol 2000. 2007;44:127-53 - PubMed
Med Oral Patol Oral Cir Bucal. 2009 Apr 01;14(4):E175-9 - PubMed
J Int Acad Periodontol. 1999 Oct;1(4):110-6 - PubMed
Diabetes Care. 2009 Jan;32 Suppl 1:S62-7 - PubMed
Community Dent Oral Epidemiol. 2002 Jun;30(3):182-92 - PubMed
Show all 18 references
Publication Types