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ACTA
STOMATOLOGICA
NAISSI

 Table of Contents for
Decembar 2018  • Volume 34 • Number 78

  PERIODONTAL DISEASE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS

Radmila R. Obradović1,
Ljiljana G. Kesić1,
Ana S. Pejčić1,
Marija LJ. Igić2,
Marija D. Bojović1,
Dragana N. Stanišić3,
Milica S. Petrović4,
Ivana V. Stanković5,
Marija G. Jovanović5




 


 

1UNIVERSITY OF NIŠ, FACULTY OF MEDICINE, DEPARTMENT OF PERIODONTOLOGY AND ORAL MEDICINE, DENTAL CLINIC, NIŠ, SERBIA
2UNIVERSITY OF NIŠ, FACULTY OF MEDICINE, DEPARTMENT OF CHILDREN AND PREVENTIVE DENTISTRY, DENTAL CLINIC, NIŠ, SERBIA
3UNIVERSITY OF KRAGUJEVAC, FACULTY OF MEDICAL SCIENCES, DEPARTMENT OF DENTISTRY, NIŠ, SERBIA
4UNIVERSITY OF NIŠ, FACULTY OF MEDICINE, RESEARCH ASSISTANT, NIŠ, SERBIA
5UNIVERSITY OF NIŠ, FACULTY OF MEDICINE, PHD STUDENT, NIŠ, SERBI

 
   
...Abstract


 

 

Background: Diabetes mellitus (DM) is one of the most prevalent endocrine metabolic disorders. It has damaging effects on the oral cavity and is reported to be a risk factor for periodontal disease.
The aim of the study was to describe the periodontal status of patients with type 2 DM and to evaluate the multiple demographic, behavioral, medical and dental factors that may be associated with periodontal disease and DM.
Material and Methods: Demographic data and medical and dental histories were reviewed, periodontal assessments (loss of attachment, bleeding on probing, presence of supragingival calculus) and cytomorphometric analysis were made.
Results: 160 subjects participated in the study, age of 64.2 (±0.2) years, duration of DM 23.6 (±0.39) years and HbA1c 8.70% (±0.45). Severe loss of attachment and calculus were more present in older patients. Bleeding on probing was consistent among subjects in each age group. Cytomorphometric analysis revealed larger nuclear area values in older subjects. Factors possibly associated with advanced periodontal disease included in the regression analysis were: age (P<0.001), current smoking cigarettes (p<0.001), having ever smoked cigarettes (p<0.001), tooth brushing (p=0.017), visits to the dentist (p=0.068), duration of disease (p=0.034), xerostomia (p=0.500), HbA1c(p=0.119), neuropathy (p=0.017), nephropathy (p=0.389), retinopathy (p=0.5 50) and peripheral vascular disease (p=0.060).
Conclusion: Periodontal disease was common in adult diabetic population. Cigarette smoking and older age were associated with a higher prevalence of advanced periodontal disease. Smoker-diabetic patients are at high risk for poor periodontal prognosis, and they should be included in regular periodontal control check up and treatment.

 

 Key words: periodontal disease, diabetes, exfoliative cytology, oral health


 
...Authors and Reprint Information

 

Address of correspondence:
Assoc.Prof. Radmila Obradović DDS, MSD, PhD
Department of Periodontology and Oral Medicine,
Dr. Zoran Đinđić Blvd. 81, 18000 Niš, Serbia
Telephone: +381(0)642359595
Fax: +381-18-42-38-770
Email: dr.rada@yahoo.com

Copyright © 2018 by The Editorial Council of The Acta Stomatologica Naissi