Association between diabetes-related factors and clinical periodontal parameters in type-2 diabetes mellitus

Title
Association between diabetes-related factors and clinical periodontal parameters in type-2 diabetes mellitus
Author(s)
이희경김은경[김은경]이상규[이상규]최연희[최연희]원규장Anwar T Merchant[Anwar T Merchant]문준성
Keywords
ORAL-HEALTH BEHAVIOR; GLYCEMIC CONTROL; SELF-EFFICACY; DISEASE; NONDIABETICS; METAANALYSIS; POPULATION; THERAPY
Issue Date
201311
Publisher
BIOMED CENTRAL LTD
Citation
BMC ORAL HEALTH, v.13
Abstract
Background: Evidence consistently shows that diabetes is a risk factor for increased prevalence of gingivitis and periodontitis. But there is a controversy about the relationship between diabetes related factors and periodontal health. The aim of the present study is to explore the relationship between diabetes related factors such as glycosylated hemoglobin, fasting blood glucose, duration of diabetes and compliance to diabetes self management and periodontal health status. Methods: Periodontal health of 125 participants with type-2 diabetes mellitus was measured by the number of missing teeth, community periodontal index (CPI), Russell's periodontal index and papillary bleeding index. Information on sociodemographic factors, oral hygiene behavior, duration and compliance to self management of diabetes, levels of glycosylated hemoglobin(HbA1c) and fasting blood glucose(FBG) were collected by interview and hospital medical records. Statistically, independent t-test, an analysis of variance (ANOVA), chi-squared test and multiple regression analyses were used to assess the association between diabetes-related factors and periodontal health. Results: Periodontal parameters including the number of missing teeth and papillary bleeding index were significantly influenced by duration of diabetes, FBG and compliance to self management of diabetes. CPI was significantly influenced by duration of diabetes, FBG and HbA1C. And Russell's periodontal index was significantly influenced by duration of diabetes, FBG, HbA1C and compliance to self management of diabetes. Results of multiple linear regression analysis showed that the duration of diabetes showed significant positive correlation with all of the periodontal health parameters, except for missing teeth. HbA1c was correlated with Russell's periodontal and papillary bleeding index. FBG and compliance to self management of diabetes were correlated with missing teeth and papillary bleeding index respectively. Conclusions: Diabetes-related factors such as duration of diabetes, FBG, HbA1c and compliance to self management of diabetes were significantly correlated with periodontal health among individuals with type-2 diabetes.
URI
http://hdl.handle.net/YU.REPOSITORY/28544http://dx.doi.org/10.1186/1472-6831-13-64
ISSN
1472-6831
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의과대학 > 치과학교실 > Articles
의과대학 > 내과학교실 > Articles
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