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Diabetic and cardiovascular risk in patients diagnosed with periodontitis
Author(s) -
Zhang DH,
Yuan QN,
Zabala PM,
Zhang F,
Ngo L,
Darby IB
Publication year - 2015
Publication title -
australian dental journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.701
H-Index - 71
eISSN - 1834-7819
pISSN - 0045-0421
DOI - 10.1111/adj.12253
Subject(s) - medicine , periodontitis , diabetes mellitus , body mass index , blood pressure , disease , endocrinology
Background There are well‐established associations between periodontitis and diabetes mellitus and cardiovascular disease ( CVD ). The literature suggests a reciprocal relationship between periodontitis and diabetes. This pilot study aimed to measure in individuals with moderate to severe periodontitis their diabetes and CVD risks. Methods Participants with a diagnosis of periodontitis were recruited from the Royal Dental Hospital of Melbourne. Casual blood glucose ( CBG ), total cholesterol ( TC ), HbA1c, blood pressure ( BP ), weight and height were measured for all study participants. Results Forty‐two participants enrolled in our study out of 159 that were approached [mean age 51.3, 26 (61.9%) females]. Twenty‐four (57.1%) patients were undiagnosed pre‐diabetic and had an HbA1c of ≥5.7; three (7.15%) patients were undiagnosed diabetic with an HbA1c of ≥6.5. Fourteen (33.3%) patients were hypertensive ( BP ≥140/90 mmHg) and 17 (40.5%) had hypercholesterolaemia ( TC ≥5.5). Twelve (28.6%) patients were smokers and 24 (57.1%) had a blood mass index ( BMI ) above 25. Twenty‐four (57.1%) patients were referred to their general practitioner due to elevated disease markers. Conclusions This small study found a large proportion of patients with periodontitis had undiagnosed pre‐diabetes or diabetes, hypertension, hypercholesterolaemia and elevated BMI levels.