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Periodontitis in non‐smoking type 1 diabetic adults: a cross‐sectional study
Author(s) -
Hodge Penny J,
Robertson Douglas,
Paterson Kenneth,
Smith Gillian L F,
Creanor Siobhan,
Sherriff Andrea
Publication year - 2012
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/j.1600-051x.2011.01791.x
Subject(s) - medicine , periodontitis , diabetes mellitus , odds ratio , cross sectional study , outpatient clinic , type 2 diabetes , case control study , type 2 diabetes mellitus , dentistry , pathology , endocrinology
Aim To compare levels of periodontitis in non‐smoking type 1 diabetic patients and controls .Material and Methods Type 1 diabetic patients, aged 20–55 years, were recruited from outpatient clinics at five hospitals in Glasgow, UK . Control subjects were recruited from physiotherapy clinics, using the buddy system and through an advertisement in a free newspaper. The primary outcome was severe periodontitis defined by clinical attachment level ≥6 mm on ≥1 tooth. Results There were 34 well controlled patients ( HbA1c ≤ 7.5%), 169 poorly controlled patients and 112 non‐diabetic subjects. Prevalence of severe periodontitis was higher in all type 1 diabetic patients [24.1% (95% CI : 18.4–30.6%)] and poorly controlled patients [27.2% (20.7–34.6%)] than in controls [20.5% (13.5–29.2%)]. The fully adjusted odds ratios ( ORs ) in never smokers comparing the whole diabetic group, and the poorly controlled group, with the control group were 1.35 [0.66–2.8] ( p = 0.41) and 1.58 [0.75–3.33] ( p = 0.23), respectively. Mean clinical attachment level was higher in all type 1 diabetic and poorly controlled patients than in controls (both p < 0.001). Conclusions These results indicate worse periodontal health in type 1 diabetic patients than in control subjects. Trial registration This study was registered with the UKCRN , ID : 9314 and S cottish Diabetes Research Network registration number: 128.