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Periodontal findings in individuals with newly identified pre‐diabetes or diabetes mellitus
Author(s) -
Lamster Ira B.,
Cheng Bin,
Burkett Sandra,
Lalla Evanthia
Publication year - 2014
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/jcpe.12307
Subject(s) - diabetes mellitus , medicine , bleeding on probing , dentistry , periodontitis , periodontal disease , endocrinology
Aim To assess the periodontal status and number of missing teeth in patients with newly identified pre‐diabetes or diabetes mellitus. Methods A total of 1097 subjects with previously undiagnosed diabetes were available for study, and were categorized into normoglycaemic, potentially pre‐diabetes or potentially diabetes groups based on a point‐of‐care ( POC ) HbA1c test. Results In fully adjusted models, significant differences were observed between all groups for the per cent of teeth with at least one site with a probing depth of ≥5 mm. For bleeding on probing, there were significant differences between diabetes and pre‐diabetes ( p = 0.001), and between diabetes and normoglycaemic groups ( p = 0.002). For missing teeth, there were significant differences between the pre‐diabetes and normoglycaemic groups ( p = 0.034), and the diabetes and normoglycaemic groups ( p = 0.004). Conclusions Individuals with previously unidentified pre‐diabetes demonstrate a level of periodontal destruction between that observed for normoglycaemic individuals and persons with diabetes. These data emphasize the association of oral findings to dysglycaemia, and suggest that periodontal disease and tooth loss can be early complications of diabetes mellitus.