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Manifestations of Insulin‐Dependent Diabetes Mellitus in the Periodontium of Young Brazilian Patients
Author(s) -
Novaes Arthur Belem,
Pereira Antonio Luis A.,
Moraes Noêmia,
Novaes Arthur Belem
Publication year - 1991
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.1991.62.2.116
Subject(s) - periodontium , medicine , diabetes mellitus , insulin , dentistry , endocrinology
T he periodontal condition of patients with insulin‐dependent diabetes mellitus was evaluated in terms of plaque, gingival indices, pocket depth, and alveolar bone loss. Thirty male and female diabetic patients aged 5 to 18 years were compared with 30 non‐diabetic subjects and correlated with sex and age. Statistical analyses of the data showed that the mean plaque index was significantly higher ( P < 0.01) among the diabetic patients (1.23) than among the control subjects (0.81). The plaque index was significantly higher ( P < 0.01) among diabetic females (1.34) than among diabetic males (1.10), whereas no sex differences were observed in the control group. The arithmetic means obtained for gingival index were statistically higher ( P < 0.01) for the diabetics (0.58) when compared with the controls (0.15), but no significant differences were obtained when the values were correlated with sex and age. Pocket depth did not differ statistically between groups. When pocket depth was correlated with sex, a statistically significant difference ( P < 0.05) was observed only for the palatal region, with a depth of 2.1 mm in female patients and 1.92 mm in male patients. When pocket depth was correlated with age, a positive correlation ( P < 0.01) was detected in the diabetic group for all regions investigated, whereas the correlation was not significant in the control group. Mean alveolar bone loss was higher in the anterior upper (1.94 mm) and anterior lower (1.87 mm) regions of the diabetic group when compared to the controls (1.52 and 1.37 mm respectively), the difference being significant at the 5% level of probability. No statistically significant difference was detected when alveolar bone loss was correlated with sex, but when alveolar bone loss was correlated with age, a positive correlation was detected for the posterior lower region of the diabetic patients ( P < 0.05) and for the upper and lower anterior regions of the control group ( P < 0.01). J Periodontol 1991; 62:116–122 .