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Periodontal Status and Selected Cultivable Anaerobic Microflora of Insulin‐Dependent Juvenile Diabetics
Author(s) -
Sbordone Ludovico,
Ramaglia Luca,
Barone Antonio,
Ciaglia Renato Nicodemo,
Tenore Alfred,
Iacono Vincent J.
Publication year - 1995
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.1995.66.6.452
Subject(s) - molar , porphyromonas gingivalis , dentistry , medicine , prevotella intermedia , bleeding on probing , anaerobic exercise , juvenile , capnocytophaga , bacteroides , clinical attachment loss , gastroenterology , diabetes mellitus , periodontitis , endocrinology , biology , physiology , bacteria , genetics
T he periodontal status and subgingival microflora of insulin‐dependent juvenile diabetic (JD) patients (n = 16, mean age = 11.3) were compared with that of their non‐diabetic cohabiting healthy siblings (HS, n = 16, mean age = 13.2). JD patients were monitored every 3 months for levels of glycosylated hemoglobin (HbA lc ) and clinical and microbial parameters were measured 6 weeks before drawing blood for levels of HbA lc (M% = 8.76). Clinical indices, measured for the entire permanent dentition, included: probing depth (PD), attachment level (AL), sulcus bleeding index (SBI), and plaque index (PI). Subgingival plaque samples were obtained at 2 sites from each subject; whenever possible, the site with the deepest probing depth and the mesial aspect of the maxillary right first molar were used. Microbial analyses were determined by cultural characteristics and biochemical tests. No significant differences were detected in any of the clinical indices for the entire dentition. The mean AL for JD sites was 2.32 ± 0.83 mm and for HS sites was 2.2 ± 0.85 mm. Mean percentage of total cultivable anaerobic microflora included Capnocytophaga spp. (JD, 13.21%; HS, 11%) and Porphyromonas gingivalis (JD, 5.1%; HS, 7.9%). Differences between the two groups were not statistically significant. When cluster analysis was performed on sampled sites, one cluster group in JD patients showed significantly elevated P. gingivalis and lower Capnocytophaga spp. levels as compared to the overall mean. The clinical parameters of this cluster were characterized by statistically significant greater loss of attachment and probing depth. These data would suggest few differences between JD patients and their HS in this population. J Periodontol 1995;66:452–461 .