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Periodontal Findings in Elderly Patients With Non‐Insulin Dependent Diabetes Mellitus
Author(s) -
Collin HannaLeena,
Uusitupa Matti,
Niskanen Leo,
KontturiNärhi Vuokko,
Markkanen Heleena,
Koivisto AnnaMaija,
Meurman Jukka H.
Publication year - 1998
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.1998.69.9.962
Subject(s) - medicine , periodontitis , dental alveolus , diabetes mellitus , porphyromonas gingivalis , gingival recession , clinical attachment loss , periodontal examination , dentistry , pathological , actinobacillus , gingival and periodontal pocket , bleeding on probing , tooth mobility , metabolic control analysis , endocrinology
T he periodontal status of 25 patients with non‐insulin dependent diabetes mellitus (NIDDM) (age range 58 to 76) was investigated and compared with 40 nondiabetic control subjects (age range 59 to 77). Surfaces with visible plaque and bleeding after probing, calculus, recessions, and pathological pockets were examined. The total attachment loss was calculated as a sum of recessions and pockets in millimeters. Mesial and distal bone loss was measured from panoramic radiographs and mean alveolar bone loss was calculated. Periodontal disease was considered advanced when mean alveolar bone loss was over 50%, or 2 or more teeth had pockets ≥6 mm. Microbiological analysis comprised the detection of Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis , and Bacteroides forsythus by a Polymerase chain reaction (PCR) method. Patients with NIDDM had significantly more often advanced periodontitis than control subjects, 40.0% and 12.5%, respectively. Diabetic patients did not harbor more pathogens than the control subjects. The HbA IC level deteriorated in patients with advanced periodontitis, but not in other patients with NIDDM, when compared to the situation 2 to 3 years earlier. Advanced periodontitis seems to be associated with the impairment of the metabolic control in patients with NIDDM, and a regular periodontal surveillance is therefore necessary. J Periodontol 1998;69:962–966 .