Article Sidebar
Views article details: 14
Describe the clinical, paraclinical characteristics and analyze factors related to periodontitis in patients with type 2 diabetes mellitus (T2DM)
Main Article Content
Abstract
Objective: To describe the clinical, paraclinical characteristics and analyze factors related to periodontitis in patients with type 2 diabetes mellitus (T2DM).
Subjects and methods: A cross-sectional descriptive study was conducted on 50 T2DM patients at Military Hospital 103. Periodontal indices (GI, OHI-S, PD, CAL, tooth mobility) and glycemic control (HbA1c) were assessed.
Results: The mean age was 64.94 ± 8.41 years. 92% of patients were diagnosed with periodontitis (68% severe, 24% moderate), while 8% had gingivitis. The mean HbA1c was 7.75 ± 0.62%, with 98% of patients exhibiting poor glycemic control. Periodontal indices were high: GI (1.54 ± 0.53), OHI-S (2.89 ± 0.97), PD (5.84 ± 0.81 mm), and CAL (2.97 ± 1.38 mm). Periodontitis severity was significantly associated with high HbA1c levels (≥7.5%), longer disease duration (≥5 years), and older age (≥60). Patients with HbA1c ≥ 7.5% had a 4.36-fold increased risk of severe periodontitis (p<0.05).
Conclusion: Patients with T2DM exhibit a high prevalence and severity of periodontitis. Poor glycemic control, longer disease duration, and older age are significant associated factors.
Article Details
Keywords
Type 2 diabetes mellitus (T2DM), periodontitis, HbA1c
References
2. Thị Thùy Liên, G., Hưng, L., Minh Sơn, T., & Long Nghĩa, L., (2021). Tình trạng vùng quanh răng, mất răng và một số yếu tố liên quan ở bệnh nhân đái tháo đường týp 2 tại một số bệnh viện ở Hà Nội năm 2020 - 2021. Tạp Chí Y học Việt Nam, 506(1). https://doi.org/10.51298/ vmj.v506i1.1196
3. López-Valverde N, Rueda JAB. Effect of Periodontal Treatment in Patients with Periodontitis and Diabetes: Review of Systematic Reviews with Meta-Analyses in the Last Five Years. Healthcare. 2024; 12(18):1844. https://doi.org/10.3390/healthcare12181844
4. Preshaw, P. M., Alba, A. L., & Herrera, D. (2012). Periodontitis and diabetes: a two-way relationship. Diabetologia, 55(1), 21-31.
5. Zheng, M., Wang, C., Ali, A. et al. Prevalence of periodontitis in people clinically diagnosed with diabetes mellitus: a meta-analysis of epidemiologic studies. Acta Diabetol 58, 1307-1327 (2021). https://doi.org/10.1007/s00592-021-01738-2
6. Demmer RT, et al. (2010). Periodontal disease and incident type 2 diabetes: results from the First National Health and Nutrition Examination Survey and its epidemiologic follow-up study. Diabetes Care, 33(7):1373-1379.
7. Chapple, I. L., Genco, R., (2013). Diabetes and periodontal diseases: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. Journal of clinical periodontology, 40, S106-S112.
8. Simpson TC, Clarkson JE, Worthington HV, MacDonald L, Weldon JC, Needleman I, Iheozor-Ejiofor Z, Wild SH, Qureshi A,Walker A, Patel VA, Boyers D, Twigg J. Treatment of periodontitis for glycaemic control in people with diabetes mellitus. Cochrane Database of Systematic Reviews 2022, Issue 4. Art. No.: CD004714. DOI: 10.1002/14651858.CD004714. pub4.
9. American Diabetes Association Professional Practice Committee; 1. Improving Care and Promoting Health in Populations: Standards of Care in Diabetes 2024. Diabetes Care 1 January 2024; 47 (Supplement_1): S11-S19. https://doi.org/10.2337/dc24-S001
10. Sanz, Mariano et al. (2018). Scientific evidence on the links between periodontal diseases and diabetes: Consensus report and guidelines of the joint workshop on periodontal diseases and diabetes by the International diabetes Federation and the European Federation of Periodontology. Diabetes Research and Clinical Practice, Volume 137, 231 - 241