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  1. Article: Condición periodontal y pérdida dental en pacientes diabéticos del Hospital Universitario San Vicente de Paúl.

    Ochoa, Sandra Paola / Ospina, Carlos Andrés / Colorado, Kelly Johana / Montoya, Yenny Paola / Saldarriaga, Andrés Fernando / Miranda Galvis, Marisol / Muñoz Pino, Natalia / Gómez, María Eugenia / Yepes, Fanny Lucía / Botero, Javier Enrique

    Biomedica : revista del Instituto Nacional de Salud

    2012  Volume 32, Issue 1, Page(s) 52–59

    Abstract: Introduction: Diabetes is a systemic disease which affects the metabolism of glucose,and it has been associated with the development of periodontal disease.: Objective: The periodontal condition and tooth loss was evaluated in diabetic subjects.: ... ...

    Title translation Periodontal condition and tooth loss in diabetic patients.
    Abstract Introduction: Diabetes is a systemic disease which affects the metabolism of glucose,and it has been associated with the development of periodontal disease.
    Objective: The periodontal condition and tooth loss was evaluated in diabetic subjects.
    Materials and methods: At the San Vicente de Paúl Hospital (Medellín, Colombia), 117 subjects with type 1 and 2 diabetes mellitus were examined. Patients underwent a comprehensive periodontal evaluation, glycosylated hemoglobin analysis, oral hygiene habits and history of diabetes. A descriptive and comparative analysis between the clinical parameters, tooth loss and type of diabetes was performed.
    Results: The prevalence of gingivitis was 27.4% and periodontitis 72.6%. The most frequent systemic complication was hypertension (51.3%). The most frequently lost teeth were molars and in general, the subjects had lost an average of 7 teeth and had a poor plaque control (55.4%). No differences were seen in clinical parameters between type 1 and 2 diabetes patients. The mean probing depth was 2.6 mm. The first and second upper and lower molars showed the highest values of PD. The mean clinical attachment loss was 3.3 mm . Maxillary teeth 17, 16, and mandibular 37, 47 showed the highest values of clinical attachment loss.
    Conclusions: In conclusion, the periodontal condition in diabetic patients was poor, presenting periodontitis in most cases. This can be a major cause of tooth loss in diabetic subjects and requires special attention by clinicians.
    MeSH term(s) Adult ; Aged ; Colombia/epidemiology ; Cross-Sectional Studies ; Dental Plaque/epidemiology ; Diabetes Mellitus, Type 1/blood ; Diabetes Mellitus, Type 1/complications ; Diabetes Mellitus, Type 2/blood ; Diabetes Mellitus, Type 2/complications ; Female ; Gingivitis/epidemiology ; Gingivitis/etiology ; Glycated Hemoglobin A/analysis ; Humans ; Male ; Middle Aged ; Oral Hygiene ; Periodontal Diseases/epidemiology ; Periodontal Diseases/etiology ; Periodontal Pocket/epidemiology ; Periodontitis/epidemiology ; Periodontitis/etiology ; Prevalence ; Tooth Loss/epidemiology ; Tooth Loss/etiology
    Chemical Substances Glycated Hemoglobin A
    Language Spanish
    Publishing date 2012-01
    Publishing country Colombia
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 0120-4157
    ISSN 0120-4157
    DOI 10.1590/S0120-41572012000100007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Tooth and periodontal clinical attachment loss are associated with hyperglycemia in patients with diabetes.

    Botero, Javier Enrique / Yepes, Fanny Lucia / Roldán, Natalia / Castrillón, Cesar Augusto / Hincapie, Juan Pablo / Ochoa, Sandra Paola / Ospina, Carlos Andrés / Becerra, María Alejandra / Jaramillo, Adriana / Gutierrez, Sonia Jakeline / Contreras, Adolfo

    Journal of periodontology

    2012  Volume 83, Issue 10, Page(s) 1245–1250

    Abstract: Background: Periodontal disease has been associated with diabetes, but there is still controversy on the relationship between periodontal clinical parameters and glycemic control. The purpose of this study is to assess the relationship between blood ... ...

    Abstract Background: Periodontal disease has been associated with diabetes, but there is still controversy on the relationship between periodontal clinical parameters and glycemic control. The purpose of this study is to assess the relationship between blood glucose levels and clinical parameters of periodontal disease in individuals with diabetes.
    Methods: A total of 65 individuals with diabetes and 81 individuals without diabetes were included in the study. A full-mouth periodontal examination and preprandial fasting glycemia values were recorded for each individual. Glycosylated hemoglobin was only measured in patients with diabetes. A comparative analysis between groups (Mann-Whitney U test) and a correlation analysis between glycemia and periodontal parameters were performed (Spearman test).
    Results: Patients without diabetes presented more teeth than individuals with diabetes (P <0.05). Patients with diabetes with periodontitis displayed loss of periodontal clinical attachment compared to patients without diabetes, but the highest value was observed in patients with periodontitis that reported a smoking habit. Furthermore, patients with diabetes with periodontitis presented higher glycemia and glycated hemoglobin values in contrast to patients with gingivitis. Patients with diabetes with hyperglycemia had a higher risk to develop periodontitis (odds ratio = 2.24; 95% confidence interval = 1.02 to 4.93). A positive correlation was observed between glycemia and clinical attachment loss (AL), whereas a negative correlation between glycemia and the number of teeth present was found (P <0.05).
    Conclusions: Tooth and periodontal AL were increased by hyperglycemia in individuals with diabetes. This study contributes additional evidence that diabetes could aggravate periodontal disease and affect the systemic health of individuals.
    MeSH term(s) Adult ; Case-Control Studies ; Cross-Sectional Studies ; Dental Care for Chronically Ill ; Diabetes Complications ; Female ; Glycated Hemoglobin A/analysis ; Humans ; Hyperglycemia/complications ; Linear Models ; Male ; Middle Aged ; Periodontal Attachment Loss/etiology ; Smoking ; Statistics, Nonparametric ; Tooth Loss/etiology
    Chemical Substances Glycated Hemoglobin A
    Language English
    Publishing date 2012-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 390921-9
    ISSN 1943-3670 ; 0022-3492 ; 1049-8885 ; 0095-960X
    ISSN (online) 1943-3670
    ISSN 0022-3492 ; 1049-8885 ; 0095-960X
    DOI 10.1902/jop.2012.110681
    Database MEDical Literature Analysis and Retrieval System OnLINE

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