Absence of Periodontitis in a Population of Insulin‐Dependent Diabetes Mellitus (IDDM) Patients

Abstract

The prevalence of periodontitis was studied in a population of insulin-dependent diabetes mellitus (IDDM) patients, aged 10-18, with a variety of disease durations and levels of control. The sample included a number of patients with poorly controlled IDDM of long duration. None of the patients had radiographic signs of periodontitis. When considered in conjunction with previously reported studies, the findings suggest that populations of IDDM patients may differ in susceptibility to the periodontal diseases; thus, generalizations concerning prevalence based on only a few studies may be inappropriate.

Investigation of the oral status and microorganisms in children with phenylketonuria and type 1 diabetes

“…Nevertheless, there are studies that have not been able to show any differences in the oral and gingival health between diabetic and healthy children and have suggested racial and sexual differences to account for differences in susceptibility [6,27,28,40,41]. In the present study, however, this cannot be considered as one of the influencing factors as the majority of the population was of the same ethnic origin (German) and the division of gender was equal.…”

Periodontitis in Diabetics: Is Collaboration Between Physicians and Dentists Needed?

“…Although the results from some studies indicate absence of periodontitis in T1DM subjects 14,15 , several studies indicate that the prevalence of gingival inflammation and periodontitis in children with T1DM is approximately 10% 16,17 compared with less than 2% in children and adolescents overall, 18 suggesting that T1DM predisposes to periodontitis. In addition, the results from several studies indicate that the duration and/or severity of T1DM appear to be risk factors that impact the development of periodontitis 19,20 .…”

Implications of Diabetes Mellitus and Periodontal Disease

“…While comparing 46 IDDM subjects (aged [18][19][20][21][22][23][24][25][26] with 41 1 healthy controls, Rylander and colleagues'-'-observed significantly more loss of periodontal attachment, gingivitis, and gingival recession among the diabetic subjects. There was, however, no significant correlation between duration of DM, insulin dosage, hemoglobin Ale concentrations, and indicators of periodontal disease.…”