Diabetes and the Periodontal Patient

Hove, Kent A.; Stallard, Richard E.

doi:10.1902/jop.1970.41.12.713

Cited by 86 publications

(45 citation statements)

References 15 publications

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“…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.…”

Section: Diabetes Mellitus and Periodontal Diseasementioning

confidence: 99%

Implications of Diabetes Mellitus and Periodontal Disease

Hallmon

Mealey

1992

Diabetes Educ

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The dental profession is acutely aware of oral health problems associated with diabetes mellitus and clinical manifestations indicative of occult forms of the disease. Periodontal disease is common in patients with diabetes, and its effective management in diabetic patients requires cooperation involving the patient, physician, diabetes educator, dentist, and other allied health care providers. While these patients categorically appear more prone to diseases affecting the supporting tissues of the teeth, preservation of functional dental integrity can be attained by effective control of contributing systemic and local factors. This paper will discuss periodontal disease, its relationship to diabetes, proposed mechanisms of interaction, and management of periodontal disease in the diabetic patient.

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Section: Diabetes Mellitus and Periodontal Diseasementioning

confidence: 99%

Implications of Diabetes Mellitus and Periodontal Disease

Hallmon

Mealey

1992

Diabetes Educ

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“…1 3 The impact of diabetes on peri o d o n t a l diseases, howe ver, was not clearly established. Evidence has been advanced both for 9 -1 3 a n d against [14][15][16][17] a relationship between type II diabetes and periodontal disease. One probable explanation for the variation in results is that not all diabetics are similar.…”

Section: Introductionmentioning

confidence: 99%

Comparison of health behaviour and oral/medical conditions in non‐insulin‐dependent (type II) diabetics and non‐diabetics

Kawamura

Fukuda²,

Kawabata

et al. 1998

Australian Dental Journal

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One hundred and two dentate patients with type II diabetes mellitus and 98 non-diabetic subjects were examined for oral conditions and metabolic state. Self-reported health behaviour was analysed. From factor analysis four factors emerged: general health behaviour (GHB), perceived fatigue (PF), diet control (DC) and regular diet (RD). In diabetics PF, DC and RD were significantly higher than that in non-diabetics. Patients with diabetes were more likely to control their disease through a programme of decreased kilojoule intake leading to weight management. However, they tended to tire. The mean gingivitis index was significantly higher (p<0.01) among diabetics (2.39) than among nondiabetics (1.99). The number of missing teeth was significantly higher (p<0.01) for diabetics (6.7) when compared with non-diabetics (4.3). On the other hand, aetiological factors (plaque, calculus) and the level of dental health behaviour as expressed in the HU-DBI scores were similar. Probing pocket depth did not differ statistically between groups. The increasing number of missing teeth in diabetics may primarily result from severe periodontitis with tooth mobility or deep pockets. Findings in this study suggest that the difference in the severity of periodontitis between diabetics and non-diabetics was significant although aetiological factors and the level of dental health behaviour were similar.

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“…The relationship between diabetes mellitus and periodontal disease has been studied extensively, but the interpretation of the results is complicated by findings that the prevalence of both diseases increases with age, and that well-controlled diabetics may not exhibit more gingivitis or destructive periodontitis than non-diabetics (Finestone and Boorujy, 1967;Sznajder et al, 1978). As a result, some studies have failed to confirm the relationship between diabetes and periodontal disease (Mackenzie and Millard, 1963;Beneviste et al, 1967;Hove and Stallard, 1970;Tenovuo et al, 1986), while other investigators have supported it through their findings (Belting et al, 1964;Sznajder et al, 1978;Cianciola et al, 1982).…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of Root Caries in a Diabetic Population

Tavares¹,

DePaola²,

Soparkar³

et al. 1991

J Dent Res

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The objective of this study was to assess the level of root caries in a population of diabetic adults. Diabetics are of special interest because they are alleged to be periodontally compromised and have atypical patterns of refined carbohydrate ingestion. Diabetic subjects were patients of the Joslin Diabetic Center in Boston and had significantly elevated blood glucose and glycosylated hemoglobin levels over at least a ten-year period. Eligible subjects had to be between the ages of 45 and 65 and have a minimum of ten teeth and three sites with recession. Data were collected on coronal caries, oral hygiene, gingivitis, pocket depth, recession, and root caries and were compared with data from control subjects from a larger non-diabetic study group. There were 88 diabetics and 185 controls with mean ages of 55.7 and 56.3 years, respectively. The groups were found to be similar with respect to the numbers of buccal surface sites with gingival recession and the numbers of carious root lesions. There was a distinct difference, however, with respect to restored root surfaces: 1.76 mean filled surfaces were observed in the controls, as compared with 0.49 in the diabetics. A Katz Root Caries Index (for which lesions are calculated as a percentage of the numbers of exposed root surfaces) was determined to be 15.2 for the controls and 7.1 for the diabetics. A reasonable inference is that these differences are the result of a restricted ingestion of refined carbohydrates by the diabetic group. This was confirmed by a dietary survey of subsamples from the diabetic and non-diabetic groups.

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Diabetes and the Periodontal Patient

Cited by 86 publications

References 15 publications

Implications of Diabetes Mellitus and Periodontal Disease

Implications of Diabetes Mellitus and Periodontal Disease

Comparison of health behaviour and oral/medical conditions in non‐insulin‐dependent (type II) diabetics and non‐diabetics

The Prevalence of Root Caries in a Diabetic Population

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