Relation of diabetes control to periodontal pocketing and alveolar bone level

Tervonen, Tellervo; Knuuttila, Matti

doi:10.1016/0030-4220(86)90417-2

Cited by 136 publications

(94 citation statements)

References 16 publications

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“…As a result, the study has strong validity (Bergstrom and Floderus-Myrhed 1983 (Bergstrom et aI 1991 In a cross-sectional study of gingival blood vessels obtained from gingival biopsies, it was found that there was a marked increase in the thickness of the vessel walls and thickening of the basement membrane among those with diabetes compared to those without diabetes (Campbell 1971 In a cross-sectional study of 624 elderly Ontario residents, diabetes was not found to be a risk indicator for Ap (Locker and Leake 19gB 1978). However, in a cross-sectional study of a subgroup of metabolically poorly controlled diabetics it was found that they had more gingivitis (Rvasti et al 1985) and AP (Tervonen and Knuuttila 1986) (Quintarelli 195? (Quintarelli 1g57 A cross-sectional study of elderly Ontario residents found that general health conditions (including hypertension and heart disease) were not risk indicators for AP (Locker and Leake 1993). However, the sample size may have been inadequate to identifii an association if it existed.…”

Section: Cause Versus Associationmentioning

confidence: 99%

Factors associated with adult periodontitis in a dental teaching clinic population

Gelskey

Young

Singer

1998

Comm Dent Oral Epid

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– Exposure to a number of environmental, behavioral and sociodemographic variables has been associated with increased prevalence and severity of adult periodontitis. However, it is not possible easily to identify the individuals most susceptible to this chronic disease. A case control study was conducted among a population of adults to determine what factors were associated with increased prevalence of moderate to advanced periodontitis. Clinical and radio‐graphic data were obtained from dental charts and structured interviews were conducted by telephone to collect sociodemographic and behavioral data. Statistical modeling was completed for the total study population (35–87‐year‐olds) and for two age‐stratified subpopulations. Significant crude disease associations were observed between periodontitis and numerous explanatory variables. However, after adjustment for age and gender, few variables remained significant. Age stratification indicated that young adults (35–54 years) were affected differently from older adults (≧55 years) by exposures to certain variables. Young moderate smokers had a 3.15 times increased risk of periodontitis and young heavy smokers had a 7.33 times increased risk compared to never‐smokers. Older single adults had a 3.07 times increased risk compared to those with partners.

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Section: Cause Versus Associationmentioning

confidence: 99%

Factors associated with adult periodontitis in a dental teaching clinic population

Gelskey

Young

Singer

1998

Comm Dent Oral Epid

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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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“…103 Conversely, periodontal health is better in wellcontrolled diabetic patients versus patients who are poorly controlled. [104][105][106][107][108] …”

Section: Diabetes Mellitusmentioning

confidence: 99%

Etiology and Pathogenesis of Periodontal Disease

Niemiec¹

2012

Veterinary Periodontology

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Relation of diabetes control to periodontal pocketing and alveolar bone level

Cited by 136 publications

References 16 publications

Factors associated with adult periodontitis in a dental teaching clinic population

Factors associated with adult periodontitis in a dental teaching clinic population

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

Etiology and Pathogenesis of Periodontal Disease

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