Periodontitis in non-smoking type 1 diabetic adults: a cross-sectional study

被引:34
作者
Hodge, Penny J. [1 ]
Robertson, Douglas [1 ]
Paterson, Kenneth [2 ]
Smith, Gillian L. F. [3 ]
Creanor, Siobhan [4 ]
Sherriff, Andrea [1 ]
机构
[1] Univ Glasgow, Infect & Immun Res Grp, Sch Dent, Sch Med, Glasgow G2 3JZ, Lanark, Scotland
[2] Glasgow Royal Infirm, Dept Med, Glasgow G4 0SF, Lanark, Scotland
[3] Glasgow Dent Hosp, Glasgow, Lanark, Scotland
[4] Univ Plymouth, Ctr Hlth & Environm Stat, Plymouth PL4 8AA, Devon, England
关键词
cross-sectional; glycaemic control; non-smoker; periodontitis; type; 1; diabetes; ORAL-HEALTH; DISEASE; RISK; INFLAMMATION; INDIVIDUALS; MELLITUS; ASSOCIATION; PROGRESSION; OBESITY;
D O I
10.1111/j.1600-051X.2011.01791.x
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Aim: To compare levels of periodontitis in non-smoking type 1 diabetic patients and controls. Material and Methods: Type 1 diabetic patients, aged 20-55 years, were recruited from outpatient clinics at five hospitals in Glasgow, UK. Control subjects were recruited from physiotherapy clinics, using the buddy system and through an advertisement in a free newspaper. The primary outcome was severe periodontitis defined by clinical attachment level >= 6 mm on >= 1 tooth. Results: There were 34 well controlled patients (HbA1c <= 7.5%), 169 poorly controlled patients and 112 non-diabetic subjects. Prevalence of severe periodontitis was higher in all type 1 diabetic patients [24.1% (95% CI: 18.4-30.6%)] and poorly controlled patients [27.2% (20.7-34.6%)] than in controls [20.5% (13.5-29.2%)]. The fully adjusted odds ratios (ORs) in never smokers comparing the whole diabetic group, and the poorly controlled group, with the control group were 1.35 [0.66-2.8] (p = 0.41) and 1.58 [0.75-3.33] (p = 0.23), respectively. Mean clinical attachment level was higher in all type 1 diabetic and poorly controlled patients than in controls (both p < 0.001). Conclusions: These results indicate worse periodontal health in type 1 diabetic patients than in control subjects. Trial registration: This study was registered with the UKCRN, ID: 9314 and Scottish Diabetes Research Network registration number: 128.
引用
收藏
页码:20 / 29
页数:10
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