open access

Vol 66, No 5 (2015)
Original papers
Published online: 2015-10-12
Submitted: 2014-12-02
Accepted: 2015-01-14
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Pathologies of the oral cavity in patients with non-controlled diabetes type 1 and type 2 — analysis of periodontal status and periodontal treatment needs

Ewa Preferansow, Beata Sawczuk, Maria Gołębiewska, Maria Górska
DOI: 10.5603/EP.2015.0053
·
Endokrynologia Polska 2015;66(5):428-433.

open access

Vol 66, No 5 (2015)
Original papers
Published online: 2015-10-12
Submitted: 2014-12-02
Accepted: 2015-01-14

Abstract

Introduction: Decompensated diabetes is a major risk factor in the development of periodontal diseases. This leads to disturbances of carbohydrates, protein, and fat and morphological changes in many organs. These changes also apply to the masticatory system, especially periodontal tissues. The aim of the study was to assess the periodontal status and periodontal treatment needs in patients with non-controlled diabetes type 1 and type 2 (HbA1c > 7%), and to compare the results with the data obtained in a group of generally healthy patients.

Material and methods: The study included 275 patients, 155 of them were patients with non-controlled diabetes during hospitalisation (study group), while 120 subjects constituted the control group of healthy people. The study excluded edentulous people. CPITN index (according to Ainamo et al.) was used to assess the periodontal state and periodontal treatment needs.

Results: The average level of glycated haemoglobin HbA1C among patients in the study group was 9.43% in women and slightly more at 9.57% in men. The periodontal status in healthy people was satisfactory, dominated by the maximum values of CPITN = 0, CPITN = 1, and CPITN = 2. The study group more frequently revealed the maximum values of CPITN = 3 and CPITN = 4. This shows the more advanced periodontal changes in this group. Due to the bad condition of the periodontium, the periodontal treatment needs proved to be far greater in the study group and related primarily to comprehensive specialist treatment (TN3).

Conclusions: Decompensated diabetes may be an important cause of changes in periodontal tissues and may cause a significant loss of masticatory function in patients. (Endokrynol Pol 2015; 66 (5): 428–433)

Abstract

Introduction: Decompensated diabetes is a major risk factor in the development of periodontal diseases. This leads to disturbances of carbohydrates, protein, and fat and morphological changes in many organs. These changes also apply to the masticatory system, especially periodontal tissues. The aim of the study was to assess the periodontal status and periodontal treatment needs in patients with non-controlled diabetes type 1 and type 2 (HbA1c > 7%), and to compare the results with the data obtained in a group of generally healthy patients.

Material and methods: The study included 275 patients, 155 of them were patients with non-controlled diabetes during hospitalisation (study group), while 120 subjects constituted the control group of healthy people. The study excluded edentulous people. CPITN index (according to Ainamo et al.) was used to assess the periodontal state and periodontal treatment needs.

Results: The average level of glycated haemoglobin HbA1C among patients in the study group was 9.43% in women and slightly more at 9.57% in men. The periodontal status in healthy people was satisfactory, dominated by the maximum values of CPITN = 0, CPITN = 1, and CPITN = 2. The study group more frequently revealed the maximum values of CPITN = 3 and CPITN = 4. This shows the more advanced periodontal changes in this group. Due to the bad condition of the periodontium, the periodontal treatment needs proved to be far greater in the study group and related primarily to comprehensive specialist treatment (TN3).

Conclusions: Decompensated diabetes may be an important cause of changes in periodontal tissues and may cause a significant loss of masticatory function in patients. (Endokrynol Pol 2015; 66 (5): 428–433)

Get Citation

Keywords

oral cavity; periodontium; non-controlled diabetes

About this article
Title

Pathologies of the oral cavity in patients with non-controlled diabetes type 1 and type 2 — analysis of periodontal status and periodontal treatment needs

Journal

Endokrynologia Polska

Issue

Vol 66, No 5 (2015)

Pages

428-433

Published online

2015-10-12

DOI

10.5603/EP.2015.0053

Bibliographic record

Endokrynologia Polska 2015;66(5):428-433.

Keywords

oral cavity
periodontium
non-controlled diabetes

Authors

Ewa Preferansow
Beata Sawczuk
Maria Gołębiewska
Maria Górska

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