Periodontitis and Metabolic Control of Adults with Type 1 Diabetes.

IF 2.2 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

JDR Clinical & Translational Research Pub Date : 2024-10-01 DOI:10.1177/23800844241273858

A Jeftha, A Suliman, M Conradie-Smit, F Kimmie-Dhansay

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引用次数: 0

Abstract

Introduction: Periodontitis has been reported with increased incidence and prevalence in patients with diabetes mellitus (DM). Noncommunicable diseases burden the South African public health system, and there are no data reporting on this relationship in this population. This is required to inform management protocols in type 1 diabetes mellitus (T1DM), which currently exclude the importance of periodontal treatment.

Objectives: The aim of this study was to determine whether there was an association between periodontitis and the glycemic control of adult patients with T1DM at a tertiary institution in South Africa.

Methods: A cross-sectional study was conducted on adults diagnosed with T1DM. Bleeding on probing, periodontal pocket depth, and radiographical bone loss were assessed and the periodontal status of the patient was compared to their glycemic control, measured by HbA1c. An HbA1c level of ≤7% was considered to indicate adequate glycemic control.

Results: There were 120 adult participants, of whom 61.7% (74) were female and 38.3% (46) were male. The majority were nonsmokers and younger than 44 y. There were 78 (65%) participants with uncontrolled blood glucose and 42 (35%) with good control (HbA1c ≤ 7%). The median HbA1c level was 8.75 (range, 6.1 to 12.2). Most participants (94%) had periodontitis, and 97% of them had uncontrolled blood glucose.

Conclusion: There was an association between percentage bleeding score (P < 0.001) and metabolic control in adults with T1DM treated at a tertiary hospital in Cape Town, South Africa. Periodontitis severity as described by staging was not associated with T1DM in this sample. The high prevalence of periodontitis in this sample (94%) highlights the need for periodontal management to form a part of holistic patient care in patients with T1DM in this setting.

Knowledge transfer statement: The study results highlight the role of periodontitis severity and gingival bleeding scores on the metabolic control of adults with T1DM and thus emphasizes the importance of periodontal care in whole-person health in this patient population.

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1 型糖尿病成人的牙周炎和代谢控制。

导言：据报道，牙周炎在糖尿病（DM）患者中的发病率和流行率都有所上升。非传染性疾病给南非的公共卫生系统带来了沉重负担，但目前还没有关于这一人群中牙周炎与糖尿病关系的数据报告。目前，1 型糖尿病（T1DM）的管理方案不包括牙周治疗的重要性，因此需要这方面的信息：本研究旨在确定牙周炎与南非一家三级医疗机构的 T1DM 成年患者的血糖控制之间是否存在关联：方法：对确诊为 T1DM 的成人患者进行横断面研究。对探诊出血、牙周袋深度和放射性骨质流失进行了评估，并将患者的牙周状况与他们的血糖控制（以 HbA1c 为测量指标）进行了比较。HbA1c水平≤7%被视为血糖控制良好：共有 120 名成年参与者，其中女性占 61.7%（74 人），男性占 38.3%（46 人）。78人（65%）血糖未得到控制，42人（35%）血糖控制良好（HbA1c ≤ 7%）。HbA1c 中位数为 8.75（范围为 6.1 至 12.2）。大多数参与者（94%）患有牙周炎，其中 97% 的人血糖未得到控制：结论：在南非开普敦一家三级医院接受治疗的 T1DM 成人患者中，出血评分百分比（P < 0.001）与代谢控制之间存在关联。在该样本中，根据分期描述的牙周炎严重程度与 T1DM 无关。该样本中牙周炎的发病率很高（94%），这凸显了在这种情况下对 T1DM 患者进行牙周管理，使之成为患者整体护理的一部分的必要性：研究结果凸显了牙周炎严重程度和牙龈出血评分对成人 T1DM 患者代谢控制的作用，从而强调了牙周护理在该患者群体全人健康中的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JDR Clinical & Translational Research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

6.20

自引率

6.70%

发文量

期刊介绍： JDR Clinical & Translational Research seeks to publish the highest quality research articles on clinical and translational research including all of the dental specialties and implantology. Examples include behavioral sciences, cariology, oral & pharyngeal cancer, disease diagnostics, evidence based health care delivery, human genetics, health services research, periodontal diseases, oral medicine, radiology, and pathology. The JDR Clinical & Translational Research expands on its research content by including high-impact health care and global oral health policy statements and systematic reviews of clinical concepts affecting clinical practice. Unique to the JDR Clinical & Translational Research are advances in clinical and translational medicine articles created to focus on research with an immediate potential to affect clinical therapy outcomes.