Association Between Periodontitis and Diabetes: Results from the 4th National Oral Health Survey in China (2015-2016).

IF 0.9
Jian Jiao, Ya Lin Zhan, Wu Di Jing, Xi Peng Feng, Bao Jun Tai, De Yu Hu, Huan Cai Lin, Bo Wang, Chun Xiao Wang, Shu Guo Zheng, Xue Nan Liu, Wen Sheng Rong, Wei Jian Wang, Xing Wang, Yan Si, Huan Xin Meng
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Abstract

Objective: To evaluate the cross-sectional correlation between severity of periodontitis and diabetes in a representative sample of the Chinese population.

Methods: Data of dentate subjects (35- to 44-year-old group [n = 4,409], 55- to 64-year-old group [n = 4,568] and 65- to 74-year-old group [n = 4,218]) were analysed. Self-reported diagnosis of diabetes was based on a face-to-face interview. Periodontal status was defined according to the 2018 classification scheme. Periodontal parameters included bleeding on probing (BOP), probing depth (PD) and attachment loss (AL). Distribution of periodontal status and parameters in diabetic and non-diabetic subjects were calculated. Smoothing plots were illustrated to show the correlation between periodontal parameters/status and diabetes.

Results: The frequency of severe periodontitis (Stage III and Stage IV) in diabetic subjects was significantly higher than that in non-diabetic subjects (41.88% vs 30.22%, P 0.001). The percentages of periodontal parameters of diabetic subjects were significantly higher than those of non-diabetic subjects (57.71% vs 53.12% for BOP, 22.11% vs 16.29% for PD ≥ 4 mm and 2.07% vs 1.22% for PD ≥ 6 mm, respectively). Increased risk of diabetes was observed in subjects with severe periodontitis. Positive associations were found between the percentage of affected teeth with PD ≥ 4/6 mm and diabetes.

Conclusion: Severe periodontitis is associated with diabetes in the Chinese population, and highlighted in younger patients.

牙周炎与糖尿病的关系:第四次全国口腔健康调查结果(2015-2016)
目的:评价具有代表性的中国人群牙周炎严重程度与糖尿病的横断面相关性。方法:对35 ~ 44岁组[n = 4,409]、55 ~ 64岁组[n = 4,568]、65 ~ 74岁组[n = 4,218]有齿受试者的资料进行分析。自我报告的糖尿病诊断是基于面对面的访谈。牙周状况根据2018年分类方案进行定义。牙周参数包括探诊出血(BOP)、探诊深度(PD)和附着丧失(AL)。计算糖尿病和非糖尿病受试者牙周状态和牙周参数的分布。平滑图显示牙周参数/状态与糖尿病之间的相关性。结果:糖尿病患者发生严重牙周炎(III期和IV期)的频率明显高于非糖尿病患者(41.88% vs 30.22%, P < 0.001)。糖尿病患者的牙周参数比例明显高于非糖尿病患者(BOP为57.71%比53.12%,PD≥4 mm为22.11%比16.29%,PD≥6 mm为2.07%比1.22%)。严重牙周炎患者患糖尿病的风险增加。患牙PD≥4/6 mm比例与糖尿病呈正相关。结论:在中国人群中,严重牙周炎与糖尿病相关,且以年轻患者为主。
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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