Association of periodontal disease severity with diabetes duration and diabetic complications in patients with type 1 diabetes mellitus.

Association of periodontal disease severity with diabetes duration and diabetic complications in patients with type 1 diabetes mellitus.
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1 型糖尿病患者牙周病严重程度与糖尿病病程和糖尿病并发症的关系。

DOI：
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发表时间：
2006
期刊：
Journal of the International Academy of Periodontology
影响因子：
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通讯作者：
Hom
Hom
中科院分区：
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文献类型：
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作者：
Khalaf F. Al;J. Al;Nermeen M Moussa;Abdallah Ben;M. Al;Hom

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目标 在这项比较横断面研究中，研究了1型糖尿病(DM)患者的牙周病严重程度与糖尿病并发症和病程的关系。 材料和方法 29例病程<5年或=5年的1型糖尿病患者与43例病程<5年的1型糖尿病患者进行比较。进行了完整的病史和视网膜病变、神经病变和肾病的检查和评估，然后由一名检查员掩饰患者的糖尿病状况评估斑块指数(PI)、口袋深度(PD)、临床附着水平(CAL)和缺牙数量。 结果 糖尿病病程越长，缺牙数(4颗)和CAL(2.88 mm)和CAL(2.56 mm)显著增加(p&lt；0.05)。对于病程为5年的糖尿病患者，有一种或多种糖尿病并发症的患者的牙周病严重程度也更高，根据缺牙(17vs0；p&lt；0.001)和CAL(4.74vs2.81 mm；p&lt；0.01)进行评估。逐步多元回归分析表明，糖尿病并发症和吸烟史与严重的依恋丧失相关(CAL和GT；OR=7 mm；P&lt；0.001)。 结论 在这组1型糖尿病患者中，牙周病的严重程度与糖尿病病程和糖尿病并发症的出现有关。
OBJECTIVES The association between periodontal disease severity and diabetes complications and duration in patients with type 1 diabetes mellitus (DM) was investigated in this comparative cross-sectional study. MATERIALS AND METHODS Twenty-nine patients with type 1 DM of < or = 5 years duration were compared with 43 patients with > 5 years duration of DM. Complete medical history and examination and assessments of retinopathy, neuropathy, and nephropathy were performed, followed by assessments of the plaque index (PI), pocket depth (PD), clinical attachment level (CAL), and the number of missing teeth by one examiner masked to the diabetic status of the patients. RESULTS The number of missing teeth (4 versus 0) and CAL (2.88 vs 2.56 mm) were significantly higher in patients with longer DM duration (p < 0.05). For patients with > or = 5 years DM duration, periodontal disease severity was also greater in patients with one or more DM complications, as assessed by the number of missing teeth (17 vs 0; p < 0.001) and CAL (4.74 vs 2.81 mm; p < 0.01). Stepwise multiple regression analysis associated the presence of > or = 1 DM complications and smoking history with severe attachment loss (CAL > or = 7 mm; p < 0.001). CONCLUSION Periodontal disease severity is associated with both DM duration and the presence of DM complications in this sample of type 1 DM patients.