Periodontal findings in elderly patients with non-insulin dependent diabetes mellitus
Periodontal findings in elderly patients with non-insulin dependent diabetes mellitus
复制标题
DOI：
10.1902/jop.1998.69.9.962
复制
发表时间：
1998-09-01
影响因子：
4.3
通讯作者：
Meurman, JH
中科院分区：
文献类型：
--
作者：
Collin, HL;Uusitupa, M;Meurman, JH
本文对25例非胰岛素依赖型糖尿病（NIDDM）患者（年龄58 ~ 76岁）的牙周状况进行了调查，并与40例非糖尿病对照者（年龄59 ~ 77岁）进行了比较。检查探诊后有可见斑块和出血的表面、结石、凹陷和病理性囊袋。总的附着丧失被计算为以毫米为单位的凹陷和囊袋的总和。根据曲面断层片测量近中和远中骨丢失，并计算平均牙槽骨丢失。牙周病被认为是先进的平均牙槽骨丢失超过50%，或2个或更多的牙齿有口袋大于或等于6毫米。微生物分析包括放线杆菌放线菌共生，牙龈卟啉单胞菌，和拟杆菌的聚合酶链反应（PCR）方法的检测。与对照组相比，NIDDM患者更常患晚期牙周炎，分别为40.0%和12.5%。糖尿病患者携带的病原体并不多于对照组。与2 ~ 3年前相比，晚期牙周炎患者HbA（1C）水平恶化，而其他NIDDM患者则无此变化。晚期牙周炎似乎与NIDDM患者的代谢控制受损有关，因此定期进行牙周监测是必要的。
THE PERIODONTAL STATUS OF 25 PATIENTS With non-insulin dependent diabetes mellitus (NIDDM) (age range 58 to 76) was investigated and compared with 40 nondiabetic control subjects (age range 59 to 77). Surfaces with visible plaque and bleeding after probing, calculus, recessions, and pathological pockets were examined. The total attachment loss was calculated as a sum of recessions and pockets in millimeters. Mesial and distal bone loss was measured from panoramic radiographs and mean alveolar bone loss was calculated. Periodontal disease was considered advanced when mean alveolar bone loss was over 50%, or 2 or more teeth had pockets greater than or equal to 6 mm. Microbiological analysis comprised the detection of Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, and Bacteroides forsythus by a polymerase chain reaction (PCR) method. Patients with NIDDM had significantly more often advanced periodontitis than control subjects, 40.0% and 12.5%, respectively. Diabetic patients did not harbor more pathogens than the control subjects, The HbA(1C) level deteriorated in patients with advanced periodontitis, but not in other patients with NIDDM, when compared to the situation 2 to 3 years earlier. Advanced periodontitis seems to be associated with the impairment of the metabolic control in patients with NIDDM, and a regular periodontal surveillance is therefore necessary.