Association between diabetes-related factors and clinical periodontal parameters in type-2 diabetes mellitus.
Association between diabetes-related factors and clinical periodontal parameters in type-2 diabetes mellitus.
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DOI：
10.1186/1472-6831-13-64
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发表时间：
2013-11-07
期刊：
影响因子：
2.9
通讯作者：
Lee HK
中科院分区：
文献类型：
--
作者：
Kim EK;Lee SG;Choi YH;Won KC;Moon JS;Merchant AT;Lee HK
证据一致表明，糖尿病是牙龈炎和牙周炎患病率增加的危险因素。但糖尿病相关因素与牙周健康的关系存在争议。本研究旨在探讨糖尿病相关因素如糖化血红蛋白、空腹血糖、糖尿病病程与糖尿病自我管理依从性及牙周健康状况的关系。采用缺牙数、社区牙周指数（CPI）、Russell牙周指数和乳头状出血指数对125例2型糖尿病患者的牙周健康状况进行评价。通过访谈和住院病历收集社会人口学因素、口腔卫生行为、糖尿病病程和自我管理依从性、糖化血红蛋白（HbA1c）和空腹血糖（FBG）水平等信息。采用独立样本t检验、方差分析、卡方检验和多元回归分析等方法对糖尿病相关因素与牙周健康的关系进行分析。糖尿病病程、空腹血糖和糖尿病自我管理依从性对缺牙数和乳头出血指数等牙周病参数有显著影响。糖尿病病程、FBG、HbA1C对CPI有显著影响。糖尿病病程、空腹血糖、糖化血红蛋白、糖尿病自我管理依从性对牙周指数有显著影响。多元线性回归分析结果显示，除缺牙外，糖尿病病程与牙周健康各项指标均呈显著正相关。HbA1c与Russell牙周和乳头出血指数相关。空腹血糖和糖尿病自我管理依从性分别与缺牙和乳头出血指数相关。在2型糖尿病患者中，糖尿病相关因素（例如糖尿病持续时间、空腹血糖、糖化血红蛋白和糖尿病自我管理的依从性）与牙周健康显着相关。
Evidence consistently shows that diabetes is a risk factor for increased prevalence of gingivitis and periodontitis. But there is a controversy about the relationship between diabetes related factors and periodontal health. The aim of the present study is to explore the relationship between diabetes related factors such as glycosylated hemoglobin, fasting blood glucose, duration of diabetes and compliance to diabetes self management and periodontal health status. Periodontal health of 125 participants with type-2 diabetes mellitus was measured by the number of missing teeth, community periodontal index (CPI), Russell’s periodontal index and papillary bleeding index. Information on sociodemographic factors, oral hygiene behavior, duration and compliance to self management of diabetes, levels of glycosylated hemoglobin(HbA1c) and fasting blood glucose(FBG) were collected by interview and hospital medical records. Statistically, independent t-test, an analysis of variance (ANOVA), chi-squared test and multiple regression analyses were used to assess the association between diabetes-related factors and periodontal health. Periodontal parameters including the number of missing teeth and papillary bleeding index were significantly influenced by duration of diabetes, FBG and compliance to self management of diabetes. CPI was significantly influenced by duration of diabetes, FBG and HbA1C. And Russell’s periodontal index was significantly influenced by duration of diabetes, FBG, HbA1C and compliance to self management of diabetes. Results of multiple linear regression analysis showed that the duration of diabetes showed significant positive correlation with all of the periodontal health parameters, except for missing teeth. HbA1c was correlated with Russell's periodontal and papillary bleeding index. FBG and compliance to self management of diabetes were correlated with missing teeth and papillary bleeding index respectively. Diabetes-related factors such as duration of diabetes, FBG, HbA1c and compliance to self management of diabetes were significantly correlated with periodontal health among individuals with type-2 diabetes.
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影响因子：
2.9
作者：
Leroy R;Eaton KA;Savage A
通讯作者：
Savage A
影响因子：
--
作者：
Rajhans, Neelima S;Kohad, Ramesh M;Mhaske, Nilkanth H
通讯作者：
Mhaske, Nilkanth H
影响因子：
16.2
作者：
American Diabetes Association
通讯作者：
American Diabetes Association
影响因子：
3
作者：
Khader, YS;Dauod, AS;Batayha, WQ
通讯作者：
Batayha, WQ
影响因子：
4.3
作者：
Oliver, RC;Brown, LJ;Löe, H
通讯作者：
Löe, H