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Article
Relationship between periodontal status and selected clinical characteristics in type 2 diabetic patients

Author: Dr. Dalia Kudier Abbas.* د.داليا خضير
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2009 Volume: 6 Issue: 3 Pages: 286-291
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Diabetes mellitus (DM) is a systemic disease with several major complications. One of the important complications of diabetes mellitus is periodontal disease. The risk for this complication is not equal in all DM patients and thus some factors may increase its severity.To study the relationship between selected clinical characteristics and periodontal disease in type 2 (DM) patients.Two hundred and four type 2 diabetic patients were enrolled in this study; their ages were (28-71) years. The clinical characteristics included age, sex, body mass index (BMI), duration of (DM), smoking, and history of important diseases that complicate (DM) including hypertension, coronary heart disease, and arthritis. Periodontal status was evaluated by periodontal disease index (PDI) which included plaque, calculus, and periodontal components of this index. The means of plaque, calculus, and periodontal disease index were compared between patients who were grouped according to the presence or absence of the selected clinical characteristics.There was a significant difference in mean value of calculus index between hypertensive and non hypertensive patients (0.56±0.53 vs. 0.72±0.43, P< 0.05). Also there was a significant difference in periodontal disease index between hypertensive diabetic patient compared to diabetic patients who had no hypertension (3.84±0.75 vs. 3.2±0.99, P<0.001).Analysis of correlation showed that the correlations between plaque index and both calculus index and periodontal disease index were highly significant (P<0.001). The correlation was positive and highly significant between PDI and age (P<0.001) while it was significant between PDI and duration of DM ( P < 0.05 ).Hypertension seems to have a role in aggravating periodontitis in type 2 DM particularly with increasing age and duration of disease. Preventive periodontal disease programs should take in consideration presence of hypertension in type 2 DM


Article
Periodontal treatment needs of type 2 diabetic Iraqi patients

Author: Dr. Dalia Kudier Abbas. د. داليا خضير
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2011 Volume: 8 Issue: 1 Pages: 79-85
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

AbstractPeriodontitis is a persistent bacterial infection causing chronic inflammation inperiodontal tissues. Type 2 diabetes mellitus (DM) is a common metabolic diseasethat is associated with increased prevalence and severity of periodontitis.Our aim is to evaluate periodontal treatment needs of type 2 diabetic Iraqi patientsaccording to the age and the duration of DM.One hundred and seventy one type 2 diabetic Iraqi patients were enrolled in thisstudy. Recording of gender, age, and duration of DM was done. Periodontalexamination to evaluate treatment needs (TN) was performed by using communityperiodontal index of treatment needs (CPITN), Scoring for each patient was done bydividing his mouth into six sextants.CPITN showed a variation in the distribution of the patients according to age. Inthe age category (30-39) years; code 0 and code 1 represented 23.6 % and 59.8 % ofthe sextants respectively. Concerning treatment needs, only 11.8 % of patients did notneed any treatment (TN 0). In the age category (40-49) years; code 1 was the mostfrequent code and represented 61.5% of the sextants . All patients in this age categoryneed a sort of treatment . In the age categories (50-59) years and (60-69) years; code 3represented 21.8% and 30.6% of the sextants respectively and TN3 represented 50%and 49.2% of the patients respectively. In this study, when the duration of DM is 1-5years, code 3 represented only 13.6% of the sextants and periodontal treatment needsTN3 was 26.3% of patients while code 3 reached 26% of the sextants and TN3represented 52.7% of the patients when the duration of DM was > 5 years.In conclusion periodontal treatment needs of type 2 diabetic patients became morecomplicated if the patients were older and the duration of DM was longer.

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