A population‐based study on the association between type 2 diabetes and periodontal disease in 12,123 middle‐aged Taiwanese (KCIS No. 21)

Wang, Tingting; Chen, Chien-Jen; Wang, Po-En; Lai, Hongmin; Lo, Ming‐Te; Chen, Pearl Yi-Chun; Chiu, Sherry Yueh‐Hsia

doi:10.1111/j.1600-051x.2009.01386.x

Cited by 46 publications

(41 citation statements)

References 33 publications

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“…Overall, the risk for periodontal care was ≈18% higher among those with than among those without diabetes. These findings are consistent with those of other studies in which various aspects of periodontal health and diabetes or metabolic syndrome have been examined 1,7‐9,25‐29 . For example, in the NHANES III study (The Third National Health and Nutrition Examination Study), the prevalence of periodontitis among those with versus without diabetes was 31.3% versus 10.6% among African Americans, 28.5% versus 5.9% among Mexican Americans, and 22.3% versus 6.2% among whites 3 .…”

Section: Discussionsupporting

confidence: 89%

“…Periodontitis is associated with a variety of adverse dental outcomes, including destruction of the underlying bone, tooth loosening, and, if left untreated, edentulism 5 . Numerous studies have evaluated the association between diabetes and periodontitis, a chronic infectious and inflammatory process 6‐12 . Diabetes is a generally accepted risk factor for periodontal disease, 6 and periodontitis is sometimes considered the “sixth complication” of diabetes 13 .…”

mentioning

confidence: 99%

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A Population‐Based Study of Periodontal Care Among Those With and Without Diabetes

Newton

Chaudhari²,

Barlow

et al. 2011

Journal of Periodontology

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Section: Discussionsupporting

confidence: 89%

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confidence: 99%

A Population‐Based Study of Periodontal Care Among Those With and Without Diabetes

Newton

Chaudhari²,

Barlow

et al. 2011

Journal of Periodontology

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“…Since both diabetes groups (T1D and T2D) were on average younger than the older study population of the DMS IV, it can be concluded that diabetes may enhance periodontal destruction and may act as a predisposing factor for periodontitis. The negative influence of diabetes on periodontal health, which was the subject of clinical trials [39,40], review articles [27,28], and meta-analyses [29,41], is now generally accepted.…”

Section: Discussionmentioning

confidence: 99%

Level of information about the relationship between diabetes mellitus and periodontitis - results from a nationwide diabetes information program

Weinspach¹,

Staufenbiel²,

Memenga-Nicksch³

et al. 2013

Eur J Med Res

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BackgroundA comprehensive knowledge about the mutual influence between diabetes and periodontitis is decisive for the successful treatment of both diseases. The present investigation aimed at assessing the diabetic and periodontal conditions and, in particular, the degree of knowledge about the relationship between diabetes and periodontitis.MethodsDuring a diabetes information program, 111 nondiabetics (ND), 101 type 1 diabetics (T1D), and 236 type 2 diabetics (T2D) were subject to a medical and dental examination and completed a self-administered questionnaire. Medical examination included measurements of glycated hemoglobin (HbA1c), blood glucose (BG), and body mass index (BMI). Full-mouth examination consisted of the assessment of the decayed, missing, filled teeth index (DMFT) and the periodontal screening index (PSI). Chi-square test, ANOVA, t test of independent samples, univariate and multivariate logistic regression models with variable selection strategies were used for statistical analyses. Due to the exploratory character of the investigation a value of P ≤0.05 was considered to be statistically substantial.ResultsT2D had a significantly higher PSI when compared to T1D and ND (t test: P <0.001; P = 0.005). Approximately 90% of T2D suffered from periodontitis. In addition, diabetics with periodontitis showed a significantly higher BMI when compared to diabetics without periodontitis (multivariate logistic regression: P = 0.002). Almost 60% of all investigated subjects were not informed about the mutual influence between diabetes and periodontitis. T2D had almost as little information about the increased risk for periodontitis as ND.ConclusionsThe data of the present investigation suggest that there is a strong association between type 2 diabetes and chronic periodontitis. The lack of awareness of the mutual influence between diabetes and periodontitis, especially in T2D, demonstrates that this topic is still neglected in dental and diabetic treatment.

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“…Many evidences support the idea that the link between periodontal disease and diabetes is biunivocal [77,78]. Although over-expression of inflammatory mediators in crevicular fluid is frequently reported, no significant difference in periodontal pathogens is observed [79,80].…”

Section: Diabetes and Periodontitismentioning

confidence: 95%

Does It Make Sense that Diabetes is Reciprocally Associated with Periodontal Disease?

Santacroce¹,

Carlaio²,

Bottalico³

2010

EMIDDT

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Epidemiological studies indicated that more than 15% of the population in western countries suffer because of severe forms of periodontitis, In this respect, the recognition of the relationship between oral and systemic health is growing, thus receiving remarkable interest in scientific literature. In fact, periodontitis may increase the risk for a group of life-threatening conditions such as atherosclerosis, stroke or low birth weight. The American Diabetes Association has reported that individuals with uncontrolled diabetes (defined as 200mg/dL of glucose on three consecutive readings) undergo an increased risk of infections, abnormal wound healing and consequent increased recovery time. Moreover, diabetics may be more likely to develop periodontal and cardiovascular disease than non diabetics, if note. History of poorly controlled chronic periodontal disease can alter diabetic/glycemic control. This may originate from a likely continuous passege of bacterial toxins and/or bacteria into the bloodstream, and/or from an exaggerated release of inflammatory mediators. This review is aimed at elucidating the connections between the status of oral health and glycemic control in diabetes.

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A population‐based study on the association between type 2 diabetes and periodontal disease in 12,123 middle‐aged Taiwanese (KCIS No. 21)

Cited by 46 publications

References 33 publications

A Population‐Based Study of Periodontal Care Among Those With and Without Diabetes

A Population‐Based Study of Periodontal Care Among Those With and Without Diabetes

Level of information about the relationship between diabetes mellitus and periodontitis - results from a nationwide diabetes information program

Does It Make Sense that Diabetes is Reciprocally Associated with Periodontal Disease?

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