CPITN Assessment of Periodontal Disease in Diabetic Patients

Abstract

The aim of this study was to investigate, using the CPITN system, the periodontal treatment needs in diabetic patients, and to shed additional light on the possible effects of the duration and control of diabetes on the periodontal status in these patients. A comparison was made between 222 diabetic patients (mean age, 46.9 years) and 189 control subjects (mean age, 43.9 years). Edentulous patients were not included in the study. The results indicated that diabetic patients demonstrated significantly more missing teeth (P less than 0.001). The mean number of missing sextants was also significantly higher in diabetics. Pathologic pockets of 6 mm or more were found in 1.3 and 0.3 sextants in the diabetic and control group subjects, respectively (P less than 0.001). Up to the age of 34, no differences were observed between the diabetic and control group subjects regarding pathologic pockets of 6 mm or more. Above this age, diabetics demonstrated significantly more sextants with deep pockets (P less than 0.001). Concerning the type of diabetes, no differences related to CPITN score were found between insulin dependent and non-insulin dependent diabetics. Neither were any differences found in the periodontal condition related to the duration and control of diabetes, whereas diabetics with advanced retinopathy demonstrated more sextants with deep pockets. Oral hygiene instructions and scaling were required in all patients from both study groups. On an average, 1.3 sextants in 50.9% of diabetics and 0.3 sextants in 17.9% of control subjects required complex treatment.

Comparative analysis of GCF β-glucuronidase level in diabetic and nondiabetic patients with chronic periodontitis: A clinicobiochemical study

“…This finding is in accordance with study by Bacic et al ,[11] who showed that periodontal disease is more frequent and severe in diabetics as compared to non-diabetics. Hayden and Bucklay[12] demonstrated that in diabetics with periodonitis, other than impaired glucose metabolism, genetic predisposition plays an important role in the progression of disease.…”

A Study of the Relationship between Diabetes Mellitus and Tooth Loss among Diabetic Patents in Garki General Hospital Garki Abuja, Fct Nigeria

“…This is in agreement with the World Health Organization (WHO) statement that up to age thirty four (34), teeth are usually extracted as a result of caries but later as a result of periodontal disease as the individual grows older [18]. In addition, research on an Irish population reported that the number of missing teeth increased with increase in age of the patient and duration of diabetes mellitus [19]. That Irish study is in consonance with the result here where the 65-74years age-group who might had suffered from diabetes mellitus for a longer number of years, recorded the highest number of missing teeth with an average of 7.31 in diabetic patients.…”

A cross-sectional survey to study the relationship of periodontal disease with cardiovascular disease, respiratory disease, and diabetes mellitus

“…Bacic et al . [23] also reported similar findings with a mean number of extracted teeth significantly higher among the diabetic group (12.3) than control group (9.7). In a study by Emingil et al .,[24] the mean number of missing teeth among the patients with acute myocardial infarction was 8.88 ± 7.09 and chronic coronary heart disease (CHD) was 10.3 ± 7.3.…”

“…This was similar to the study by Bacic et al . [23] (the CPITN code 4 was found in an average of 1.3 sextants in the diabetic and 0.3 sextants in the control group subjects).…”