Diabetes and Periodontitis: A medical perspective

Sharma, Monika; Jindal, Radhika; Siddiqui, Mahmudur Rahman; Wangnoo, Subhash Kumar

doi:10.4103/2231-0754.176244

Cited by 8 publications

(13 citation statements)

References 1 publication

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“…Prevalensi dari Belanda pada pasien Periodontitis menunjukkan nilai HbA1c 6,3% sedangkan untuk nilai normal HbA1c adalah 4,5% -5,7% [5] . Prevalensi dari rumah sakit Indraprashtha Apollo, Sarita Vihar, New Delhi, India menunjukkan tingkat keparahan Periodontitis pada pasien Diabetes Melitus sebesar 17,3% dibandingkan dengan pasien Peridontitis yang non Diabetes Melitus sebesar 9% [6] . Prevalensi Periodontitis pada pasien Diabetes Melitus di Poli Klinik Penyakit Dalam RSUP Dr. Sardjito adalah 88,24% [7] .…”

Section: Pendahuluanunclassified

MOTIVASI PEMELIHARAAN KESEHATAN GIGI DAN MULUT (PERIODONTITIS) PASIEN DIABETES MELITUS MENGGUNAKAN MEDIA LEAFLET (Studi di Puskesmas Maron Kabupaten Probolinggo)

Fadila¹,

Mahirawatie²,

Soesilaningtyas³

2021

JSK

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Salah satu komplikasi Diabetes Melitus di bidang kedokteran gigi adalah oral diabetic meliputi mulut kering (xerostomia), gusi mudah berdarah (gingivitis), karang gigi (calculus), resorbsi tulang alveolaris, dan periodontitis. Periodontitis merupakan komplikasi yang sering terjadi pada penderita diabetes melitus dengan tingkat prevalansi yang tinggi hingga mencapai angka 75% (Nandya, dkk, 2012 dalam Lestari, dkk, 2016). Kota Probolinggo sendiri memiliki proporsi masalah kesehatan gigi dan mulut kurang lebih 65% - 70% dan yang merawat gigi kurang lebih 8,5% - 10% dari jumlah penduduk 217.062 jiwa. Masalah penelitian ini adalah Tingginya Prevalensi Periodontitis di Puskesmas Maron Kabupaten Probolinggo. Penelitian ini bertujuan untuk metahui Motivasi tentang Pemeliharaan Kesehatan Gigi dan Mulut (Periodontitis) pada Pasien Diabetes Melitus di Puskesmas Maron Kabupaten Probolinggo. Metode penelitian dengan mengisi kueisioner dan pemeriksaan, jenis penelitian ini adalah deskriptif dengan sasaran pasien Diabetes Melitus sebanyak 30 orang. Hasil Penelitian menunjukkan motivasi dorongan termasuk kuat (75%), motivasi harapan kuat (71%), motivasi imbalan kuat (59%). Dapat disimpulkan motivasi pasien Diabetes Melitus tentang kesehatan gigi dan mulut adalah kuat (69%). Kata Kunci : motivasi, pemeliharaan kesehatan, diabetes melitus, leaflet.

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Section: Pendahuluanunclassified

MOTIVASI PEMELIHARAAN KESEHATAN GIGI DAN MULUT (PERIODONTITIS) PASIEN DIABETES MELITUS MENGGUNAKAN MEDIA LEAFLET (Studi di Puskesmas Maron Kabupaten Probolinggo)

Fadila¹,

Mahirawatie²,

Soesilaningtyas³

2021

JSK

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“…Diabetic microangiopathy, impaired immune response, and lower resistance to infections contribute to the development of periodontitis in poorly controlled diabetics. 12 The continuous exposure of collagen fibres in the supporting periodontal ligaments to aldose sugars induces their nonenzymatic glycation and oxidation. This glycation leads to changes in the physical properties of these molecules, reducing collagen solubility and increasing the degradation of connective tissues.…”

Section: Aetiology Of Periodontitismentioning

confidence: 99%

Periodontitis as early detection of diabetes mellitus: a literature review

Pratiwi¹

2020

Intisari Sains Medis

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Background: Diabetes mellitus (DM) is a growing health problem and its prevalence is dramatically increasing, particularly in Indonesia. It can affect every organ in the body, and one of the oral manifestations is periodontitis characterized by the loss of tissue attachment. This review aims to identify further the periodontitis as early detection of diabetes mellitusMethods: A review of relevant literature was performed to elaborate on periodontitis involvement in diabetes mellitus. A total of 25 qualified published literature of all years were collected from several electronic database and manual search and included in this review.Results: On average, patients with periodontitis showed higher glycated haemoglobin (HbA1c) plasma levels compared with individuals without periodontitis. Diabetes and periodontitis are complex chronic diseases with an established bidirectional relationship. There is long-established evidence that hyperglycemia in diabetes is associated with adverse periodontal outcomes. Here, we show that periodontitis is an early sign of diabetes mellitus and may, therefore, serve as a valuable risk indicator. A dentist who got patient with periodontitis is a suitable location for screening for diabetes by a simple finger stick and validated HbA1c dry spot analysis.Conclusion: Literature from a different type of study concluded that periodontitis is one of the oral manifestations that could be used as early detection in diabetes mellitus

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“…Studies did not show an alteration of the parodontal microbiome, 1 but the DM-associated elevated accumulation of advanced glycation endproducts (AGE), impairments of microcirculation and increased appearance of inflammatory mediators may explain the disposition for periodontitis [7,13,14]. This pattern of DM sequelae is a common hypotheses on how periodontal decay is facilitated in an hyperglycemic environment [15].…”

Section: Introductionmentioning

confidence: 99%

Periodontitis, age-related diseases and diabetes in an endocrinological outpatient setting (PARADIES): a cross-sectional analysis on predictive factors for periodontitis in a German outpatient facility

2022

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Background Diabetes mellitus (DM) is a risk factor for periodontitis. Data on risk-modifying factors for periodontitis in diabetes patients are limited. Aims We tested whether sex, age, type of diabetes, metabolic state, comorbidities, complications, measures of well-being and quality of life are predicting periodontitis in a German diabetes outpatient cohort. Methods In total, 1180 out of 1293 participating DM patients completed questionnaires on quality of life, dental hygiene and health. All patients also filled out a modified version of the periodontitis risk questionnaire by the American Association for Periodontology, from which the status of “assumed periodontitis” was deducted. In a subset of participants (n = 461), we measured or inquired the most recent Community Parodontal Index (CPI), providing an objective measure for clinically diagnosed periodontitis. For all subjects, DM history and phenotype, major metabolic parameters (HbA1c, BMI, LDL and total cholesterol levels), general health risk factors, comorbidities and medication were collected. Results Clinically diagnosed (CPI > 2) and assumed periodontitis was detected in 60–67% of our patients. Male sex and oral health-related quality of life were associated with clinically diagnosed periodontitis. Male sex, age, smoking, dental hygiene, dental control and diabetes-related quality of life independently predicted assumed periodontitis. Conclusion In DM patients, quality of life and lifestyle factors which systemically alter microvascular and immunological functions seem to predict periodontitis. Further studies are needed for replication and for pathomechanistic clarification.

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Diabetes and Periodontitis: A medical perspective

Cited by 8 publications

References 1 publication

MOTIVASI PEMELIHARAAN KESEHATAN GIGI DAN MULUT (PERIODONTITIS) PASIEN DIABETES MELITUS MENGGUNAKAN MEDIA LEAFLET (Studi di Puskesmas Maron Kabupaten Probolinggo)

MOTIVASI PEMELIHARAAN KESEHATAN GIGI DAN MULUT (PERIODONTITIS) PASIEN DIABETES MELITUS MENGGUNAKAN MEDIA LEAFLET (Studi di Puskesmas Maron Kabupaten Probolinggo)

Periodontitis as early detection of diabetes mellitus: a literature review

Periodontitis, age-related diseases and diabetes in an endocrinological outpatient setting (PARADIES): a cross-sectional analysis on predictive factors for periodontitis in a German outpatient facility

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