Evaluation of thickness of cementum of periodontally diseased teeth of non-diabetic and type 2 diabetic patients: A scanning electron microscopy study

Abstract

Background:It is suggested that diabetes plays an important role in tooth loss. The periodontal structure and alveolar bone architecture in diabetics have revealed alterations. However, changes in cementum of diabetics with periodontal disease have not been evaluated adequately. Thus, the aim of the study is to evaluate and compare the thickness of cementum in diseased and healthy areas of roots of teeth with chronic periodontitis from non-diabetic (group I) and type 2 diabetic patients (group II).Materials and Methods:Thirty incisors indicated for extraction as a result of chronic periodontitis from group I and group II were selected. Measurements of Probing Depth (PD) and Clinical Attachment Loss (CAL) were taken prior to extractions. Area of the root surface above the CAL (notch) was designated as diseased, while the area below the CAL (notch) was designated as healthy. The extracted tooth samples were sectioned longitudinally and were evaluated by scanning electron microscopy (SEM). Descriptive statistical analysis was performed. Results of continuous measurements were presented as Mean ± SD.Results:The results showed that in both groups the thickness of cementum in diseased areas was lower in comparison to the thickness in healthy areas. The mean thickness of cementum in both healthy and diseased areas was higher in group II compared to group I, though the differences in both were not statistically significant.Conclusion:Within the limits of the present study, group II showed greater mean thickness of cementum in both healthy and diseased areas compared to group I, though the differences were not statistically significant.

Evaluation of the protective effects of non-thermal atmospheric plasma on alveolar bone loss in experimental periodontitis

“…Cementum is a component of periodontium which is similar to alveolar bone tissue. Although it has not been evaluated as much as other periodontium elements, in previous studies, it has been shown that the cementum thickness on root surfaces affected by periodontal disease was thinner than on healthy root surfaces [43]. Various pathogenetic destructive processes may be responsible for the reduction of cementum thickness in diseased areas of the root.…”

Three‐Dimensional Defect Evaluation of Air Polishing on Extracted Human Roots

“…The premolars used for this study were derived from adolescent patients. However, cementum thickness and composition was shown to depend not only on age, but also on localization on the root, general health, and presence of periodontitis 32,33 . Unfortunately, the indisputable proof for the presence of cementum is only possible by histologic means, so the authors can only assume but not claim the original presence of a cementum layer on the test areas.…”