Influence of Diabetes Mellitus on the Severity of Periodontal Disease

Belting, Charles M.; Hiniker, J. J.; Dummett, Clifton O.

doi:10.1902/jop.1964.35.6.476

Cited by 119 publications

(54 citation statements)

References 4 publications

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“…These findings were in corroboration with studies conducted by Belting et al, 7 Yavuzyilmaz et al 8 Erhan Firtali1 9 and O'leary et al 10 Our findings clearly indicated that the presence of an underlying systemic disease like diabetes mellitus may lead to initiation or rapid progression of periodontal disease. 1.…”

Section: Resultssupporting

confidence: 92%

Alterations in Whole Saliva Constituents in Patients with Diabetes Mellitus and Periodontal Disease

Navalkar¹,

Bhoweer²,

Kailasam³

2011

JIAOMR

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INTRODUCTIONThe oral cavity holds great many secrets which are reflected purely in its appearance and function. Hence, very aptly the oral cavity is said to be the mirror of systemic diseases as many a systemic diseases can be identified on the basis of their oral manifestations alone. 2Diabetes mellitus is one such complex multifactorial genetic disorder of unknown etiology characterized by increased insulin secretion and decreased salivation.3 In addition to these the most common oral manifestation is the presence of periodontal disease, whose presence and severity can often lead the oral physician to suspect an underlying diabetes mellitus.This association of diabetes with periodontitis is attributed to the alterations in the permeability of the basement membrane, improper neutrophil chemotaxis, collagen synthesis, genetic predisposition and an increased susceptibility to periodontal pathogens. 2Salivary glands are important glands of the digestive system and serve functions which influence oral health in general.The salivary secretions are also very convenient for extirpation and collection. With an increase in investigator interest it is becoming apparent that many systemic diseases affect salivary gland function and/or composition potentiating its probable role as an indicator of the disease process.2 Also with the advent in sensitive immunochemical assays continuing, the compositional profile of human salivary secretions is expanding considerably, thus, establishing a range of normal values for a variety of intrinsic and extrinsic salivary components representing a stepping stone to use saliva as a diagnostic tool to assess oral health status. AIMS AND OBJECTIVES To assess the possible alterations in salivary compositionin patients with diabetes mellitus. 2. To assess presence and severity of periodontal disease in patients with diabetes mellitus. 3. To assess the possible role of saliva and its composition in initiation and progression of periodontal disease in diabetes mellitus. ABSTRACT Background and objectives:Neglected by dentists and ignored by physicians, saliva is the least appreciated of all body fluids. Yet, this secretion plays a vital role in the integrity of the oral tissues in the selection, ingestion and preparation of food for digestion and besides a whole lot of functions, in one's ability to communicate with one another. Saliva has proven to be a discriminating element in forensic sciences, an effective indicator of acute diseases of salivary glands and also a promising probe for drug monitoring. Because of multiplicity of functions served by saliva along with various physiologic processes involved, salivary secretions have long enjoyed a modest popularity as a research field. 1 With an increase in investigator interest, it is becoming apparent that many systemic diseases affect salivary gland function and/or composition potentiating its probable role as an indicator of systemic disease.

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Section: Resultssupporting

confidence: 92%

Alterations in Whole Saliva Constituents in Patients with Diabetes Mellitus and Periodontal Disease

Navalkar¹,

Bhoweer²,

Kailasam³

2011

JIAOMR

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“…Finestone and Booru j y 1 1 indicated that the relation of severity of periodontitis to the number of complications was of interest, p a rticularly since this relation occurred independently of the effects of age and duration of diabetes. Belting et al 10 indicated that as the degree of diabetes increased, the seve rity of periodontal disease decreased, due to the younger age of the more severe diabetic pat i e n t s. It seems to be a paradox i c a l finding as they mentioned. Emrich et al 13 showed probing attachment loss was higher in the diabetic subjects as compared with normal subjects for all ages except for those 55 years or older.…”

Section: Discussionmentioning

confidence: 94%

Comparison of health behaviour and oral/medical conditions in non‐insulin‐dependent (type II) diabetics and non‐diabetics

Kawamura

Fukuda²,

Kawabata

et al. 1998

Australian Dental Journal

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One hundred and two dentate patients with type II diabetes mellitus and 98 non-diabetic subjects were examined for oral conditions and metabolic state. Self-reported health behaviour was analysed. From factor analysis four factors emerged: general health behaviour (GHB), perceived fatigue (PF), diet control (DC) and regular diet (RD). In diabetics PF, DC and RD were significantly higher than that in non-diabetics. Patients with diabetes were more likely to control their disease through a programme of decreased kilojoule intake leading to weight management. However, they tended to tire. The mean gingivitis index was significantly higher (p<0.01) among diabetics (2.39) than among nondiabetics (1.99). The number of missing teeth was significantly higher (p<0.01) for diabetics (6.7) when compared with non-diabetics (4.3). On the other hand, aetiological factors (plaque, calculus) and the level of dental health behaviour as expressed in the HU-DBI scores were similar. Probing pocket depth did not differ statistically between groups. The increasing number of missing teeth in diabetics may primarily result from severe periodontitis with tooth mobility or deep pockets. Findings in this study suggest that the difference in the severity of periodontitis between diabetics and non-diabetics was significant although aetiological factors and the level of dental health behaviour were similar.

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“…3 Many studies reported that diabetic patients had increased periodontal challenges. 35,36 Gingival index scores were found to be higher in diabetic children with poor metabolic control than nondiabetics. 36,37 Although gingival bleeding is an indicator of inflammation, it is possible that vascular changes in diabetes mellitus result in increased gingival bleeding.…”

Section: R Orbak a Tezel V çAnakçi Et Al Smoking And Niddm In Perimentioning

confidence: 92%

The Influence of Smoking and Non-Insulin-Dependent Diabetes Mellitus on Periodontal Disease

et al. 2002

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The periodontal health of smokers and non-smokers with non-insulin-dependent diabetes mellitus (NIDDM) and non-smokers with periodontitis who were not suffering from a systemic disease was assessed. The investigation was carried out on 60 adult subjects. Levels of blood glucose, glycosylated haemoglobin and immunoglobulins G, A and M were determined, together with the plaque index, gingival index, probing pocket depths and clinical attachment level. Periodontitis was more severe in smokers and non-smokers with NIDDM than non-smokers without NIDDM, and the periodontal condition (clinical attachment level, probing pocket depth and gingival bleeding) was better in non-smokers with NIDDM than smokers with NIDDM. The results suggest that diabetes and smoking are high-risk factors for periodontal disease.

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Influence of Diabetes Mellitus on the Severity of Periodontal Disease

Cited by 119 publications

References 4 publications

Alterations in Whole Saliva Constituents in Patients with Diabetes Mellitus and Periodontal Disease

Alterations in Whole Saliva Constituents in Patients with Diabetes Mellitus and Periodontal Disease

Comparison of health behaviour and oral/medical conditions in non‐insulin‐dependent (type II) diabetics and non‐diabetics

The Influence of Smoking and Non-Insulin-Dependent Diabetes Mellitus on Periodontal Disease

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