CONTEXTT2DM is associated with concomitant oral and dental manifestations that necessitate dental evaluation.
AIMSThe aim of this study was to analyse oro-dental conditions particularly chronic periodontitis and their correlation with glycaemic status and with other complications in patients with T2DM.
SETTINGS AND DESIGNComparative cross-sectional study.
MATERIALS AND METHODSOne hundred subjects with T2DM were studied for oral manifestations and underwent comprehensive periodontal examination.
RESULTSHyposalivation (58%) was the most common oral manifestation followed by periodontitis (50%), halitosis (45%), burning mouth sensation (25%), taste impairment (23%), stomatitis (18%), and oral candidiasis (8%) among 100 subjects with T2DM. T2DM patients with chronic periodontitis had significantly higher glycaemic indices including FPG, PPPG, HbA1C as compared to those without chronic periodontitis (p<0.05). T2DM patients with chronic periodontitis had more prevalent diabetes specific microvascular complications like neuropathy, diabetic kidney disease, retinopathy, as well as macrovascular disease as compared to those without chronic periodontitis. (p<0.05) There was statistically significant direct correlation between HbA1C and clinical attachment level and number of gingival sites with bleeding on probing. This association remained significant even after adjustment for serum creatinine, body mass index, plaque index, OHI-S. (r=0.29 p=0.048).
CONCLUSIONSOur results suggest that glycaemic impairment is associated with increased severity of periodontitis. Also, periodontitis is associated with increased risk for diabetic complications. Further rigorous systematic studies with larger sample size are required to establish bidirectional relationship between chronic periodontitis and glycaemic status.