Research Articles

Type 1 diabetes mellitus and periodontal disease

Vol. 10 No. 18 (2014)
Published: 2014-06-30
Jonathan Castaño
Alexander Ortega
Jonathan Ortega
Julián Mauricio Palacios
Adolfo Contreras
Introduction: Type 1 diabetes (DM1) affects the metabolism of glucose, lipids and proteins and increases the risk of periodontal disease. The aim of this research was to identify the periodontal characteristics of patients diagnosed with DM1. Materials and methods: the study examined 35 patients with DM1, who were given a complete periodontal exam; fasting values of glycated hemoglobin (HbA1C) and glycemia were taken and the data were analyzed both descriptively and comparatively against the periodontal clinical parameters and the periodontal diagnosis. Results: the prevalence of chronic periodontitis was 74.3% and of gingivitis, 25.7%. The average value of glycated hemoglobin (HbA1C) for patients diagnosed with gingivitis was 9.15, while for patients with periodontitis it was 8.375, without being statistically significant. Average periodontal clinical attachment loss was 3.15mm, while the average number of teeth lost was 6.91 for the entire population. The patients with periodontitis presented greater clinical attachment loss and pocket depth. Conclusions: the patients with DM1 had periodontitis or gingivitis, confirming their susceptibility to periodontitis, and they should therefore take care to receive regular gingival and periodontal check-ups.
Keywords: Array, Array, Array, Array, Array

How to Cite

Type 1 diabetes mellitus and periodontal disease. (2014). Revista Nacional de Odontología, 10(18), 7-14. https://doi.org/10.16925/od.v10i18.716

American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2006;29(1): s43-s48.

Lalla E, Kunzel C, Burkett S, Cheng B, Lamster IB. Identification of unrecognized diabetes and pre-diabetes in a dental setting. J Dent Res. 2011;90(7):855-60.

Li S, Williams PL, Douglass CW. Development of a clinical guideline to predict undiagnosed diabetes in den- tal patients. J Am Dent Assoc. 2011;142(1):28-37.

Aschner P. Epidemiología de la diabetes en Colombia. Av Diabetol. 2010;26(2):95-100.

Gurav A, Jadhav V. Periodontitis and risk of diabetes mellitus. J Diabetes. 2011;3(1):21-8.

Moles DR. Evidence of an association between diabetes and severity of periodontal disease. Evid Based Dent. 2006;doi:10.1038/sj.ebd.6400409.

Tervonen T, Oliver RC. Long-term control of diabetes mellitus and periodontitis. J Clin Periodontol. 1993;20(6):431-5.

Westfelt E, Rylander H, Blohmé G, Jonasson P, Lindhe J. The effect of periodontal therapy in diabetics. Results after 5 years. J Clin Periodontol. 1996;23(2):92-100.

Fauci A, Kasper DL, Braunwald E. Harrison: principios de medicina interna. Vol. 2. 16a ed. México: McGraw- Hill / Interamericana; 2005.

Mealey BL, Rose LF. Diabetes mellitus and inflammatory periodontal diseases. Curr Opin Endocrinol Dia- betes Obes. 2008;15(2):135-41.

Roy S, Trudeau K, Behl Y, Dhar S, Chronopoulos A. New insights into hyperglycemia-induced molecular changes in microvascular cells. J Dent Res. 2010;89(2):116-27.

Emrich LJ, Shlossman M, Genco RJ. Periodontal disease in non-insulin-dependent diabetes mellitus. J Perio- dontol. 1991;62(2):123-31.

Nelson RG, Shlossman M, Budding LM, Pettitt DJ, Saad MF, Genco RJ, et al. Periodontal disease and NIDDM in Pima Indians. Diabetes Care. 1990;13(8):836-40.

Lalla E, Kaplan S, Chang SM, Roth GA, Celenti R, Hinckley K, et al. Periodontal infection profiles in type 1 dia- betes. J Clin Periodontal. 2006;33(12):855-62.

Ryan ME, Carnu O, Kamer A. The influence of diabetes on the periodontal tissues. J Am Dent Assoc. 2003;134: 34S-40S.

Linares-Vieyra C, González-Guevara MB, Rodríguez-de Mendoza LE. Periodontal diseases and treatment needs in diabetes type 2. Rev Med Inst Mex Seguro Soc. 2009;47(2):129-34.

Pavez V, Araya V, Rubio A, Ríos L, Meza P, Martínez B. Periodontal health status in subjects with diabetes mellitus type 1, from 18 to 30 years-old, from Santiago de Chile. Rev Med Chil. 2002;130(4):402-8.

World Health Organization. What is the burden of oral disease? [internet]. 2013 [citado 2011 abr 3]. Disponible en: http://www.who.int/oral_health/disease_burden/ global/en/

Ochoa SP, Ospina CA, Colorado KJ, Montoya YP, Saldarriaga AF, Galvis M, et al. Condición periodontal y pérdida dental en pacientes diabéticos del Hospital Universitario San Vicente de Paúl. Biomédica. 2012;32(1):52-9.

O’Leary TJ, Drake RB, Naylor JE. The plaque control record. J Periodontol. 1972;43(1):38.

Mariott A. Dental plaque-induced gingival diseases. Ann Periodontol. 1999;4(1):7-9.

Lindhe J, Ranney R, Lamster I, Charles A, Chung CP , Flemmig T, et al. Consensus report: chronic periodon- titis. Ann Periodontol. 1999;4(1):38.

Page RC, Eke PI. Case definitions for use in population-based surveillance of periodontitis. J Periodontol. 2007;78(7):1387-99.

Botero JE, Yepes FL, Roldán N, Castrillón CA, Hincapie JP, Ochoa SP, et al. Tooth and periodontal clinical attach- ment loss are associated with hyperglycemia in patients with diabetes. J Periodontol. 2012;83(10):1245-50.

Bascones-Martínez A, Arias-Herrera S, Criado-Cámara E, Bascones-Ilundáin J, Bascones-Ilundáin C. Periodontal disease and diabetes. Adv Exp Med Biol. 2012;771:76-87.

Loe H. Periodontal disease. The sixth complication of diabetes mellitus. Diabetes Care. 1993;16(1):329-34.

Moore PA, Weyant RJ, Mongelluzzo MB, Myers DE, Rossie K, Guggenheimer J, et al. Type 1 diabetes melli- tus and oral health: Assessment of tooth loss and eden- tulism. J Public Health Dent. 1998;58(2):135-42.

Beikler T, Flemmig TF. Implants in the medically compromised patient. Crit Rev Oral Biol Med. 2003;14(4):305-16.

Fiorellini JP, Chen PK, Nevins M, Nevins ML. A retrospective study of dental implants in diabetic patients. Int J Periodontics Restorative Dent. 2000;20(4):366-73.

Salvi GE, Yalda B, Collins JG, Jones BH, Smith FW, Arnold RR, et al. Inflammatory mediator response as a potential risk marker for periodontal diseases in insulin-dependent diabetes mellitus patients. J Periodontol. 1997;68(2):127-35.

Grossi SG, Skrepcinski FB, De Caro T, Robertson DC, Ho AW, Dunford RG, et al. Treatment of periodontal disease in diabetics reduces glycated hemoglobin. J Periodontol. 1997;68(8):713-9.

Janket SJ, Wightman A, Baird AE, Van Dyke TE, Jones JA. Does periodontal treatment improve glycemic con- trol in diabetics patients? A meta-analysis of interven- tional studies. J Dent Res. 2005;84(12):1154-9.

Simpson TC, Needleman I, Wild SH, Moles DR, Mills EJ. Treatment of periodontal disease for glycaemic con- trol in people with diabetes. Cochrane Database Syst Rev. 2010;12(5):CD004714.

Vergnes JN. Treating periodontal disease may im- prove metabolic control in diabetics. Evid Based Dent. 2010;11(3):73-4.

MÉTRICAS
ARTICLE VIEWS: 4491
PDF VIEWS: 1566