老年2型糖尿病病人牙周健康状况与健康人群比较

doi:10.3969/j.issn.1003-9198.2023.03.014

Abstract

Abstract: Objective To compare the characteristics of periodontal health between elderly patients with type 2 diabetes mellitus and elderly people receiving physical examination. Methods A cross-sectional study of periodontal health was conducted in the elderly patients with type 2 diabetes mellitus (diabetes group, 70 cases) and elderly people receiving physical examination (control group, 100 cases). The bleeding on probing (BOP), the depth of maximum periodontal probing depth (PD), the losing teeth due to periodontal disease, the stage and grade of periodontitis were compared between the two groups. Results The positive rate of BOP, the detection rate of PD=3-5 mm or >5 mm, and the percentage of teeth lost due to periodontal disease in diabetes group were significantly higher than those in control group (P<0.001). The number of BOP tooth surface, the number of teeth with PD=3-5 mm or >5 mm and the number of lost teeth due to periodontal disease in diabetes group were higher than those in control group (P<0.001). The prevalence rate of periodontitis in diabetes group was significantly higher than that in control group (97.1% vs 45.0%, P<0.001). The proportion of periodontitis in stages Ⅲ and Ⅳ according to severity, the proportion in Grade C according to the progression speed of periodontitis and the proportion in extensive type according to the range of affected teeth were significantly higher in diabetes group than those in control group(P<0.05). Conclusions The periodontal health of the elderly patients with type 2 diabetes mellitus is not optimistic, with high detection rate, serious degree, fast progression speed and extensive range. Therefore, the elderly patients with diabetes should be screened for periodontal disease routinely and receive periodontal sequence therapy timely.

Key words: periodontal health, type 2 diabetes mellitus, aged, cross-sectional study

CLC Number:

YANG Jie, TANG Wei, LIANG Bei-bei, ZHU Ya-jun. Comparison of characteristics of periodontal health between elderly patients with type 2 diabetes mellitus and healthy people[J]. Practical Geriatrics, 2023, 37(3): 270-273.

References

[1] 王兴. 第四次全国口腔健康流行病学调查报告[M]. 北京:人民卫生出版社, 2018:33-34, 107-113, 115.
[2] BRUERS J J M. Insight into the prevalence of periodontitis: a challenge[J]. Ned Tijdschr Tandheelkd, 2021, 128(12):581-583.
[3] EKE P I, WEI L, BORGNAKKE W S, et al. Periodontitis prevalence in adults ≥ 65 years of age, in the USA[J]. Periodontol 2000, 2016, 72(1):76-95.
[4] WU C Z, YUAN Y H, LIU H H, et al. Epidemiologic relationship between periodontitis and type 2 diabetes mellitus[J]. BMC Oral Health, 2020, 20(1):204-218.
[5] GENCO R J, BORGNAKKE W S. Diabetes as a potential risk for periodontitis: association studies[J]. Periodontol 2000, 2020, 83(1):40-45.
[6] LOE H.Periodontal disease. The sixth complication of diabetes mellitus[J]. Diabetes Care, 1993, 16(1):329-334.
[7] CHAPPLE I L C, MEALEY B L, VAN DYKE T E, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions[J]. J Periodontal, 2018, 89(Suppl 1):S74-S84.
[8] LANG N P, BARTOLD P M. Periodontal health[J]. J Periodontal, 2018, 89(Suppl 1):S9-S16.
[9] MURAKAMI S, MEALEY B L, MARIOTTI A, et al. Dental plaque-induced gingival conditions[J]. J Periodontal, 2018, 89(Suppl 1):S17-S27.
[10] KAWAMURA M, FUKUDA S, KAWABATA K, et al. Comparison of health behavior and oral/medical conditions in non-insulin-dependent (type II) diabetics and non-diabetics[J]. Aust Dent J, 1998, 43(5):315-320.
[11] 徐驰, 张政, 严静, 等. 2型糖尿病对牙周病患病风险影响的Meta分析[J]. 赣南医学院学报, 2019, 39(9):879-881.
[12] 朱习华, 刘丽, 许文青. 牙周病与糖尿病关联性的Meta分析[J]. 口腔疾病防治, 2014, 22(2):76-78.

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Comparison of characteristics of periodontal health between elderly patients with type 2 diabetes mellitus and healthy people

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