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Periodontal Disease in Non‐Insulin Dependent Diabetes Mellitus (NIDDM)

1994; Wiley; Volume: 65; Issue: 11 Linguagem: Inglês

10.1902/jop.1994.65.11.991

1943-3670

Juan Cerda G., Carlos Vázquez de la Torre, Juan Manuel Malacara, Laura Eugenia Nava,

Oral Health Pathology and Treatment

The association of periodontal disease with diabetes was studied in non-insulin dependent diabetes mellitus (NIDDM) patients. In a cross-sectional design, 100 patients (46 males and 54 females) were selected in 4 groups according to age and years since diagnosis of diabetes. The groups were: group 1, > 55 years old, diabetes diagnosed > or = 5 years; group 2, < or = 55 years old, diabetes diagnosed > or = 5 years; group 3, > 55 years, diabetes diagnosed < 5 years; and group 4, < or = 55 years, diabetes diagnosed < 5 years. Buccal and lingual pockets were deeper and lingual and buccal recessions greater for groups diagnosed 5 or more years ago, (P < 0.0001). In groups diagnosed less than 5 years, higher recession indices were found for patients older than 55. The loss of buccal insertion was also greater for groups diagnosed 5 or more years ago (P < 0.0001). For groups diagnosed less than 5 years ago, the loss was greater in the group older than 55 (P = 0.01). There was a marginal difference in gingival bleeding among the 4 groups (P = 0.047). Post-hoc analysis showed differences between the 2 groups who had been diagnosed less than 5 years, with lower indices for patients < or = 55. All groups were statistically different regarding bone loss (P < 0.0001), with higher indices for the groups with older age, and for groups with 5 or more years since diagnosis. There was no difference in dental mobility among the 4 groups (P = 0.0981). It was concluded that years since diagnosis of diabetes is more significant than age for severity of periodontal disease in NIDDM.