Journal
JOURNAL OF CLINICAL PERIODONTOLOGY
Volume 42, Issue 5, Pages 422-430Publisher
WILEY
DOI: 10.1111/jcpe.12391
Keywords
diabetes mellitus; edentulous; glucose intolerance; hyperglycaemia; mouth; periodontal attachment loss; periodontal diseases; periodontitis; pre-diabetic state
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Funding
- Federal Ministry of Education and Research
- Ministry of Cultural Affairs of the Federal State of Mecklenburg - West Pomerania [03IS2061A]
- Federal Ministry of Education and Research [ZZ9603]
- Ministry of Cultural Affairs
- Social Ministry of the Federal State of Mecklenburg-West Pomerania
- GABA, Switzerland
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AimTo examine associations of pre-diabetes and well-controlled diabetes with periodontitis. Materials and MethodsThe Study of Health in Pomerania (SHIP)-Trend is a cross-sectional survey in North-Eastern Germany including 3086 participants (49.4% men; age 20-82years). Clinical attachment loss (CAL) and periodontal probing depth (PPD) were assessed applying a random half-mouth protocol. The number of teeth was determined. Pre-diabetes comprised impaired fasting glucose and impaired glucose tolerance. Previously known diabetes was defined as well controlled if glycated haemoglobin (HbA1c) was <7.0%. Participants were categorized as follows: normal glucose tolerance (NGT), pre-diabetes, newly detected type 2 diabetes (T2DM), known T2DM with HbA1c<7.0% and known T2DM with HbA1c7.0%. ResultsPre-diabetes was neither associated with mean CAL and PPD in multivariable adjusted linear regression models nor with edentulism (OR=1.09 (95%-CI: 0.69-1.71)) and number of teeth (OR=0.96 (95%-CI: 0.75-1.22), lowest quartile versus higher quartiles) in logistic regression models. Associations with mean CAL and edentulism were stronger in poorly controlled previously known diabetes than in well-controlled previously known diabetes (for edentulism: OR=2.19 (95%-CI: 1.18-4.05), and OR=1.40 (95%-CI: 0.82-2.38), respectively, for comparison with NGT). ConclusionsPeriodontitis and edentulism were associated with poorly controlled T2DM, but not with pre-diabetes and well-controlled diabetes.
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