糖尿病對牙周疾病嚴重程度之影響

Influence of Diabetes Mellitus on the Severity of Periodontal Disease

黃麗珊(Li-Shan Huang) ； 黃顯謨(Sheng-Mo Huang) ； 陳慶長(Ching-Charng Chen) ； 蔡吉政(Chi-Cheng Tsai)

《臺灣齒科醫學會雜誌》 11卷1期 (1988/05) Pp. 340-346

摘要

The purpose of this study was to deter-mine whether the severity of periodontal disease was related to the severity of diabetes mellitus. A total of 70 NIDDM patients, 40 males and 30 females, were surveyed. Their ages ranged between 37 and 65 years, with average age of 53.2±8.6. Each individual was examined including plaque index (PLI), calculus index (CI), gingival index (GI), and loss of attachment (AL). A series of medical variables (duration of diabetes, HbA1c level, and systemic complications) of each case was simultaneously studied. The results were summarized as follows: 1.The amount of local etiologic factor (PLI, CI) was similar in all the studied diabetic subgroups.2.The GI, and AL did not differ significantly between the male and the female subjects.3.There were a weak correlation between the GI and the duration of diabetes (r = 0.25, p ＜0.05).4.There were a significant correlation between the GI and the HbA1c level (r =0.50, p＜0.001). Furthermore, when the subgroups of diabetic patients were examined, those with poorly controlled diabetes suffered significantly more from gingival inflammation than those with good or moderate control.5. There were also a significant correlation between the AL and HbA1C level (r = 0.34, p ＜ 0.01), and those with poorly controlled diabetes suffered significantly more from loss of attachment than those with good control.6. GI and AL were higher in the group with either DM-retinopathy or proteinuria in the presence of similar local etiologic

並列摘要

The purpose of this study was to deter-mine whether the severity of periodontal disease was related to the severity of diabetes mellitus. A total of 70 NIDDM patients, 40 males and 30 females, were surveyed. Their ages ranged between 37 and 65 years, with average age of 53.2±8.6. Each individual was examined including plaque index (PLI), calculus index (CI), gingival index (GI), and loss of attachment (AL). A series of medical variables (duration of diabetes, HbA1c level, and systemic complications) of each case was simultaneously studied. The results were summarized as follows: 1.The amount of local etiologic factor (PLI, CI) was similar in all the studied diabetic subgroups.2.The GI, and AL did not differ significantly between the male and the female subjects.3.There were a weak correlation between the GI and the duration of diabetes (r = 0.25, p ＜0.05).4.There were a significant correlation between the GI and the HbA1c level (r =0.50, p＜0.001). Furthermore, when the subgroups of diabetic patients were examined, those with poorly controlled diabetes suffered significantly more from gingival inflammation than those with good or moderate control.5. There were also a significant correlation between the AL and HbA1C level (r = 0.34, p ＜ 0.01), and those with poorly controlled diabetes suffered significantly more from loss of attachment than those with good control.6. GI and AL were higher in the group with either DM-retinopathy or proteinuria in the presence of similar local etiologic

並列關鍵字

ddiabetes mellitus ； periodontal disease