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Periodontal disease in Hispanic Americans with type 2 diabetes.
J Periodontol. 2008 Apr; 79(4):629-36.JP

Abstract

BACKGROUND

Diabetes is a major risk factor for the development of periodontal disease in certain populations. The prevalence of type 2 diabetes is increased in Hispanic Americans, but its impact on the extent and severity of periodontal disease in this population has not been determined.

METHODS

Sixty-three Hispanic Americans, aged 33 to 72 years, from South Texas were grouped based on the presence or absence of type 2 diabetes. Past medical histories, including smoking, were obtained. Periodontal status was evaluated by measuring probing depth (PD), clinical attachment level (CAL), plaque, bleeding on probing, visual gingival inflammation, and calculus.

RESULTS

Type 2 diabetes was associated frequently with major medical complications in this population. Diabetes was associated with significantly more calculus formation and tooth loss and an increased extent and severity of periodontitis. Subjects with diabetes had nearly three times the mean CAL and frequency of PD >6 mm than subjects without diabetes and nearly twice the frequency of moderate to advanced attachment loss (> or =3 mm). Smoking and diabetes had significant independent effects on mean CAL and the frequency of deep pockets. Diabetes and smoking combined were associated with a significantly higher frequency of sites with CAL > or =3 mm compared to healthy non-smokers, healthy smokers, and non-smokers with diabetes.

CONCLUSIONS

Hispanic Americans with type 2 diabetes had more supra- and subgingival calculus, an increased extent and severity of periodontal destruction, and an increased frequency of tooth loss due to periodontitis. An additive/synergistic contribution of type 2 diabetes and smoking for increasing the extent of periodontal disease was observed.

Authors+Show Affiliations

Center for Oral Health Research, University of Kentucky, Lexington, KY, USA. mjnova2@uky.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18380555

Citation

Novak, M John, et al. "Periodontal Disease in Hispanic Americans With Type 2 Diabetes." Journal of Periodontology, vol. 79, no. 4, 2008, pp. 629-36.
Novak MJ, Potter RM, Blodgett J, et al. Periodontal disease in Hispanic Americans with type 2 diabetes. J Periodontol. 2008;79(4):629-36.
Novak, M. J., Potter, R. M., Blodgett, J., & Ebersole, J. L. (2008). Periodontal disease in Hispanic Americans with type 2 diabetes. Journal of Periodontology, 79(4), 629-36. https://doi.org/10.1902/jop.2008.070442
Novak MJ, et al. Periodontal Disease in Hispanic Americans With Type 2 Diabetes. J Periodontol. 2008;79(4):629-36. PubMed PMID: 18380555.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Periodontal disease in Hispanic Americans with type 2 diabetes. AU - Novak,M John, AU - Potter,Richard M, AU - Blodgett,Janet, AU - Ebersole,Jeffrey L, PY - 2008/4/3/pubmed PY - 2008/8/1/medline PY - 2008/4/3/entrez SP - 629 EP - 36 JF - Journal of periodontology JO - J Periodontol VL - 79 IS - 4 N2 - BACKGROUND: Diabetes is a major risk factor for the development of periodontal disease in certain populations. The prevalence of type 2 diabetes is increased in Hispanic Americans, but its impact on the extent and severity of periodontal disease in this population has not been determined. METHODS: Sixty-three Hispanic Americans, aged 33 to 72 years, from South Texas were grouped based on the presence or absence of type 2 diabetes. Past medical histories, including smoking, were obtained. Periodontal status was evaluated by measuring probing depth (PD), clinical attachment level (CAL), plaque, bleeding on probing, visual gingival inflammation, and calculus. RESULTS: Type 2 diabetes was associated frequently with major medical complications in this population. Diabetes was associated with significantly more calculus formation and tooth loss and an increased extent and severity of periodontitis. Subjects with diabetes had nearly three times the mean CAL and frequency of PD >6 mm than subjects without diabetes and nearly twice the frequency of moderate to advanced attachment loss (> or =3 mm). Smoking and diabetes had significant independent effects on mean CAL and the frequency of deep pockets. Diabetes and smoking combined were associated with a significantly higher frequency of sites with CAL > or =3 mm compared to healthy non-smokers, healthy smokers, and non-smokers with diabetes. CONCLUSIONS: Hispanic Americans with type 2 diabetes had more supra- and subgingival calculus, an increased extent and severity of periodontal destruction, and an increased frequency of tooth loss due to periodontitis. An additive/synergistic contribution of type 2 diabetes and smoking for increasing the extent of periodontal disease was observed. SN - 0022-3492 UR - https://www.unboundmedicine.com/medline/citation/18380555/Periodontal_disease_in_Hispanic_Americans_with_type_2_diabetes_ L2 - https://doi.org/10.1902/jop.2008.070442 DB - PRIME DP - Unbound Medicine ER -