Assessment of periodontal status and the correlations between periodontal status and HbA1c on type 2 diabetic patients with periodontitis

  • Nguyễn Văn Minh Trường Đại học Y Dược, Đại học Huế
  • Tạ Anh Tuấn Viện Nghiên cứu Khoa học Y dược lâm sàng 108
  • Hoàng Tử Hùng Trường Đại học Y Dược TP. Hồ Chí Minh

Main Article Content

Keywords

Periodontitis, type 2 diabetes mellitus, HbA1c

Abstract

Objective: To identify the periodontal status (Plaque Index (PlI), Gingiva Index (GI), Bleeding On Probing (BOP), Pocket Depth (PD), Clinical Attachment Loss (CAL)) and correlations between periodontitis and type 2 diabetic disease. Subject and method: A cross-sectional study on 76 type 2 diabetic patients with periodontitis. Patients were examined periodontal index and tested glycosylated hemoglobin (HbA1c) level at Hue University of Medicine and Pharmacy Hospital. Result: The average periodontal indices of type 2 diabetic patients were PlI: 1.2 ± 0.44, GI: 1.46 ± 0.34, BOP: 26.2 ± 9.92, PD: 1.96 ± 0.28mm, CAL 2.34 ± 0.36mm. The prevalance of moderated periodontitis was 80.3%, the rest was light periodontitis. Glycosylated hemoglobin (HbA1c) level was 8.8%. The periodontal status was also significantly correlated with the duration of diabetes (p<0.01). Glycosylated hemoglobin (HbA1c) level showed relationship with pocket depth (p<0.05). Conclusion: The longer diabetic patients have, the severity of the periodontal status of type 2 diabetic patients becomes. In particular, the higher HbA1c level increase the pocket depth of periodontitis.

Article Details

References

1. Hoàng Hải (2011) Tình trạng bệnh nha chu của bệnh nhân đái tháo đường type 2. Tạp chí Y học thành phố Hồ Chí Minh 15, tr. 123-130.
2. Vũ Thị Thúy Hồng (2012) Hiệu quả của điều trị viêm nha chu đối với kiểm soát đường huyết ở bệnh nhân đái tháo đường típ 2. Luận văn Thạc sĩ Y học, Đại học Y Dược thành phố Hồ Chí Minh.
3. Hoàng Ái Kiên (2014) Liên quan giữa tình trạng nha chu và bệnh đái tháo đường típ 2. Luận văn thạc sĩ y học, Đại học Y Dược Hồ Chí Minh.
4. American Academy of Periodontology (2015) American academy of periodontology task force report on the update to the 1999 classification of periodontal diseases and condition. Periodontal Fournal 86(7): 835-838.
5. American Diabetes Association (2019) Classification and diagnosis of diabetes. Diabetes Care 42(1): 13-28.
6. Chandra S, Shashikumar P (2019) Diode laser- A novel therapeutic approach in the treatment of chronic periodontitis in type 2 diabetes mellitus patients: A prospective randomized controlled clinical trial. J Laser Med Sci 10(1): 56-63.
7. Chávarry N, Vettore M et al (2009) The relationship between diabetes mellitus and destructive periodontal disease: A meta-analysis. Oral Health Prev Dent 7: 107-127.
8. Dengizek Eltas S, Gursel M, Eltas A, Alptekin NO, Ataoglu T (2019) Evaluation of long-term effects of diode laser application in periodontal treatment of poorly controlled type 2 diabetic patients with chronic periodontitis. Int J Dent Hygiene 17: 292-299.
9. Emrah K, Mehmet S (2016) Nonsurgical periodontal therapy with/without diode laser modulates metabolic control of type 2 diabetics with periodontitis: Randomized clinical trial. Laser Med Sci 31(2): 343-353.
10. Kim EK, Lee SG, Choi YH et al (2013) Association between diabetes-related factors and clinical periodontal parameters in type-2 diabetes mellitus. BMC Oral Health 13(1): 1-8.