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Chulalongkorn University Dental Journal

Publication Date

2003-01-01

Abstract

Objective The purpose of this study was to investigate the relationship between the glycemic blood control and periodontitis in Thai patients with type 2 diabetes mellitus (type 2 DM). Materials and Methods The 205 type 2 DM. patients were selected as subjects. They were followed up at least 2 times continuously and their dentate must be at least 6 index teeth (16, 21, 24, 36, 41, 44) for evaluation of periodontal status. After assessing metabolic control by the glycosylated hemoglobin measurements (HbA1c), only 46 subjects were the controlled patients, therefore the data of another 46 uncontrolled patients were carefully selected to match them for comparison. The statistic analysis was done by SPSS/PC+ and the statistic significance was set up at p < 0.05. Results Data of the controlled and uncontrolled glycemic blood groups were analysed together by Pearson's correlation and showed the significant correlation between mean of HbA1c and mean of periodontal attachment loss (PAL) r = 0.3 p = 0.01 (p<0.05). When the relationship between the level of glycemic control and periodontal destruction (as indicated by number of patients having more than 10% tooth surface of PAL > 5 mm.) were analysed by Chi-square test, there was a significant relationship p = 0.012 (p<0.05) odds ratio = 3.96 (95% C.I. = 11.43, 1.37). Conclusion There is a relationship between the glycemic control and periodontitis in Thai patients with type 2 diabetes mellitus and the chance of developing to periodontitis in uncontrolled glycemic blood group is 4 times more than in controlled glycemic blood group.

DOI

10.58837/CHULA.CUDJ.26.1.8

First Page

73

Last Page

84

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