Association between type 1 and type 2 diabetes with periodontal disease and tooth loss.

  • Kaur G
  • Holtfreter B
  • Rathmann W
 et al. 
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AIM: The aim of this study was to determine whether both type 1 (T1DM) and type 2 diabetes mellitus (T2DM) are associated with increased prevalence and extent of periodontal disease and tooth loss compared with non-diabetic subjects within a homogeneous adult study population. MATERIAL AND METHODS: T1DM, T2DM and non-diabetic subjects were recruited from the population-based Study of Health in Pomerania. Additionally, T1DM subjects were retrieved from a Diabetes Centre. The total study population comprised 145 T1DM and 2647 non-diabetic subjects aged 20-59 years, and 182 T2DM and 1314 non-diabetic subjects aged 50-81 years. Periodontal disease was assessed by attachment loss (AL) and the number of missing teeth. RESULTS: Multivariable regression revealed an association between T1DM (p<0.001) and T2DM (p<0.01) with mean AL after full adjustment. After age stratification (p=0.04 for interaction), the effect of T2DM was only statistically significant in the 60-69-year-old subjects (B=0.90 (95% confidence intervals [95% CI]; 0.49, 1.31). T1DM was positively associated with tooth loss (adjusted, p<0.001). The association between T2DM and tooth loss was statistically significant only for females (odds ratios=1.60 [95% CI: 1.10, 2.33]). CONCLUSIONS: Our study confirmed an association between both T1DM and T2DM with periodontitis and tooth loss. Therefore, oral health education should be promoted in diabetic subjects.

Author-supplied keywords

  • Adulto
  • Adulto Jovem
  • Alemanha/epidemiologia
  • Análise Multivariada
  • Análise de Regressão
  • Diabetes Mellitus Tipo 1/complicações
  • Diabetes Mellitus Tipo 1/epidemiologia
  • Diabetes Mellitus Tipo 2/complicações
  • Diabetes Mellitus Tipo 2/epidemiologia
  • Estudos de Casos e Controles
  • Fatores Etários
  • Feminino
  • Humanos
  • Idoso
  • Idoso de 80 Anos ou mais
  • Masculino
  • Meia-Idade
  • Perda da Inserção Periodontal/complicações
  • Perda da Inserção Periodontal/epidemiologia
  • Perda de Dente/complicações
  • Perda de Dente/epidemiologia
  • Periodontite/complicações
  • Periodontite/epidemiologia
  • Prevalência

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  • Gaganpreet Kaur

  • Birte Holtfreter

  • Wolfgang Rathmann

  • Wolfgan G Rathmann

  • Christian Schwahn

  • Henry Wallaschofski

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