Journal of Health Sciences & Research

Register      Login

VOLUME 7 , ISSUE 1 ( January-June, 2016 ) > List of Articles

RESEARCH ARTICLE

Assessment of Periodontal Inflamed Surface Area and Its Relationship with Glycemic Control in Type 2 Diabetes

Mythili Swaminathan, Karthikeyan Ilangovan, Anitha Kannaiyan

Citation Information : Swaminathan M, Ilangovan K, Kannaiyan A. Assessment of Periodontal Inflamed Surface Area and Its Relationship with Glycemic Control in Type 2 Diabetes. J Health Sci Res 2016; 7 (1):6-11.

DOI: 10.5005/jp-journals-10042-1025

Published Online: 01-08-2016

Copyright Statement:  Copyright © 2016; The Author(s).


Abstract

Introduction

The objective of this study is to assess the periodontal inflamed surface area (PISA) and its relationship with glycemic control in type 2 diabetes with and without periodontitis.

Materials and methods

A study was performed on 60 out-patients (males and females) reporting to the Department of Periodontics, Rajah Muthiah Dental College and Hospital and the Diabetic Clinic, Rajah Muthiah Medical College, Annamalai Nagar, Chidambaram, Tamil Nadu. The age of the study subjects ranged from 40 to 60 years. Patients having HbA1c levels > 7 mg/dl were diagnosed as type 2 diabetes mellitus and were enrolled in the study. The selected patients were divided into two groups of 30 patients each, with at least eight remaining teeth present: Group I - Diabetic patients with periodontitis (test) with probing pocket depth (PPD) of 3 to 10 mm and bleeding on probing (BOP), and Group II - Diabetic patients without periodontitis (periodontally healthy as control) with PPD not exceeding 3 mm and limited BOP. Subjects were excluded if they were under systemic antibiotics 3 months prior and during the study and if they have undergone periodontal treatment 6 months prior to the study.

Results

When HbA1c increased, the PISA values also increased in type 2 diabetic patients with and without periodontitis.

Conclusion

The cross-sectional clinical study reveals that there is a linear association between diabetes and PISA in type 2 diabetic patients with and without periodontitis.

How to cite this article

Devi S, Murugappan S, Swaminathan M, Ilangovan K, Mangalekar SB, Kannaiyan A. Assessment of Periodontal Inflamed Surface Area and Its Relationship with Glycemic Control in Type 2 Diabetes. J Health Sci Res 2016;7(1):6-11.


PDF Share
  1. Periodontal disease. The sixth complication of diabetes mellitus. Diabetes Care 1993 Jan;16(1):329-334.
  2. Definitions and description of diabetes mellitus. Diabetes Care 2010 Jan;32:562-569.
  3. Dose-response relationship between periodontal inflamed surface area and HbA1c in type 2 diabetics. J Clin Periodontol 2009 Apr;36(4):295-300.
  4. Periodontal disease and diabetes mellitus: a two-way relationship. Ann Periodontal 1998 Jul;3(1):51-61.
  5. The global burden of oral diseases and risks to oral health. Bull World Health Organ 2005 Sep;83(9):661-669.
  6. Diabetes and oral health. Web med medical reference. July 30, 2012.
  7. The oral aspects of diabetes mellitus. N Engl J Med 1938 Oct;219(14):503-508.
  8. Periodontoclasia in diabetes mellitus. J Am Dent Assoc 1943 Feb;30(3):273-275.
  9. Diabetes and periodontal disease: a review and update. J West Soc Periodontol Periodontal Abstr 1980;28(4):116-139.
  10. The severity of periodontal disease is associated with the development of glucose intolerance in non-diabetics: the Hisayama study. J Dent Res 2004 Jun;83(6):485-490.
  11. Periodontal inflamed surface area: quantifying inflammatory burden. J Clin Periodontol 2008 Aug;35(8):668-673.
  12. Clinical periodontology. 8th ed. Philadelphia: W.B. Saunders Co.; 1995.
  13. Color atlas of periodontology. New York: Thieme; 1985.
  14. Periodontics: medicine, surgery and implants. 1st ed. Philadelphia: Mosby; 2004.
  15. The dentogingival epithelial surface area revisited. J Periodontol Res 2001 Feb;36(1):48-55.
  16. Diabetes mellitus and periodontal diseases. J Periodontol 2006 Aug;77(8):1289-1303.
  17. Severe periodontitis and risk for poor glycemic control in patients with non-insulin-dependent diabetes mellitus. J Periodontol 1996 Oct;67(Suppl 10): 1085-1093.
  18. Periodontal diseases and health: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol 2008;35(8):333-337.
  19. Periodontal inflamed surface area and C-reactive protein as predictors of HbA1c: a study in Indonesia. Clin Oral Investig 2012 Aug;16(4):1237-1242.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.