Abstract

SERRANO, Carlos; PEREZ, Clara  and  RODRIGUEZ, Mauricio. Periodontal conditions in a group of Colombian type 2 diabetic patients with different degrees of metabolic control. Acta odontol. latinoam. [online]. 2012, vol.25, n.1, pp.130-137. ISSN 1852-4834.

The aim of this study was to measure the occurrence of severe chronic periodontitis in a group of Colombian type 2 diabetes patients. A group of type 2 diabetic patients regularly attending a diabetes program was selected according to specific criteria. Demographic, medical and periodontal variables were recorded. A randomized half-mouth examination was performed, including plaque index, bleeding on probing, pocket depth and clinical attachment level. They were compared to a group of individuals without diabetes, based on different criteria; the first was the presence of ¡Ý 2 interproximal sites with CAL ¡Ý 6 mm, and ¡Ý 1 interproximal sites with PD ¡Ý 5 mm; the second was presence of ¡Ý 50% percentage of bleeding on probing, and ¡Ý 20% sites showing PD ¡Ý 4 mm. The effect of metabolic control was analyzed. Results were tested through Chi-square, Mann-Whitney, Kruskal-Wallis and Pearson correlation tests. Seventy-two subjects with type 2 diabetes were compared to 39 subjects without diabetes of a similar age. Diabetic subjects had a fair degree of metabolic control, HbA1c 7.94% (1.60). Occurrence of severe chronic periodontitis was similar for both groups when using diagnostic criteria based on CAL levels, 22.22%, but was greater for subjects with diabetes when using criteria based on periodontal inflammation, 23.07% versus 5.12%. Degree of metabolic control had a relation to periodontal parameters. Colombian type 2 diabetes subjects demonstrated poorer periodontal conditions than non-diabetic individuals.

Keywords : Chronic periodontitis; Periodontal diseases; Diabetes mellitus; Hemoglobin A; Glycosylated; Diabetes complications.

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