Index assessment of periodont tissue status in patients with type II diabetes

Authors

  • Юрій Богданович Різник
  • Світлана Степанівна Різник

DOI:

https://doi.org/10.33295/1992-576X-2019-5-42

Keywords:

пародонтит, патология пародонта, гипертрофический гингивит, сахарный диабет

Abstract

Summary. Dental status of patients with diabetes mellitus and ways of its correction is an important issue in the complex of therapeutic and prophylactic measures in this pathology.
The aim of the study was to detect periodontal status disorders in the settings of type 2 diabetes mellitus and its effect on periodontal tissues depending on the stage of diabetes compensation and the duration of the disease.
Material and Methods. An examination of 47 patients with generalized periodontitis in the settings of type II diabetes aged 40 to 70 was conducted. Quantitative assessment of gingivitis was performed using PMA (papillae-marginal-attached index by C. Parma, 1960). OHI-S (simplified oral hygiene index by Greene and Vermillion, 1964) was used for hygienic assessment of periodontal status. PI (periodontal index by A. Russel, 1956) was used to determine the severity of generalized periodontitis. Gum bleeding was evaluated using BoP (Ainamo, Bay, 1975). Blood level of glycated hemoglobin (HbA1c) was evaluated by endocrinologists to determine the level of diabetes compensation.
Results and discussion. The assessment of gingival and periodontal indices at average processing showed their high rates, which were directly correlated with the severity and course of generalized periodontitis, compensation stage, severity and duration of diabetes. The hygienic state of the oral cavity corresponds to an unsatisfactory assessment, which contributes to the development of pathogenic microflora of the oral cavity.
Conclusions. As a result of the study, all patients with type II diabetes mellitus were diagnosed with generalized periodontitis showing the relationship between diabetes and generalized periodontitis. Periodontal status of patients with type II diabetes mellitus is characterized by high rates of gingival and periodontal indices, unsatisfactory hygienic state of the oral cavity indicating an insufficient level of primary prevention and treatment. The examination of the microflora of periodontal pockets will facilitate targeted measures for the prevention and treatment of generalized periodontitis in the settings of diabetes mellitus.
Key words: periodontitis, periodontal pathology, hypertrophic gingivitis, tsukrovy diabetes.

Author Biographies

Юрій Богданович Різник

Різник Юрій Богданович – канд. мед. наук,
асистент кафедри терапевтичної стоматології Львівського національного медичного університету ім. Данила Галицького.
Адреса: 79000, м. Львів, вул. Пекарська, 69-в. Тел.: (097) 701-71-87. E-mail: prodental124@gmail.com.

Світлана Степанівна Різник

Різник Світлана Степанівна – канд. мед. наук,
доцент, завідувач кафедри терапевтичної стоматології Львівського медичного інституту.
Адреса: 79018, м. Львів, вул. В. Поліщука, 76. Тел.: (097) 820-10-77. E-mail: prodental124@gmail.com.

References

1. Kornman KS, Page RC, Tonetti MS. The host response to the microbial challenge
in periodontitis: assembling the players. Periodontol 2000 1997; 14: 33–53
2. Hodovana OI. Aspekty etiologii i patohenezu zapalnykh i dystrofichno-zapalnykh
zakhvoriuvan parodonta. Novyny stomatolohii, 2010, № 3, p. 69–73 [In Ukrainian]
3. Dmitrieva LA. Parodontit, Moskva, «MEDpress-inform», 2007, 500 p [In Russian]
4. Cepov LM, Nikolaev AN, Miheeva EA. Diagnostika, lechenie i profilaktika zabolevanij
parodonta. 3-e izd. Moskva. «MEDpress-inform», 2008, 272 p. [In Russian]
5. World Health Organization. Diabetes globally. Diabetes country profiles. ACT:
Diabetes Ukraine; 2016 [Internet]. Available from: https://www.who.int/diabetes/countryprofiles/
ukr_en.pdf?ua=1
6. Balabolkin MI. Diabetologija. Moskva, 2000, 672 p. [In Russian]
7. Volozhin AI. Patogeneticheskie mehanizmy porazhenija parodonta pri saharnom
diabete. Editor: Aviaizdat. In: Stomatologija novogo tysjacheletija. Moskva, 2002. p. 130–1
[In Russian]
8. Tereshina TP, Novickaja IK, Dimcheva TI. Vlijanie dlitel'nosti zabolevanija saharnym
diabetom na rasprostranennost' stomatologicheskoj patologii. Vіsnik stomatologії, № 2 (75),
2011, p. 15–7 [In Russian]
9. Mealey BL, Ocampo GL (2007). Diabetes mellitus and periodontal disease. Periodontol
2000 44: 127–153. DOI: 10.1111/j.1600-0757.2006.00193.x
10. Ide R, Hoshuyama T, Wilson D, Takahashi K, Higashi T (2011). Periodontal disease
and incident diabetes:a seven-year study. J Dent Res 90:41–6 DOI:10.1177/0022034510381902
11. Tsai C, Hayes C, Taylor GW (2002) Glycemic control of type 2 diabetes and severe
periodontal disease in the US adult population. Community Dent Oral Epidemiol 30: 182–192
12. Danilevs'kij NF. Sistematika boleznej parodonta. Vіsnik stomatologії, 1994. № 1,
p. 17–21 [In Russian]

Published

2019-12-16

Issue

Section

PARADONTOLOGY