Type 2 diabetes and periodontal indicators: epidemiology in France 2002-2003.
OBJECTIVE
Diabetes and periodontal disease have been associated in the literature. In the present study, the periodontal heath of noninsulin-dependent diabetic adults was compared with that of a general population of nondiabetic patients.


METHODS
In France, 2144 adults (age: 35-65 years) were examined for life habits (tobacco, alcohol), biological diagnosis (type II diabetes, arterial hypertension), biometry (weight, size) and biochemistry. Dental and periodontal data included plaque index, gingival index, probing depth, and clinical attachment loss.


RESULTS
Descriptive and multifactorial analysis evidenced a more severe periodontal disease in diabetic patients. Moreover, when the plaque index was held constant, the gingival index was more elevated in diabetics. In nondiabetics, age, gender, glycemia, alcohol, and tobacco smoking were identified as significant risk factors for periodontal disease. In contrast, in diabetic subjects, only tobacco smoking was a significant risk factor.


CONCLUSIONS
In type II diabetics, the diabetes factor is probably more significant than periodontal risk factors, age, and gender.
Mattout
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C
Private Periodontal Practice, Marseille, France. contact@gepi-mattout.com
Bourgeois
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D
Bouchard
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P
D000328:Adult; D000428:Alcohol Drinking; D016009:Chi-Square Distribution; D003774:Dental Plaque Index; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000453:epidemiology*; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010510:Periodontal Diseases / Q000150:complications* / Q000453:epidemiology*; D010512:Periodontal Index; D012307:Risk Factors; D012907:Smoking