title: [Severe periodontitis, edentulism and neuropathy in patients with type 2 diabetes mellitus].
abstract: Periodontitis is a frequent pathologic condition in diabetic patient, and has been associated with chronic complications like nephropathy, cardiovascular disease, peripheral artery disease or death.
  
  
  OBJECTIVE
  To document the association between severe periodontitis and edentulism with the presence of sensory-motor neuropathy in diabetic patients.
  
  
  METHODS
  Cross-sectional study in type 2 diabetic patients from the family medicine unit no. 27 of the IMSS in Tijuana, México. Patients were evaluated to identify periodontitis and sensory-motor neuropathy. Information was also obtained about sex, age, duration of diabetes, glycemic control, smoking and alcohol use.
  
  
  RESULTS
  Four hundred and thirty-six patients completed all measurements. In 180 (41.3%) neuropathy was identified, and associated with age (p < 0.001); duration of diabetes (p < 0.001); fasting glucose (p < 0.001); severe periodontitis (OR: 2.7; IC 95%: 1.5-4.8);and with edentulism (OR: 4.4; IC 95%: 2.0-9.4). Logistic regression multivariable analysis kept as significative the association between severe periodontitis and edentulism with neuropathy (adjusted OR: 1.7; IC 95%: 1.1-2.6).
  
  
  CONCLUSIONS
  Periodontitis and edentulism are associated with the presence of neuropathy in diabetic patients.
authors.affiliation: Universidad Autónoma de Baja California. Tijuana, México. rufino@uabc.edu.mx
authors.forename: Rufino
authors.initials: R
authors.lastname: Menchaca-Díaz
authors.forename: Bernardo
authors.initials: B
authors.lastname: Bogarín-López
authors.forename: Miguel Alberto
authors.initials: MA
authors.lastname: Zamudio-Gómez
authors.forename: María Cecilia
authors.initials: MC
authors.lastname: Anzaldo-Campos
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D048909:Diabetes Complications / Q000209:etiology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D003929:Diabetic Neuropathies / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009066:Mouth, Edentulous / Q000209:etiology*; D010518:Periodontitis / Q000209:etiology*; D012720:Severity of Illness Index; D055815:Young Adult