title: [Periodontal condition and tooth loss in diabetic patients].
abstract: BACKGROUND
  Diabetes is a systemic disease which affects the metabolism of glucose,and it has been associated with the development of periodontal disease.
  
  
  OBJECTIVE
  The periodontal condition and tooth loss was evaluated in diabetic subjects.
  
  
  METHODS
  At the San Vicente de Paúl Hospital (Medellín, Colombia), 117 subjects with type 1 and 2 diabetes mellitus were examined. Patients underwent a comprehensive periodontal evaluation, glycosylated hemoglobin analysis, oral hygiene habits and history of diabetes. A descriptive and comparative analysis between the clinical parameters, tooth loss and type of diabetes was performed.
  
  
  RESULTS
  The prevalence of gingivitis was 27.4% and periodontitis 72.6%. The most frequent systemic complication was hypertension (51.3%). The most frequently lost teeth were molars and in general, the subjects had lost an average of 7 teeth and had a poor plaque control (55.4%). No differences were seen in clinical parameters between type 1 and 2 diabetes patients. The mean probing depth was 2.6 mm. The first and second upper and lower molars showed the highest values of PD. The mean clinical attachment loss was 3.3 mm . Maxillary teeth 17, 16, and mandibular 37, 47 showed the highest values of clinical attachment loss.
  
  
  CONCLUSIONS
  In conclusion, the periodontal condition in diabetic patients was poor, presenting periodontitis in most cases. This can be a major cause of tooth loss in diabetic subjects and requires special attention by clinicians.
authors.affiliation: Facultad de Odontología, Grupo de Investigación Clínica y Básica en Periodoncia y Oseointegración, Universidad de Antioquia, Medellín Colombia.
authors.forename: Sandra Paola
authors.initials: SP
authors.lastname: Ochoa
authors.forename: Carlos Andrés
authors.initials: CA
authors.lastname: Ospina
authors.forename: Kelly Johana
authors.initials: KJ
authors.lastname: Colorado
authors.forename: Yenny Paola
authors.initials: YP
authors.lastname: Montoya
authors.forename: Andrés Fernando
authors.initials: AF
authors.lastname: Saldarriaga
authors.forename: Marisol
authors.initials: M
authors.lastname: Miranda Galvis
authors.forename: Natalia
authors.initials: N
authors.lastname: Muñoz Pino
authors.forename: María Eugenia
authors.initials: ME
authors.lastname: Gómez
authors.forename: Fanny Lucía
authors.initials: FL
authors.lastname: Yepes
authors.forename: Javier Enrique
authors.initials: JE
authors.lastname: Botero
mesh_terms: D000328:Adult; D000368:Aged; D003105:Colombia / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003773:Dental Plaque / Q000453:epidemiology; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000150:complications*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications*; D005260:Female; D005891:Gingivitis / Q000453:epidemiology / Q000209:etiology; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009910:Oral Hygiene; D010510:Periodontal Diseases / Q000453:epidemiology / Q000209:etiology*; D010514:Periodontal Pocket / Q000453:epidemiology; D010518:Periodontitis / Q000453:epidemiology / Q000209:etiology; D015995:Prevalence; D016388:Tooth Loss / Q000453:epidemiology / Q000209:etiology*
chemical_list: D006442:Glycated Hemoglobin