The Influence of Smoking and Non-Insulin-Dependent Diabetes Mellitus on Periodontal Disease

2002 ◽  
Vol 30 (2) ◽  
pp. 116-125 ◽  
Author(s):  
R Orbak ◽  
A Tezel ◽  
V Çanakçi ◽  
T Demir

The periodontal health of smokers and non-smokers with non-insulin-dependent diabetes mellitus (NIDDM) and non-smokers with periodontitis who were not suffering from a systemic disease was assessed. The investigation was carried out on 60 adult subjects. Levels of blood glucose, glycosylated haemoglobin and immunoglobulins G, A and M were determined, together with the plaque index, gingival index, probing pocket depths and clinical attachment level. Periodontitis was more severe in smokers and non-smokers with NIDDM than non-smokers without NIDDM, and the periodontal condition (clinical attachment level, probing pocket depth and gingival bleeding) was better in non-smokers with NIDDM than smokers with NIDDM. The results suggest that diabetes and smoking are high-risk factors for periodontal disease.

2015 ◽  
Vol 03 (03) ◽  
pp. 165-173
Author(s):  
Aashutosh Karnik ◽  
Mala Baburaj

Abstract Objectives: The present study was carried out to determine if non-surgical therapy adjuncted with local drug delivery of tetracycline fibers produces at least optimally comparable results as surgical therapy in non-insulin dependent diabetic individuals with moderate to severe periodontitis. Method and Materials: 80 sites with periodontal pockets measuring 5-8 mm in 40 controlled non-insulin dependent diabetes mellitus patients were treated with either tetracyclinelocal drug deliveryorflap surgery. Measurements of Probing pocket depth and Clinical attachment level at selected sites in each patient along with Plaque Index and Gingival Index were documented at baseline and after 4 weeks, 6 weeks, 9 weeks and 12 weeks post treatment. Results: Both non-surgical therapy adjuncted with local drug delivery and surgical therapy were found to be comparably effectivein reduction of all parameters except Probing Pocket Depth, for which surgical therapy wasstatistically significantly more efficacious(p<0.01), though clinically the difference was insignificant. Conclusions: Within the limits of the study, non-surgical therapy adjuncted with local drug delivery of tetracycline fibers appears to be clinically as efficacious as surgical therapy and may be employed as the preferred therapy for treatment of deep pockets measuring 5-8 mm in controlled non-insulin dependent diabetes mellitus patients.


1994 ◽  
Vol 65 (11) ◽  
pp. 991-995 ◽  
Author(s):  
Juan Cerda G. ◽  
Carlos Vázquez de la Torre ◽  
Juan Manuel Malacara ◽  
Laura E. Nava

Author(s):  
Sameer Aryal ◽  
Binod Adhikari ◽  
Reshu Agrawal ◽  
Krishna Gopal Bhuju ◽  
Riwas Karki

 Introduction: Association of Diabetes Mellitus and periodontal disease has been well established over the last few decades. It is a well established risk factor in the pathogenesis of periodontal disease. Objective: This study was conducted to assess the prevalence of periodontal disease in non-insulin dependent diabetes mellitus. Methods: Individuals with non-insulin dependent diabetes mellitus for the duration of at least five years were selected. Plaque Index (PII), Gingival Index (GI), Loss of attachment (LA) and Probing Depth (PD) were recorded using William’s Periodontal probe. Results: Patients with Non-Insulin Dependent Diabetes Mellitus demonstrated higher loss of attachment. Conclusion: The results showed statistically significant association between non-insulin dependent diabetes mellitus and periodontal disease thus supporting it as a risk factor for periodontitis.


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