Diabetes Mellitus associated with severe periodontitis, confirms study

A study was done to evaluate the cross-sectional association between severe periodontitis and diabetes mellitus (DM), in a representative sample of Spanish population. The di@bet.es epidemiological study is a population-based cohort study aimed to determine the prevalence and incidence of diabetes mellitus in the adult population of Spain. The at-risk sample at the final examination (2016–2017) included 1751 subjects who completed an oral health questionnaire. This questionnaire, together with demographic and risk factors, had been previously validated to build an algorithm to predict severe periodontitis in the Spanish population.

Logistic regression models were used to evaluate the association between severe periodontitis and diabetes mellitus with adjustment for confounding factors.Results: In total, 144 subjects developed diabetes mellitus , which yielded 8.2% cumulative incidence. Severe periodontitis was detected in 59.0%, 54.7% or 68.8% of the subjects depending on three different selected criteria at the 2016–2017 exam. All criteria used to define severe periodontitis were associated with diabetes mellitus in unadjusted analysis, but the magnitude of the association decreased after adjusting for significant confounders. The criteria ‘≥50% of teeth with clinical attachment loss ≥5 mm’ presented an odds ratio of 4.9 (95% confidence interval: 2.2–10.7; p ≤ .001) for diabetes mellitus . Severe periodontitis is associated with diabetes mellitus in the Spanish population.

Reference:

Montero, E., Bujaldón, R., Montanya, E., Calle-Pascual, A. L., Rojo-Martínez, G., Castaño, L., Franch-Nadal, J., Delgado, E., Chaves, F., Alonso, B., Sanz, M., & Herrera, D. (2023). Cross-sectional association between severe periodontitis and diabetes mellitus: A nation-wide cohort study. Journal of Clinical Periodontology, 1–12. https://doi.org/10.1111/jcpe.13937

Keywords:

Diabetes Mellitus, severe periodontitis, Montero, E., Bujaldón, R., Montanya, E., Calle-Pascual, A. L., Rojo-Martínez, G., Castaño, L., Franch-Nadal, J., Delgado, E., Chaves, F., Alonso, B., Sanz, M., & Herrera, D, Journal of clinical Periodontology