A Comparison between Type-2 Diabetics and Non-Diabetics in Terms of Papillary Bleeding Index (PBI)
DOI:
https://doi.org/10.37762/jgmds.9-1.198Keywords:
: Type-2 Diabetes Mellitus , Periodontal Disease, Glycated HemoglobinAbstract
OBJECTIVES:
The purpose of this study was to compare the Type 2 diabetes mellitus patients and non-diabetics in terms of Papillary bleeding index (PBI) of periodontal disease.
METHODOLOGY:
This comparative cross-sectional study was conducted during the period of November 2020 to February 2021 in three (3) tertiary care hospitals of Peshawar. The sampling technique was purposive sampling. The sample comprised 105 individuals, 56 participants in Type–2 diabetes group and 49 in non-diabetes group. Male and females, having age between 40-65 years were recruited. Each diabetic and non-diabetic were clinically examined for periodontitis. Age and sex-matched participants suffering from periodontitis without a history of diabetes as well as with good glycemic control (HbA1c) were considered as controls subjects. Glycated hemoglobulin (HbA1c) was carried out for all the participants free of cost by using Human Gmbh-Max-Planck-Ring 21-65205 Wiesbaden-Germany kit. The study was approved by the ethical committee of the Peshawar Medical College. Data was analyzed using software package SPSS version 20.
RESULTS:
Out of 56 diabetics, 24 subjects brushed once daily, 15 brushed twice daily, 11 brushed occasionally and 6 didn’t brush whereas in 49 non diabetics, 20 subjects brushed once daily, 13 brushed twice daily, 11 brushed occasionally and 5 didn’t brush. The clinical parameter mean (PBI) was recorded in our study. Score was 2.09 (±0.82) in diabetics and 1.02 (±0.47) in non-diabetics. P-value measured by the chi square test was significant. Spearman correlation test was performed to explore the association between the type 2 diabetes and Papillary bleeding index (PBI).
CONCLUSION:
We concluded that a significant difference exists between the mean PBI scores of Type 2 diabetics and non-diabetics.
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Cabello-Olmo M, Araña M, Urtasun R, Encio IJ, Barajas M. Role of postbiotics in diabetes mellitus: current knowledge and future perspectives. Foods. 2021;10(7):1590 DOI: https://doi.org/10.3390/foods10071590
American Diabetes Association. Classification and diagnosis of diabetes: standards of medical care in diabetes-2021. Diabetes Care. 2021;44(S1):S15-33 DOI: https://doi.org/10.2337/dc21-S002
Chapple ILC, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, Eickholz P, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89(S1):S74-84 DOI: https://doi.org/10.1002/JPER.17-0719
Mann J, Bernstein Y, Findler M. Periodontal disease and its prevention, by traditional and new avenues (review). Exp Ther Med. 2020;19(2):1504-6 DOI: https://doi.org/10.3892/etm.2019.8381
Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci (Qassim). 2017;11(2): 72-80
Ziebolz D, Douglas D, Douglas D, Schmickler J, Patschan D, Muller GA, et al. Periodontal condition is associated with disease duration and motoric disabilities in patients with ankylosing spondylitis: results of a cross-sectional study. Rheumatol Int. 2018;38:855-63 DOI: https://doi.org/10.1007/s00296-018-4012-6
Miyata Y, Obata Y, Mochizuki Y, Kitamura M, Mitsunari K, Matsuo T, et al. Periodontal disease in patients receiving dialysis. Int J Mol Sci. 2019;20(15):3805 DOI: https://doi.org/10.3390/ijms20153805
Akram Z, Alqahtani F, Alqahtani M, Al-Kheraif AA, Javed F. Levels of advanced glycation end products in gingival crevicular fluid of chronic periodontitis patients with and without type-2 diabetes mellitus. J Periodontol. 2020;91(3):396-402 DOI: https://doi.org/10.1002/JPER.19-0209
Emese B, Dorottya G, Szabolcs N, Csaba L, Gabriella E, Zoltan B, et al. Periodontal disease in diabetes mellitus: a case–control study in smokers and non-smokers. Diabetes Ther. 2020;11:2715-28 DOI: https://doi.org/10.1007/s13300-020-00933-8
Gasner NS, Schure RS. Necrotizing Periodontitis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021
Verhulst MJL, Loos BG, Gerdes VEA, Teeuw WJ. Evaluating all potential oral complications of diabetes mellitus. Front Endocrinol. 2019;10:56 DOI: https://doi.org/10.3389/fendo.2019.00056
Mills A, Levin L. Inequities in periodontal disease prevalence, prevention, and management. Quintessence Int. 2021;0(0)
Adnan M, Aasim M. Prevalence of type-2 diabetes mellitus in adult population of Pakistan: a meta-analysis of prospective cross-sectional surveys. Ann Global Health. 2020;86(1):7 DOI: https://doi.org/10.5334/aogh.2679
Joshipura KJ, Muñoz-Torres FJ, Dye BA, Leroux BG, Ramírez-Vick M, Pérez CM. Longitudinal association between periodontitis and development of diabetes. Diabetes Res Clin Pract. 2018;141:284-93 DOI: https://doi.org/10.1016/j.diabres.2018.04.028
Perez CM, Munoz F, Andriankaja OM, Ritchie CS, Martinez S, Vergara J, et al. Cross-sectional associations of impaired glucose metabolism measures with bleeding on probing and periodontitis. J Clin Periodontol. 2017;44:142-9 DOI: https://doi.org/10.1111/jcpe.12662
Molina, C, Ojeda L, Jiménez M, Portillo C, Olmedo I, Hernández T, et al. Diabetes and periodontal diseases: an established two-way relationship. J Diabetes Mellitus. 2016;6:209-29 DOI: https://doi.org/10.4236/jdm.2016.64024
Di Spirito F, La Rocca M, De Bernardo M, Rosa N, Sbordone C, Sbordone L. Possible association of periodontal disease and macular degeneration: a case-control study. Dent J (Basel). 2020;9(1):1 DOI: https://doi.org/10.3390/dj9010001
Graetz C, Mann L, Krois J, Sälzer S, Kahl M, Springer C, et al. Comparison of periodontitis patients' classification in the 2018 versus 1999 classification. J Clin Periodontol. 2019;46(9):908-17 DOI: https://doi.org/10.1111/jcpe.13157
Kumari M, Kumar M, Shankar B, Niraj LK, Rajeev A, Khan A. Relationship between socioeconomic factors and periodontal disease–a cross-sectional study. J Res Adv Dent. 2021;12(5) DOI: https://doi.org/10.53064/jrad.2021.12.5.39
Eke PI, Borgnakke WS, Genco RJ. Recent epidemiologic trends in periodontitis in the USA. Periodontol. 2020;82(1):257-67 DOI: https://doi.org/10.1111/prd.12323
Sanz M, Herrera D, Kebschull M, Chapple I, Jepsen S, Berglundh T, et al. Treatment of stage I-III periodontitis-the EFP S3 level clinical practice guideline. J Clin Periodontol. 2020;47(S22):4-60
Pant BN, Goit RK, Satyal B, Poudel A. Prevalence of periodontitis among the people with diabetes mellitus. J Nepalgunj Med Coll. 2020;18(2):72-4 DOI: https://doi.org/10.3126/jngmc.v18i2.38915
Ratna NA, Chiquita P, Poernomo AW. Papillary bleeding index in public health service on gingival inflammation. Int J Pharm Res Scholars. 2017;9(3)
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