Prevalence of periodontitis in patients with type 2 diabetes and its association with metabolic control. Cross-sectional study. Cuenca-Ecuador

Authors

DOI:

https://doi.org/10.33448/rsd-v11i6.29664

Keywords:

Periodontitis; Periodontal Disease; Prevalence; Type 2 Diabetes Mellitus; Metabolic control.

Abstract

Objective: to determine the prevalence of periodontitis in patients with type 2 diabetes and its association with metabolic control in patients who received medical care in two foundations in the city of Cuenca - Ecuador during the period of January-April 2015. Methodology: cross-sectional, descriptive-analytical study carried out with 95 patients with type 2 diabetes who were evaluated periodontally and in whom the level of metabolic control of diabetes was identified by means of the glycosylated hemoglobin test; in addition, we inquired about sex, age, duration of diabetes, time elapsed since their last medical check-up. Results: 86.32% of patients with periodontitis were identified, the majority of patients with type 2 diabetes had poor metabolic control (87.36%). A statistically significant association was found between the presence of periodontitis and the degree of metabolic control of diabetes (p=0.003), patients with poorly controlled diabetes (HbA1c ≥ 7.0%) presented a higher risk of presenting periodontitis (OR: 6.67; 95% CI: 1.72-26.08); likewise, a statistically significant association was found between the presence of periodontitis and the duration of diabetes (p=0.013), with a higher risk for patients who have had type 2 diabetes for 10 years or more (OR: 6.064; 95% CI: 1.26-29.08). Conclusion: the prevalence of periodontitis in patients with type 2 diabetes was 86.32%; associations were identified both with poor metabolic control of diabetes (HbA1c ≥ 7.0%) and with type 2 diabetes duration greater than 10 years.                                                                                                                        

References

American Diabetes Association. (2021). Addendum. 2. Classification and diagnosis of diabetes: Standards of medical care in diabetes-2021. Diabetes care 2021;44(suppl. 1):S15-S33. Diabetes Care, 44(9), 2182. https://doi.org/10.2337/dc21-ad09

Apoorva, S. M., Sridhar, N., & Suchetha, A. (2013). Prevalence and severity of periodontal disease in type 2 diabetes mellitus (non-insulin-dependent diabetes mellitus) patients in Bangalore city: An epidemiological study. Journal of Indian Society of Periodontology, 17(1), 25–29. https://doi.org/10.4103/0972-124X.107470

Armitage, G. C. (1999). Development of a classification system for periodontal diseases and conditions. Annals of Periodontology, 4(1), 1–6. https://doi.org/10.1902/annals.1999.4.1.1

Bajaj, S., Prasad, S., Gupta, A., & Singh, V. B. (2012). Oral manifestations in type-2 diabetes and related complications. Indian Journal of Endocrinology and Metabolism, 16(5), 777–779. https://doi.org/10.4103/2230-8210.100673

Bonilla Escobar, B. A., Borrell, L. N., Del Cura González, I., Sánchez Perruca, L., Escortell-Mayor, E., & Franco, M. (2020). Type 2 diabetes prevalence among Andean immigrants and natives in a Southern European City. Acta Diabetologica, 57(9), 1065–1072. https://doi.org/10.1007/s00592-020-01515-7

Botero, J. E., Rösing, C. K., Duque, A., Jaramillo, A., & Contreras, A. (2015). Periodontal disease in children and adolescents of Latin America. Periodontology 2000, 67(1), 34–57. https://doi.org/10.1111/prd.12072

Carrillo Larco, R. M., & Bernabé Ortiz, A. (2019). Diabetes mellitus tipo 2 en Perú: una revisión sistemática sobre la prevalencia e incidencia en población general. Revista peruana de medicina experimental y salud pública, 36(1), 26–36. https://doi.org/10.17843/rpmesp.2019.361.4027

Dhir, S., Wangnoo, S., & Kumar, V. (2018). Impact of glycemic levels in Type 2 diabetes on periodontitis. Indian Journal of Endocrinology and Metabolism, 22(5), 672–677. https://doi.org/10.4103/ijem.IJEM_566_17

Flores, L. A., & Zerón, A. (2016). Las enfermedades periodontales y su relación con enfermedades sistémicas. Revista Mexicana de Periodontología, 6(2), 77–87. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=64075

GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet, 392(10159), 1789–1858. https://doi.org/10.1016/S0140-6736(18)32279-7

Gomezcoello Vásquez, V., Caza, M., & Jácome Sánchez, E. (2021). Prevalencia de diabetes mellitus y sus complicaciones en adultos mayores en un centro de referencia. Revista Medica Vozandes, 31(2), 49–55. https://doi.org/10.48018/rmv.v31.i2.7

Instituto Nacional de Estadística y Censos. (2020). Estadísticas Vitales Registro Estadístico de Defunciones Generales de 2020. C:/Users/mirey/OneDrive/Escritorio/2021-06-10_Principales_resultados_EDG_2020_final.pdf

Jepsen, S., Caton, J. G., Albandar, J. M., Bissada, N. F., Bouchard, P., Cortellini, P., Demirel, K., de Sanctis, M., Ercoli, C., Fan, J., Geurs, N. C., Hughes, F. J., Jin, L., Kantarci, A., Lalla, E., Madianos, P. N., Matthews, D., McGuire, M. K., Mills, M. P., & Yamazaki, K. (2018). Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions: Classification and case definitions for periodontal manifestations of systemic diseases and developmental and acquired conditions. Journal of Periodontology, 89 Suppl 1, S237–S248. https://doi.org/10.1002/JPER.17-0733

Khan, M. A. B., Hashim, M. J., King, J. K., Govender, R. D., Mustafa, H., & Al Kaabi, J. (2020). Epidemiology of type 2 diabetes - Global Burden of Disease and forecasted trends. Journal of Epidemiology and Global Health, 10(1), 107–111. https://doi.org/10.2991/jegh.k.191028.001

Kiran, M., Arpak, N., Unsal, E., & Erdoğan, M. F. (2005). The effect of improved periodontal health on metabolic control in type 2 diabetes mellitus. Journal of Clinical Periodontology, 32(3), 266–272. https://doi.org/10.1111/j.1600-051X.2005.00658.x

Madan O’Farril, M., Gasca Martin, L., Espasandin González, S., & Velasteguí López, E. (2021). Prevalencia de la enfermedad periodontal crónica en pacientes diabéticos. Anatomía Digital, 4(4), 69-78. https://doi.org/10.33262/anatomiadigital.v4i4.1891

Martínez Martínez, A. C., Llerena, M. E., & Peñaherrera, M. S. (2017). Prevalencia de enfermedad periodontal y factores de riesgo asociados. Dominio de las Ciencias, 3(1), 99–108. https://dialnet.unirioja.es/servlet/articulo?codigo=5802912

Maya, G. C., & Sierra, G. L. (2010). La HbA1c en el diagnóstico y en el manejo de la diabetes. Medicina y Laboratorio, 16(5–6), 211–241. https://medicinaylaboratorio.com/index.php/myl/article/view/388

Ministerio de Salud Pública. (2011). Protocolos Clínicos Y Terapéuticos Para La Atención De Las Enfermedades Crónicas No Trasmisibles (Diabetes 1, Diabetes 2, Dislipidemias, Hipertensión Arterial). https://www.iess.gob.ec/documents/10162/51880/Protocolos_ECNT_01_de_junio_2011_v.pdf

Mitchell, C. (2012, noviembre 14). OPS/OMS. Pan American Health Organization / World Health Organization. https://www3.paho.org/hq/index.php?option=com_content&view=article&id=7453:2012-diabetes-shows-upward-trend-americas&Itemid=1926&lang=es.

Mohamed, H. G., Idris, S. B., Ahmed, M. F., Boe, O. E., Mustafa, K., Ibrahim, S. O., & Astrom, A. N. (2013). Association between oral health status and type 2 diabetes mellitus among Sudanese adults: a matched case-control study. PloS One, 8(12), e82158. https://doi.org/10.1371/journal.pone.0082158

Navarro Sánchez, A. B., Faria Almeida, R., & Bascones Martínez, A. (2002). Relación entre diabetes mellitus y enfermedad periodontal. Avances en periodoncia e implantología oral, 14(1), 9–19. https://doi.org/10.4321/s1699-65852002000100002

Organización Mundial de la Salud. (2022). Salud Bucodental. https://www.who.int/es/news-room/fact-sheets/detail/oral-health

Petersmann, A., Müller-Wieland, D., Müller, U. A., Landgraf, R., Nauck, M., Freckmann, G., Heinemann, L., & Schleicher, E. (2019). Definition, classification and diagnosis of diabetes mellitus. Experimental and Clinical Endocrinology & Diabetes, 127(S 01), S1–S7. https://doi.org/10.1055/a-1018-9078

Sanz, M., Herrera, D., Kebschull, M., Chapple, I., Jepsen, S., Berglundh, T., Sculean, A., Tonetti, M. (2020a). Tratamiento de la Periodontitis en Estadios I-III - Guía de Práctica Clínica de Nivel S3 de la EFP. Sociedad Española de Periodoncia y Osteointegración (SEPA). https://portal.guiasalud.es/entidad-elaboradora/sociedad-espanola-de-periodoncia-y-osteointegracion-sepa/

Sanz, M., Papapanou, P. N., Tonetti, M. S., Greenwell, H., & Kornman, K. (2020b). Guest editorial: Clarifications on the use of the new classification of periodontitis. Journal of Periodontology, 91(11), 1385. https://doi.org/10.1002/JPER.20-0166

Serrano, C., Perez, C., & Rodríguez, M. (2012). Periodontal conditions in a group of Colombian type 2 diabetic patients with different degrees of metabolic control. Acta Odontologica Latinoamericana: AOL, 25(1), 132–139. https://pubmed.ncbi.nlm.nih.gov/22928393/

Sociedad Española de Periodoncia y Osteointegración. (s/f). Periodontograma. https://sepa.es/periodontograma/index.html

Taylor, J. J., Preshaw, P. M., & Lalla, E. (2013). A review of the evidence for pathogenic mechanisms that may link periodontitis and diabetes. Journal of Clinical Periodontology, 40 Suppl 14, S113-34. https://doi.org/10.1111/jcpe.12059

Wang, S., Liu, J., Zhang, J., Lin, J., Yang, S., Yao, J., & Du, M. (2017). Glycemic control and adipokines after periodontal therapy in patients with Type 2 diabetes and chronic periodontitis. Brazilian Oral Research, 31, e90. https://doi.org/10.1590/1807-3107BOR-2017.vol31.0090

Winning, L., Patterson, C. C., Neville, C. E., Kee, F., & Linden, G. J. (2017). Periodontitis and incident type 2 diabetes: a prospective cohort study. Journal of Clinical Periodontology, 44(3), 266–274. https://doi.org/10.1111/jcpe.12691

Wu, C.Z., Yuan, Y.-H., Liu, H.-H., Li, S.-S., Zhang, B.-W., Chen, W., An, Z.-J., Chen, S.-Y., Wu, Y.-Z., Han, B., Li, C.-J., & Li, L.-J. (2020). Epidemiologic relationship between periodontitis and type 2 diabetes mellitus. BMC Oral Health, 20(1), 204. https://doi.org/10.1186/s12903-020-01180-w

Published

10/05/2022

How to Cite

MACAS MALLA, L. G.; ÁVILA GUAZHA, J. A. .; ESPINOZA RODRÍGUEZ, M. C.; CARVAJAL ENDARA, A. S. Prevalence of periodontitis in patients with type 2 diabetes and its association with metabolic control. Cross-sectional study. Cuenca-Ecuador . Research, Society and Development, [S. l.], v. 11, n. 6, p. e54811629664, 2022. DOI: 10.33448/rsd-v11i6.29664. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/29664. Acesso em: 22 may. 2022.

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Section

Health Sciences