Abstract | OBJECTIVE: MATERIALS AND METHODS: Workers' Oral Health Study is a cross-sectional survey conducted on a representative sample of the Spanish employed population including 5154 participants (59.5% men, aged 16-65). Examination of periodontal status assessed Community Periodontal Index ( CPI) and clinical attachment levels (CAL). Biochemical determinations included fasting plasma glucose (FPG), triglycerides, and total cholesterol. Logistic regression analysis with adjustment for potential confounders was used to evaluate the association between periodontitis and abnormal glucose regulation. RESULTS: Ninety-five participants (2.2%) of the study population had diabetes, while 373 (8.8%) presented prediabetes. Prediabetes was not associated with CPI or CAL in fully adjusted multivariate logistic regressions models. Diabetes was significantly associated with subjects having a CPI 4 after adjustment for potential confounders (odds ratio OR = 1.9, 95% confidence interval (CI) 1.1-3.1). This association was stronger in subjects < 45 years (OR = 4.0, 95% CI 1.2-12.7). CONCLUSION: CLINICAL RELEVANCE:
Periodontitis is associated with diabetes mellitus, having at the same time a negative effect on glycemic control. It is important to develop proper early diagnosis strategies for both conditions, particularly in young male adults.
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Authors | Eduardo Montero, Miguel Carasol, Ana Fernández-Meseguer, Eva Calvo-Bonacho, María Teresa García-Margallo, Mariano Sanz, David Herrera |
Journal | Clinical oral investigations
(Clin Oral Investig)
Vol. 23
Issue 12
Pg. 4233-4241
(Dec 2019)
ISSN: 1436-3771 [Electronic] Germany |
PMID | 30820824
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adolescent
- Adult
- Aged
- Blood Glucose
- Cross-Sectional Studies
- Dental Health Surveys
- Diabetes Mellitus
(epidemiology)
- Female
- Humans
- Male
- Middle Aged
- Oral Health
- Periodontitis
(epidemiology)
- Prediabetic State
(epidemiology)
- Prevalence
- Spain
(epidemiology)
- Young Adult
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