م.م. بان زهير احمد
  • Effect ofdiabetes mellitus on periodontal health status, salivary flow rate and salivary pH in patients with chronic periodontitis
  • aBackground:

    D

    iabetes and periodontitis

    are

    considered as chronic diseases with a bidirectional relationship between them.

    This study aimed t

    o determine and compare the severity

    of periodontal

    health status and

    salivary parameters in

    diabetic and

    non

    -

    diabetic

    patients

    with chronic periodontitis

    .

    Materials and M

    ethods

    : Seventy

    p

    articipants were enrolled in this

    stud

    y

    .

    The subjects were divided into three

    groups:

    Group

    I: 25 patients

    had

    type 2 diabetes mellitus with chronic periodontitis

    ,

    Group 2: 25 patients

    had

    chronic periodontitis and with

    no

    history of any systemic diseases

    ,

    Group 3: 20 subjects

    had

    healthy periodontium and

    were

    systemically

    healthy.

    Unstimulated whole saliva was collected for measurement of salivary flow

    rate and

    pH. All periodontal parameters (plaque

    index, gingival

    index, probing

    pocket depth and clinical attachment level

    )

    were recorded for

    each

    patient

    .

    Result

    s

    :

    The results showed that all clinical periodontal parameters we

    re highest in group 1 in comparison wi

    th

    group

    s

    2 and

    3

    .

    Comparisons

    between pairs

    of groups revealed significant difference

    s

    between

    group

    s

    1 and 2 for

    p

    laque index

    , gingival

    index, probing pocket depth

    and clinical attachment level

    ,

    and highly significant differences

    for plaque

    index, gingival index

    between group

    s

    2 and 3

    ,

    a

    nd between group

    s

    1 and 3.

    The salivary flow rate and pH were lower in group 1

    compare

    d

    to

    group

    s

    2 and 3

    .

    Inter

    -

    group comparison

    s

    of salivary parameters also revealed a significant

    difference between groups

    1 and

    2, with a

    non

    -

    significant difference between group

    s

    2 and 3

    .

    Conclusion

    :

    Type 2 diabetic patients

    have significantly lower salivary flow rate, pH and present with advanced

    periodontal

    destruction

    compared to

    healthy patients