今回は1型糖尿病が歯周病のリスクファクターになるかを
検討した文献です。
1型糖尿病患者44名と非糖尿病者20名を5年に渡り
前向きコホート研究しています。
The clinical periodontal status of 44 insulin-dependent diabetic children and adolescents and 20 healthy control subjects was compared for a period of approximately 5 years. Fasting blood glucose, fructosamine, and glycosylated hemoglobin (HbA1) values were determined at baseline and 5 years later. The differences in the clinical and laboratory parameters were compared during the study period. The differences between the two groups were also evaluated. The only statistically significant difference observed in the diabetic group was clinical attachment loss (CAL). The CAL was statistically significantly higher in the diabetic group compared to the controls, and a statistically significantly higher in the diabetic group compared to the controls, and a statistically significant positive correlation was observed between the duration of diabetes and CAL. Fructosamine was also correlated with the gingival index in the diabetic group while there was no correlation in the controls. It may be concluded that diabetes modifies the clinical status of the periodontal tissues and increases clinical attachment loss.
結果、1型糖尿病患者は非糖尿病者と比較して5年後の
アタッチメントロスが大きく
結論として、1型糖尿病はアタッチメントロスを
促進するということです。
引用文献
Firatli E
The relationship between clinical periodontal status and insulin-dependent diabetes mellitus. Results after 5 years.
J Periodontol. 1997 Feb;68(2):136-40.