Show simple item record

dc.contributor.authorPlessas, Aen
dc.contributor.authorRobertson, DPen
dc.contributor.authorHodge, PJen
dc.date.accessioned2018-05-23T15:31:49Z
dc.identifier.issn0022-3492en
dc.identifier.urihttp://hdl.handle.net/10026.1/11562
dc.description.abstract

BACKGROUND: The dental complications of uncontrolled diabetes include reduced salivary flow rate, candidiasis and periodontal manifestations. A recent meta-analysis concluded that diabetes patients have a significantly higher severity, but not extent, of destructive periodontal disease than non-diabetes people. The authors reported that most type-1 diabetes studies using dental radiographic data have not controlled for confounding factors such as smoking. The aim of this cross-sectional study was to compare radiographic alveolar bone loss between type 1 diabetes (T1DM) and non-diabetes (NDM) participants in a Scottish non-smoking population. METHODS: Digital bitewing radiographs for 174 Scottish adult never or ex-smoker (> 5 years) participants (108 T1DM, 66 NDS), recruited from outpatient clinics throughout Greater Glasgow and Clyde, were included in the analysis. A single blinded, trained and calibrated examiner recorded the radiographic bone loss seen on bitewing radiographs using the digital screen caliper. The bone loss was measured as the distance between the cemento-enamel junction (CEJ) and the deepest radiographic alveolar bone margin interproximally of each tooth. RESULTS: T1DM participants had more radiographic alveolar bone loss throughout the all teeth measured (median:1.27 mm vs 1.06 mm, P < 0.001) and more than a two fold increase in the risk of having sites with ≥2 mm periodontal destruction (OR = 2.297, 95%CI 1.058-4.986, P = 0.036) compared with non-diabetes subjects. CONCLUSIONS: Patients suffering from type 1 diabetes are at higher risk of periodontitis even when controlling for multiple possible confounding factors and this difference can be detected on routine dental radiographs at an early stage. These data confirm radiographically the previously reported association between T1DM and periodontal bone loss. This article is protected by copyright. All rights reserved.

en
dc.language.isoenen
dc.publisherAmerican Academy of Periodontologyen
dc.subjectAlveolar Bone Lossen
dc.subjectBitewingen
dc.subjectDiabetes Mellitusen
dc.subjectRadiographyen
dc.subjectType 1en
dc.titleRadiographic bone loss in a Scottish non-smoking Type 1 Diabetes mellitus population; a Bitewing Radiographic Study.en
dc.typeJournal Article
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/29766516en
plymouth.journalJournal of Periodontologyen
dc.identifier.doi10.1002/JPER.16-0788en
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/00 Groups by role
plymouth.organisational-group/Plymouth/00 Groups by role/Post-Graduate Research Students
plymouth.organisational-group/Plymouth/Faculty of Medicine and Dentistry
dcterms.dateAccepted2018-02-06en
dc.rights.embargodate2019-05-15en
dc.identifier.eissn1943-3670en
dc.rights.embargoperiod12 monthsen
rioxxterms.versionofrecord10.1002/JPER.16-0788en
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
rioxxterms.typeJournal Article/Reviewen


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record


All items in PEARL are protected by copyright law.
Author manuscripts deposited to comply with open access mandates are made available in accordance with publisher policies. Please cite only the published version using the details provided on the item record or document. In the absence of an open licence (e.g. Creative Commons), permissions for further reuse of content should be sought from the publisher or author.
Theme by 
@mire NV