Periodontal disease in type 2 diabetes patients with and without chronic renal failure [Enfermedad periodontal en pacientes diabéticos con y sin insuficiencia renal crónica.]
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OBJECTIVE: To estimate and compare periodontal disease prevalence (PD) in two groups of patients with type 2 diabetes (T2D), with and without end stage renal disease (ESRD) and dialysis. MATERIAL AND METHODS: Using a cross sectional design, two groups of patients with type 2 diabetes were examined in two general hospitals belonging to Instituto Mexicano del Seguro Social in San Luis Potosí. Group A were patients with ESRD and dialysis; Group B, patients with serum creatinine < 2.0 mg/dL. The WHO Community Periodontal Index (CPI) was used to assess PD. 233 patients were examined among which 172 had functional tooth, suitable for PD evaluation. RESULTS: 71 patients integrated group A; their mean age was 56.2 %2b/- 11.8 years. 101 patients integrated group B, their mean age was 56.7 %2b/- 11.9 years (p = 0.768). Elapsed time from T2D diagnosis was 221 %2b/- 86 months for group A, and 126 %2b/- 101 months for group B (p < 0.001). Poor oral hygiene was found in 39.8 %25 of group A patients, and 34.6 %25 of group B patients (p = 0.133). PD prevalence, with CPI scores 3 and 4, was 63.4 %25 for group A, and 72.3 %25 for group B (p = 0.216). Multiple linear regression analysis found PD severity associated to ageing (p < 0.001), poor oral hygiene (p < 0.001) and for group A a shorter time from T2D diagnosis to ESRD (p = 0.0315). ESRD hemodialysis patient%27s PD was more severe than that of peritoneal dialysis patients (p < 0.03). CONCLUSIONS: both groups had high prevalence of PD and poor oral hygiene. Patients treated with haemodialysis had more severe PD than peritoneal dialysis patients. A shorter time from DM diagnosis to ESRD was found associated to more severe PD.
OBJECTIVE: To estimate and compare periodontal disease prevalence (PD) in two groups of patients with type 2 diabetes (T2D), with and without end stage renal disease (ESRD) and dialysis. MATERIAL AND METHODS: Using a cross sectional design, two groups of patients with type 2 diabetes were examined in two general hospitals belonging to Instituto Mexicano del Seguro Social in San Luis Potosí. Group A were patients with ESRD and dialysis; Group B, patients with serum creatinine < 2.0 mg/dL. The WHO Community Periodontal Index (CPI) was used to assess PD. 233 patients were examined among which 172 had functional tooth, suitable for PD evaluation. RESULTS: 71 patients integrated group A; their mean age was 56.2 %2b/- 11.8 years. 101 patients integrated group B, their mean age was 56.7 %2b/- 11.9 years (p = 0.768). Elapsed time from T2D diagnosis was 221 %2b/- 86 months for group A, and 126 %2b/- 101 months for group B (p < 0.001). Poor oral hygiene was found in 39.8 %25 of group A patients, and 34.6 %25 of group B patients (p = 0.133). PD prevalence, with CPI scores 3 and 4, was 63.4 %25 for group A, and 72.3 %25 for group B (p = 0.216). Multiple linear regression analysis found PD severity associated to ageing (p < 0.001), poor oral hygiene (p < 0.001) and for group A a shorter time from T2D diagnosis to ESRD (p = 0.0315). ESRD hemodialysis patient's PD was more severe than that of peritoneal dialysis patients (p < 0.03). CONCLUSIONS: both groups had high prevalence of PD and poor oral hygiene. Patients treated with haemodialysis had more severe PD than peritoneal dialysis patients. A shorter time from DM diagnosis to ESRD was found associated to more severe PD.
