Relationship of HbA1c Level and Smoking to Periodontal Status in Insulin-Dependent Diabetic PatientsReport as inadecuate




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Acta stomatologica Croatica, Vol.40 No.3 September 2006. -

Objective of work. The aim of the study was to investigate the effect of diabetes mellitus DM duration and HbA1c level on periodontal status of patients with insulin- dependent DM, as well as the combined effect of smoking and HbA1c level on periodontal status. Subjects were randomly selected from the patients with insulindependent DM that are treated at the Department of Endocrinology in the hospital -Sveti Duh-. Data was gathered by means of an interview, clinical periodontal investigation and patients’ charts from the department. Sites with probing depth of 5 mm and greater were selected as sites with periodontitis. By means of Poisson regression model a relative risk with 95% confi dence interval was computed, corrected for age of the subjects. Relative risk for attachment loss in smokers was 12.805, and for probing depth in smokers 7.99. Relative risk of the HbA1c level > 8.5 in smokers was 10.681 p = 0.002, and 8.214 p = 0.006 for HbA1c level ≤ 8.5. Relative risk for attachment loss in nonsmokers was 4.891 p = 0.031. It was concluded that insulin-dependent smokers with poor glycemic control have the greatest risk for development and progression of periodontal disease.

periodontitis; diabetes mellitus; tobacco use disorder



Author: Ivona Bago - Andrija Bošnjak -

Source: http://hrcak.srce.hr/



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