PMID- 19622096 OWN - NLM STAT- MEDLINE DCOM- 20091116 LR - 20220409 IS - 1600-051X (Electronic) IS - 0303-6979 (Linking) VI - 36 IP - 9 DP - 2009 Sep TI - Association between type 1 and type 2 diabetes with periodontal disease and tooth loss. PG - 765-74 LID - 10.1111/j.1600-051X.2009.01445.x [doi] AB - AIM: The aim of this study was to determine whether both type 1 (T1DM) and type 2 diabetes mellitus (T2DM) are associated with increased prevalence and extent of periodontal disease and tooth loss compared with non-diabetic subjects within a homogeneous adult study population. MATERIAL AND METHODS: T1DM, T2DM and non-diabetic subjects were recruited from the population-based Study of Health in Pomerania. Additionally, T1DM subjects were retrieved from a Diabetes Centre. The total study population comprised 145 T1DM and 2647 non-diabetic subjects aged 20-59 years, and 182 T2DM and 1314 non-diabetic subjects aged 50-81 years. Periodontal disease was assessed by attachment loss (AL) and the number of missing teeth. RESULTS: Multivariable regression revealed an association between T1DM (p<0.001) and T2DM (p<0.01) with mean AL after full adjustment. After age stratification (p=0.04 for interaction), the effect of T2DM was only statistically significant in the 60-69-year-old subjects (B=0.90 (95% confidence intervals [95% CI]; 0.49, 1.31). T1DM was positively associated with tooth loss (adjusted, p<0.001). The association between T2DM and tooth loss was statistically significant only for females (odds ratios=1.60 [95% CI: 1.10, 2.33]). CONCLUSIONS: Our study confirmed an association between both T1DM and T2DM with periodontitis and tooth loss. Therefore, oral health education should be promoted in diabetic subjects. FAU - Kaur, Gaganpreet AU - Kaur G AD - Unit of Periodontology, Department of Restorative Dentistry, Periodontology, and Endodontology, Dental school, University of Greifswald, Greifswald, Germany. FAU - Holtfreter, Birte AU - Holtfreter B FAU - Rathmann, Wolfgang AU - Rathmann W FAU - Schwahn, Christian AU - Schwahn C FAU - Wallaschofski, Henry AU - Wallaschofski H FAU - Schipf, Sabine AU - Schipf S FAU - Nauck, Matthias AU - Nauck M FAU - Kocher, Thomas AU - Kocher T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090720 PL - United States TA - J Clin Periodontol JT - Journal of clinical periodontology JID - 0425123 SB - IM EIN - J Clin Periodontol. 2009 Dec;36(12):1075. Rathmann, Wolfgan G [corrected to Rathmann, Wolfgang] MH - Adult MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Case-Control Studies MH - Diabetes Mellitus, Type 1/*complications/epidemiology MH - Diabetes Mellitus, Type 2/*complications/epidemiology MH - Female MH - Germany/epidemiology MH - Humans MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Periodontal Attachment Loss/*complications/epidemiology MH - Periodontitis/*complications/epidemiology MH - Prevalence MH - Regression Analysis MH - Tooth Loss/*complications/epidemiology MH - Young Adult EDAT- 2009/07/23 09:00 MHDA- 2009/11/17 06:00 CRDT- 2009/07/23 09:00 PHST- 2009/07/23 09:00 [entrez] PHST- 2009/07/23 09:00 [pubmed] PHST- 2009/11/17 06:00 [medline] AID - CPE1445 [pii] AID - 10.1111/j.1600-051X.2009.01445.x [doi] PST - ppublish SO - J Clin Periodontol. 2009 Sep;36(9):765-74. doi: 10.1111/j.1600-051X.2009.01445.x. Epub 2009 Jul 20.