PMID- 25879874 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20221207 IS - 1943-3670 (Electronic) IS - 0022-3492 (Linking) VI - 86 IP - 7 DP - 2015 Jul TI - Periodontal Inflammatory Conditions Among Smokers and Never-Smokers With and Without Type 2 Diabetes Mellitus. PG - 839-46 LID - 10.1902/jop.2015.150120 [doi] AB - BACKGROUND: There is a dearth of studies regarding the influence of cigarette smoking on periodontal inflammatory conditions among patients with type 2 diabetes mellitus (T2DM). The aim of the present study is to assess periodontal inflammatory conditions among smokers and never-smokers with and without T2DM. METHODS: One hundred individuals (50 patients with T2DM [25 smokers and 25 never-smokers] and 50 controls [25 smokers and 25 never-smokers]) were included. Information regarding age, sex, duration and daily frequency of smoking, duration and treatment of diabetes, and oral hygiene was recorded using a questionnaire. Periodontal parameters (plaque index [PI], bleeding on probing [BOP], probing depth [PD], clinical attachment loss [AL], and marginal bone loss [MBL]) were measured. Hemoglobin A1c (HbA1c) levels were also recorded. RESULTS: Mean age, monthly income status, and education levels were comparable among smokers and never-smokers with and without T2DM. Mean HbA1c levels were significantly higher among patients with T2DM (8.2% +/- 0.1%) compared with controls (4.4% +/- 0.3%) (P <0.05). Smokers in the control group were smoking significantly greater numbers of cigarettes (15.5 +/- 2.5 cigarettes daily) compared with smokers with T2DM (6.2 +/- 2.1 cigarettes daily) (P <0.05). Periodontal parameters were comparable among smokers and never-smokers with T2DM. Among controls, periodontal parameters (PI [P <0.05], AL [P <0.05], PD >/=4 mm [P <0.05], and MBL [P <0.05]) were significantly higher in smokers than never-smokers. Never-smokers with T2DM had worse periodontal status than smokers and never-smokers in the control group (P <0.05). CONCLUSIONS: Periodontal inflammatory conditions are comparable among smokers and never-smokers with T2DM. Among controls, periodontal inflammation is worse among smokers than never-smokers. FAU - Javed, Fawad AU - Javed F AD - Division of General Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, NY. FAU - Al-Kheraif, Abdulaziz A AU - Al-Kheraif AA AD - Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia. FAU - Salazar-Lazo, Karem AU - Salazar-Lazo K AD - Division of General Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, NY. FAU - Yanez-Fontenla, Virginia AU - Yanez-Fontenla V AD - Division of General Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, NY. FAU - Aldosary, Khalid M AU - Aldosary KM AD - Dental Department, King Khalid University Hospital, King Saud University. FAU - Alshehri, Mohammed AU - Alshehri M AD - Dental Department, King Khalid University Hospital, King Saud University. FAU - Malmstrom, Hans AU - Malmstrom H AD - Division of General Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, NY. FAU - Romanos, Georgios E AU - Romanos GE AD - Department of Periodontology, School of Dental Medicine, Stony Brook University, Stony Brook, NY. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150416 PL - United States TA - J Periodontol JT - Journal of periodontology JID - 8000345 RN - 0 (Glycated Hemoglobin A) SB - IM MH - Alveolar Bone Loss/classification MH - Case-Control Studies MH - Dental Plaque Index MH - Diabetes Mellitus, Type 2/blood/*complications MH - Glycated Hemoglobin/analysis MH - Humans MH - Male MH - Middle Aged MH - Oral Hygiene MH - Periodontal Attachment Loss/classification MH - Periodontal Index MH - Periodontal Pocket/classification MH - Periodontitis/*classification MH - *Smoking OTO - NOTNLM OT - Alveolar bone loss OT - dental plaque OT - gingival bleeding on probing OT - inflammation OT - smoking OT - type 2 diabetes mellitus EDAT- 2015/04/17 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/04/17 06:00 PHST- 2015/04/17 06:00 [entrez] PHST- 2015/04/17 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 10.1902/jop.2015.150120 [doi] PST - ppublish SO - J Periodontol. 2015 Jul;86(7):839-46. doi: 10.1902/jop.2015.150120. Epub 2015 Apr 16.