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CC BY-NC-ND 4.0 · Journal of Social Health and Diabetes 2017; 05(02): 094-099
DOI: 10.1055/s-0038-1676247
Original Article
NovoNordisk Education Foundation

Periodontal characteristics of diabetic patients with tooth mobility

Patrick I Ojehanon
Department of Periodontics, University of Benin, Benin City, Edo State, Nigeria
,
Clement C Azodo
Department of Periodontics, University of Benin, Benin City, Edo State, Nigeria
,
Paul Erhabor
1   Department of Periodontics, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
,
Vera Orhue
1   Department of Periodontics, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
› Author Affiliations
Further Information

Publication History

Received: 14 January 2017

Accepted: 02 April 2017

Publication Date:
23 November 2018 (online)

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Abstract

Objective: To determine the periodontal characteristics of diabetic patients with tooth mobility attending the Periodontology Clinic of University of Benin Teaching Hospital (UBTH), Benin City, Nigeria.

Materials and Methods: This cross-sectional observational study was conducted among diabetic patients with tooth mobility in the Periodontology Clinic in UBTH, Benin City, Nigeria. The indices recorded for the participants were gingival index, community periodontal index of treatment need, and Miller'sindex for tooth mobility.

Results: A total of 54 participants who met the inclusion criteria were approached, but only 49 of them consented and participated in this study giving a 90.7% recruitment rate. The age range and mean age of the participants were 42–84 years and 63.84 ± 1.31 years, respectively. The self-reported age of diagnosis was between 41 and 70 years with a mean age of 56.22 ± 6.88 years. About two-thirds (67.3%) of the participants were males. Less than half (38.8%) of patients were visiting the dentist for the first time. Mandibular arch housed about two-thirds (64.9%) of the mobile teeth and mandibular left quadrant housed about one-third of (34.5%) the mobile teeth. Central incisor (42.3%) constituted the most mobile teeth followed by the first molar (28.9%). A total of 17.0% of the mobile teeth were Miller's Grade 3 mobility. More than one-third (28.5%) (code 3 = 26.5%, code 4 = 2.0%) of the participants had periodontal pockets. More than half (52.7%) of participants had probing pocket depth of 5 mm and above. The gingival score which had mean as 1.60 ± 0.08 was significantly associated with age of the participants. The mean probing depth was 4.86 ± 0.21 mm. The probing depth was significant with age and duration of diabetes mellitus (DM) of the participants.

Conclusion: Data from this study revealed that age of diagnosis of diabetes with tooth mobility was higher than previously reported. The most mobile teeth and earliest teeth to become mobile were the mandibular incisors, and Grade 1 severity constituted the majority. DM with tooth mobility exhibited gingival score and probing depth that had a variable significant association with demographic characteristics.

Dentition - diabetes mellitus - periodontal diseases - tooth mobility
 

  • References

  • 1 Edward SH, Raffaele N. Diabetes mellitus. Present Knowledge in Nutrition. Washington DC: ILSI Press; 1996
    Google Scholar
  • 2 Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract 2010; 87: 4-14
    CrossrefPubMedGoogle Scholar
  • 3 Oyegbade O, Abioye Kuteyi E, Kolawole B, Ezeoma I, Bello I. Screening for diabetes mellitus in Nigerian family practice populations. S Afr Fam Pract 2007; 49: 15a-15d
    Google Scholar
  • 4 Ojehanon PI, Akhionbare O. Prevalence of undiagnosed diabetes mellitus among dental patients in Edo state, Nigeria. J Med Biomed Sci 2006; 5: 24-28
    Google Scholar
  • 5 Opeodu OI, Adeyemi BF. Undiagnosed diabetes mellitus: A survey of dental outpatients in a tertiary hospital. Afr J Med Med Sci 2013; 42: 39-45
    PubMedGoogle Scholar
  • 6 Löe H. Periodontal disease. The sixth complication of diabetes mellitus. Diabetes Care 1993; 16: 329-334
    PubMedGoogle Scholar
  • 7 Ervasti T, Knuuttila M, Pohjamo L, Haukipuro K. Relation between control of diabetes and gingival bleeding. J Periodontol 1985; 56: 154-157
    CrossrefPubMedGoogle Scholar
  • 8 Bridges RB, Anderson JW, Saxe SR, Gregory K, Bridges SR. Periodontal status of diabetic and non-diabetic men: Effects of smoking, glycemic control, and socioeconomic factors. J Periodontol 1996; 67: 1185-1192
    CrossrefPubMedGoogle Scholar
  • 9 Rajkumar D, Subramanium G, Natarajan S, Mahalingam L, Thangavelu K. Diabetes and periodontal disease. J Pharm Bioallied Sci 2012; 4: 280-282
    CrossrefPubMedGoogle Scholar
  • 10 Dombret J, Marcos E. Tooth mobility and containment. Rev Belge Med Dent 1989; 44: 98-109
    Google Scholar
  • 11 Azodo CC, Ogbebor OG. Tooth Mobility in a Specialist Periodontology Clinic. Second University of Benin Annaual Resaerch Day (UBARD) Conference. Book of Proceedings 2016; 119-120
    Google Scholar
  • 12 Miller SC. Textbook of Periodontia. Philadelphia: Blackiston Company; 1938: 92
    Google Scholar
  • 13 Serio FG. Clinical rationale for tooth stabilization and splinting. Dent Clin North Am 1999; 43: 1-6 v.
    PubMedGoogle Scholar
  • 14 Azodo CC, Erhabor P. Management of tooth mobility in the periodontology clinic: An overview and experience from a tertiary healthcare setting. Afr J Med Health Sci 2016; 15: 50-57
    CrossrefGoogle Scholar
  • 15 Cochran WG. Sampling Techniques. 3. New York: John Wiley and Sons; 1977
    Google Scholar
  • 16 Akhionbare O, Ojehanon PI, Ufomata DO, Jeboda SO. Periodontal treatment needs of Urban and rural populations in Edo State, Nigeria. Niger Dent J 2007; 15: 13-17
    Google Scholar
  • 17 Javed F, Näsström K, Benchimol D, Altamash M, Klinge B, Engström PE. Comparison of periodontal and socioeconomic status between subjects with type 2 diabetes mellitus and non-diabetic controls. J Periodontol 2007; 78: 2112-2119
    CrossrefPubMedGoogle Scholar
  • 18 Taylor GW, Burt BA, Becker MP, Genco RJ, Shlossman M, Knowler WC. et al. Non-insulin dependent diabetes mellitus and alveolar bone loss progression over 2 years. J Periodontol 1998; 69: 76-83
    CrossrefPubMedGoogle Scholar
  • 19 Ong G. Periodontal disease and tooth loss. Int Dent J 1998; 48 (03) (Suppl. 01) 233-238
    CrossrefPubMedGoogle Scholar
  • 20 Sede MA, Ehizele AO. Oral diseases and diabetes: Nigerian medical and dental caregivers' perspective. Ann Afr Med 2015; 14: 193-199
    CrossrefPubMedGoogle Scholar
  • 21 Arowojolu MO. Prevalence of periodontal pocketing and tooth mobility according to tooth types in Nigerians – A pilot study. Afr J Med Med Sci 2002; 31: 119-121
    PubMedGoogle Scholar
  • 22 Jaafar N, Razak IA, Nor GM. Trends in tooth loss due to caries and periodontal disease by tooth type. Singapore Dent J 1989; 14: 39-41
    PubMedGoogle Scholar
  • 23 Sayegh A, Hilow H, Bedi R. Pattern of tooth loss in recipients of free dental treatment at the University Hospital of Amman, Jordan. J Oral Rehabil 2004; 31: 124-130
    CrossrefPubMedGoogle Scholar
  • 24 Upadhyaya C, Humagain M. The pattern of tooth loss due to dental caries and periodontal disease among patients attending dental department (OPD), Dhulikhel Hospital, Kathmandu University Teaching Hospital (KUTH), Nepal. Kathmandu Univ Med J 2009; 7: 59-62
    PubMedGoogle Scholar
  • 25 Shigli K, Hebbal M, Angadi GS. Relative contribution of caries and periodontal disease in adult tooth loss among patients reporting to the Institute of Dental Sciences, Belgaum, India. Gerodontology 2009; 26: 214-218
    CrossrefPubMedGoogle Scholar
  • 26 Umoh AO, Azodo CC. Prevalence of gingivitis and periodontitis in an adult male population in Nigeria. Niger J Basic Clin Sci 2012; 9: 65-69
    CrossrefGoogle Scholar
  • 27 Heitz-Mayfield LJ, Schätzle M, Löe H, Bürgin W, Anerud A, Boysen H. et al. Clinical course of chronic periodontitis. II. Incidence, characteristics and time of occurrence of the initial periodontal lesion. J Clin Periodontol 2003; 30: 902-908
    CrossrefPubMedGoogle Scholar
  • 28 Edo AE, Edo GO, Ohenhen OA, Ekhator NP, Ordiah WC. Age at diagnosis and duration of type 2 diabetes seen in Benin City, Nigeria. Afr J Diabetes Med 2015; 23: 18-19
    Google Scholar
  • 29 Koopman RJ, Mainous 3rd AG, Diaz VA, Geesey ME. Changes in age at diagnosis of type 2 diabetes mellitus in the United States, 1988 to 2000. Ann Fam Med 2005; 3: 60-63
    CrossrefPubMedGoogle Scholar
  • 30 Mealey BL, Ocampo GL. Diabetes mellitus and periodontal disease. Periodontol 2000 2007; 44: 127-153
    CrossrefPubMedGoogle Scholar