Pre‐diabetes and well‐controlled diabetes are not associated with periodontal disease: the SHIP Trend Study

• DOI: 10.1111/jcpe.12391
• Publication Date: 2015-03-24T17:44:55Z
• Authors: Bernd Kowall; Birte Holtfreter; Henry Völzke; Sabine Schipf; Torsten Mundt; Wolfgang Rathmann; Thomas Kocher
• Keywords: Adult; Blood Glucose; Male; Medizin; Body Mass Index; 03 medical and health sciences; 0302 clinical medicine; Germany; Periodontal Attachment Loss; Humans; Periodontal Pocket; Periodontitis; Aged; Aged, 80 and over; Glycated Hemoglobin; 2. Zero hunger; Jaw, Edentulous, Partially; Glucose Tolerance Test; Middle Aged; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Educational Status; Female; Mouth, Edentulous

Abstract Aim To examine associations of pre‐diabetes and well‐controlled diabetes with periodontitis. Materials Methods The Study Health in Pomerania ( SHIP )‐Trend is a cross‐sectional survey North‐Eastern Germany including 3086 participants (49.4% men; age 20–82 years). Clinical attachment loss CAL ) periodontal probing depth PPD were assessed applying random half‐mouth protocol. number teeth was determined. Pre‐diabetes comprised impaired fasting glucose tolerance. Previously known defined as well controlled if glycated haemoglobin (HbA1c) <7.0%. Participants categorized follows: normal tolerance NGT ), pre‐diabetes, newly detected type 2 (T2 DM T2 HbA1c<7.0% HbA1c≥7.0%. Results neither associated mean multivariable adjusted linear regression models nor edentulism OR = 1.09 (95%‐ CI : 0.69‐1.71)) 0.96 0.75–1.22), lowest quartile versus higher quartiles) logistic models. Associations stronger poorly previously than (for edentulism: 2.19 1.18–4.05), 1.40 0.82–2.38), respectively, for comparison ). Conclusions Periodontitis , but not diabetes.