ABSTRACT
Utilization of dental services by 30 diabetic and 30 nondiabetic subjects was assessed by longitudinal monitoring over a period of 3 years. All subjects were examined clinically three times, and their treatment consisted mainly of cariologic and periodontal treatment. The treatment was delivered by a dentist and an expanded-duty dental hygienist. The study groups were similar with regard to the total number of dental visits needed. However, the treatment of diabetic subjects was more demanding in that more dentist's workload was needed for the diabetic group. They also missed more appointments without cancellation and therefore more office time had to be reserved for them.
Subject(s)
Attitude to Health , Dental Care for Chronically Ill/statistics & numerical data , Dental Health Services/statistics & numerical data , Diabetes Mellitus/psychology , Adult , Case-Control Studies , Dental Care for Chronically Ill/economics , Dental Caries/epidemiology , Dental Prophylaxis/statistics & numerical data , Female , Finland/epidemiology , Humans , Male , Patient Dropouts , Periodontal Diseases/epidemiologyABSTRACT
The increment of caries was monitored for two years in 30 adult diabetic and 30 healthy subjects, who received regular preventive and reparative treatment during this time. No significant differences in caries increment were found between the diabetic and control subjects, but there was a tendency for a greater increment on lingual surfaces of the teeth in the diabetic group than in the healthy subjects (P less than 0.09).
Subject(s)
Dental Caries/epidemiology , Diabetes Mellitus , Adult , Case-Control Studies , DMF Index , Dental Restoration, Permanent/statistics & numerical data , Diabetes Mellitus/drug therapy , Female , Finland , Health Services Needs and Demand/statistics & numerical data , Humans , Insulin/therapeutic use , Longitudinal Studies , MaleABSTRACT
The short-term response (3-4 months) to non-surgical periodontal treatment, i.e., oral hygiene instruction, scaling and root planing, was determined in 34 diabetic and 45 control subjects. Measurements of probing pocket depth and gingival bleeding (%) were used for evaluation. No significant difference could be observed in the response to non-surgical periodontal treatment between the diabetics and controls.
Subject(s)
Diabetes Complications , Periodontal Diseases/therapy , Adolescent , Adult , Female , Follow-Up Studies , Gingival Hemorrhage/pathology , Gingival Hemorrhage/therapy , Humans , Male , Middle Aged , Periodontal Diseases/complications , Periodontal Index , Periodontal Pocket/pathology , Periodontal Pocket/therapy , Wound HealingABSTRACT
The periodontal health status of 50 adult diabetics and 53 healthy controls was examined. The diabetic group was further divided into three subgroups according to the control of diabetes. Comparison between the entire diabetic group and the control group did not reveal any differences in either the amount of etiologic factors or in the degree of gingival changes. On the other hand when the subgroups of diabetic patients were examined, those with poorly controlled diabetes suffered significantly more from gingival bleeding than those with good or moderate control. The difference in the amount of gingival bleeding between diabetics with poor control and the control group was also statistically significant. The amount of etiologic factors, however, was similar in all the studied diabetic subgroups indicating an independent significance of the degree of control of diabetes. No correlation was found between duration, complications and medication of diabetes and gingival bleeding. The reason for increased bleeding in poorly controlled diabetics could be either inflammation or vascular changes in the gingiva.