糖尿病患者におけるう蝕症と歯周病および咀嚼機能の検討

概要

論文の詳細を見る
Diabetes mellitus is a representative metabolic disorder characterized by hyperglycemia. A few studies have indicated an association between diabetes mellitus and periodontal disease, but the exact nature of relationship remains unclear. Oral functions, especially occlusion and mastication, which contribute greatly to general health, may be affected by diabetes mellitus, but this has not been extensively explored. In this study, we investigated the incidence of dental caries and periodontal disease, and the masticatory function in 92 patients with type 2 diabetes mellitus and 28 healthy subjects as controls. Oral examination was conducted based on 9 parameters concerning dental caries and periodontal disease. Furthermore, masticatory function was examined using low-adhesive colordeveloping chewing gum and a colorimeter. The number of teeth missing because of other than caries and the mean community periodontal index of treatment needs (CPITN) value were significantly higher in the diabetic group than in the control group, suggesting that the progression of periodontal disease is more likely in patients with diabetes mellitus. In the diabetic group, dental caries and periodontal disease tended to be aggravated with aging, and the masticatory function became less efficient as a result. These findings indicate that periodontal disease is more likely to occur or progress in patients with diabetes mellitus.
東京女子医科大学の論文
2000-08-25