COMPARATIVE EVALUATION OF PERIODONTAL HEALTH IN DIABETIC AND NON-DIABETIC PATIENTS RECEIVING ROUTINE DENTAL CLEANINGS
DOI:
https://doi.org/10.71000/19baf095Keywords:
Chronic Periodontitis, Cross-Sectional Studies, Dental Prophylaxis, , Diabetes Mellitus, Oral Health, Periodontal Index, Plaque Index, Preventive Dentistry, Risk Factors, South AsiaAbstract
Background: Periodontal disease is a prevalent chronic inflammatory condition significantly influenced by systemic health, particularly diabetes mellitus. Diabetic individuals are known to experience more severe periodontal outcomes; however, the extent of this disparity among those receiving routine dental hygiene care remains underexplored.
Objective: To assess the differences in periodontal condition between diabetic and non-diabetic individuals undergoing regular dental hygiene procedures.
Methods: A cross-sectional study was conducted over four months in South Punjab, involving 220 participants divided equally into diabetic (n=110) and non-diabetic (n=110) groups. Inclusion criteria mandated biannual dental cleanings over the past year. Standardized clinical parameters including Plaque Index (PI), Gingival Index (GI), Probing Pocket Depth (PPD), and Clinical Attachment Level (CAL) were recorded at six sites per tooth. Data were analyzed using independent t-tests for intergroup comparison, with p-values <0.05 considered statistically significant.
Results: Diabetic participants exhibited significantly higher mean values in all periodontal parameters: PI (1.89 ± 0.37 vs. 1.52 ± 0.32), GI (2.03 ± 0.41 vs. 1.65 ± 0.36), PPD (4.26 ± 0.58 mm vs. 3.76 ± 0.52 mm), and CAL (5.13 ± 0.61 mm vs. 4.48 ± 0.55 mm), all with p-values <0.001. These results indicate a clear disparity in periodontal health status despite comparable preventive dental care.
Conclusion: Diabetic patients demonstrated significantly poorer periodontal health outcomes compared to non-diabetics, even with regular dental hygiene procedures. These findings underscore the necessity for diabetes-specific periodontal care strategies and interprofessional management approaches to improve oral health in this vulnerable population.
References
Chan WSHJULoM, Sciences H. The role of oral health in the prevention of systemic diseases. 2024;1(1).
Borgnakke WSJFiCD, Healthcare. Current scientific evidence for why periodontitis should be included in diabetes management. 2024;4:1257087.
Zhang Y, Leveille SG, Camhi SM, Shi LJBoh. Association of oral care with periodontitis and glycemic control among US adults with diabetes. 2023;23(1):903.
Bolchis V, Jumanca D, Dumitrescu R, Balean O, Toderas NA, Popescu S, et al. Glycemic Control, Inflammatory Mediators, and Periodontal Health: A Cross-Sectional Study in Patients with Diabetes. 2025;14(8):2847.
Marruganti C, Suvan JE, D'Aiuto FJP. Periodontitis and metabolic diseases (diabetes and obesity): Tackling multimorbidity. 2023.
Fei WJFMSR. The Multidimensional Impact of Oral Diseases on Overall Health. 2024;6:90-7.
Kim M-Y, Pang E-KJEMJ. Relationship between periodontitis and systemic health conditions: a narrative review. 2025;48(2).
Dumitrescu R, Balean O, Bolchis V, Jumanca D. A Two-Way street: Oral health and systemic diseases. 2025.
Heydari M-H, Sharifi F, Sobhaninejad S, Sharifi A, Alizadeh L, Darmiani S, et al. The association between dental caries, periodontal diseases, and tooth loss with diabetes mellitus among the elderly population. 2024;23(1):1371-80.
Jonesn G, Wilson H, Smith S, Brown TJFoMR, An International Journal. Periodontitis: Causes, symptoms, and steps to treatment. 2023;4(2):445-57.
Thakur P, Sharma J. The Oral Microbiome, Hygiene, and Health. Oral Microbiome: CRC Press; 2025. p. 25-42.
Fu D, Shu X, Zhou G, Ji M, Liao G, Zou LJM. Connection between oral health and chronic diseases. 2025;6(1):e70052.
Rahim A, Hassan S, Ullah N, Noor N, Ahmed, Rafique R, et al. Association and comparison of periodontal and oral hygiene status with serum HbA1c levels: a cross-sectional study. 2023;23(1):442.
Murray PE, Coffman JA, Garcia-Godoy FJP. Oral Pathogens’ Substantial Burden on Cancer, Cardiovascular Diseases, Alzheimer’s, Diabetes, and Other Systemic Diseases: A Public Health Crisis—A Comprehensive Review. 2024;13(12):1084.
Church L, Franks K, Medara N, Curkovic K, Singh B, Mehta J, et al. Impact of oral hygiene practices in reducing cardiometabolic risk, incidence, and mortality: A systematic review. 2024;21(10):1319.
Holmstrup P, Damgaard C, Flyvbjerg AJToD. Diabetes and Oral Health. 2024:810-9.
Ray RRJAb, biotechnology. Periodontitis: an oral disease with severe consequences. 2023;195(1):17-32.
Surlari Z, Ciurcanu OE, Budala DG, Butnaru O, Luchian IJG. An update on the interdisciplinary dental care approach for geriatric diabetic patients. 2023;8(6):114.
Herrera D, Sanz M, Shapira L, Brotons C, Chapple I, Frese T, et al. Periodontal diseases and cardiovascular diseases, diabetes, and respiratory diseases: Summary of the consensus report by the European Federation of Periodontology and WONCA Europe. 2024;30(1):2320120.
Ciubotaru AD, Leferman C-E, Bādescu C, Ciuca A, Cioloca D, Vlad C-EJRJoM, et al. Dental treatment planning in diabetic patients. 2023;12(6).
Foroughi M, Torabinejad M, Angelov N, Ojcius DM, Parang K, Ravnan M, et al. Bridging oral and systemic health: exploring pathogenesis, biomarkers, and diagnostic innovations in periodontal disease. 2025:1-26.
Farhana N, Farzan SAJVotP. Diabetes Mellitus and Its Influence on Dental Health: Evidence-Based Approaches to Treatment and Care. 2024;10(4):323-49.
Duque Duque A, Chaparro Padilla A, Almeida ML, Marin Jaramillo RA, Romanelli HJ, Lafaurie Villamil GIJBOR. Strategies for the prevention of periodontal disease and its impact on general health: Latin America and the Caribbean Consensus 2024. 2024;38(suppl 1):e120.
Vakhaevich Y, Antipova MV, Skipidarnikova PA, Marfutova DA, Skoritskaya VA, Shmeleva AI, et al. The role of dentistry in the general medical context: interrelationship and impact on health cardiovascular diseases, diabetes. 2024;19(4).
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Copyright (c) 2025 Muhammad Haris Zia, Fatima Binte Azhar, Ania Afzal, Irtiza Memon, Marium Azfar, Azfar Aheed, Farheen Raja (Author)
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