Tobacco smoking decreases clinical symptoms of gingivitis in patients with type 1 diabetes—a cross‐sectional study
Objective Periodontal disease may develop on the background of microvascular complications of diabetes. However, some modifying factors, such as tobacco smoking, should be taken into consideration when assessing risk of development of chronic complications. The aim of the study was the clinical asse...
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Published in | Oral diseases Vol. 24; no. 7; pp. 1336 - 1342 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Denmark
Wiley Subscription Services, Inc
01.10.2018
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Subjects | |
Online Access | Get full text |
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Summary: | Objective
Periodontal disease may develop on the background of microvascular complications of diabetes. However, some modifying factors, such as tobacco smoking, should be taken into consideration when assessing risk of development of chronic complications. The aim of the study was the clinical assessment of the periodontal status in patients with type 1 diabetes according to tobacco smoking.
Subjects and Methods
A total of 362 subjects aged 29 (IQR 22‐35) years, type 1 diabetes duration 12 (8‐18) years, hemoglobin A1c, HbA1c 8.0 (7.2‐9.1)% were included. We used Gingival Index, Approximal Plaque Index, and Sulcus Bleeding Index to assess periodontal health. Patients were divided into two subgroups according to current cigarette smoking.
Results
No differences in age, diabetes duration, and chronic complications were found between subgroups. A better metabolic control of diabetes expressed by lower HbA1c (p = 0.00001) and triglyceride levels (p = 0.004) was shown in nonsmokers. Smokers presented significantly lower gingival bleeding, p = 0.009. HbA1c correlated with API in study group (Rs = 0.16; p = 0.002) and in nonsmokers subgroup (Rs = 0.2;p = 0.004), however, not in smoker’s subgroup. In multivariable regression analysis, smoking cigarettes (β = −0.26; p = 0.0002), hs‐CRP (β = 0.15; p = 0.03) and age (β = −0.19; p = 0.007) occurred to be independent predictors of SBI after adjustment for confounding variables (R2 = 0.13; p = 0.001).
Conclusions
Patients with type 1 diabetes smoking cigarettes presented lower gingival sulcus bleeding and worse metabolic control of diabetes than nonsmoking patients. |
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Bibliography: | Funding information This study was supported by Poznan University of Medical Sciences (Grant No 502‐01‐02209324‐07058). ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1354-523X 1601-0825 |
DOI: | 10.1111/odi.12889 |