ASSESSMENT OF PERIODONTITIS SEVERITY IN PATIENTS WITH TYPE 2 DIABETES

Abstract

The aim of the study is to identify a correlation between the severity of periodontitis and the glycemic status of diabetic patients. The sample consists of dental patients with type 2 diabetes who have applied for dental care in Belgorod and Arkhangelsk. The patients were evaluated for their hygienic condition using the GAME-Y index; the depth of periodontal pockets was calculated using a different-sized button probe; the gingival fluid exudation was determined. In the process of evaluating the hygiene index, there were no arguments indicating the feasibility of separate study of the clinic of patients with DM2 living in Belgorod and Arkhangelsk, which caused the formation of a single population. In the group of patients with HbA1 c 6%-7%, with good oral hygiene, the amount of gingival fluid corresponded to the values «periodontal, in which preclinical changes are possible». In patients with poor hygiene, excess exudation reached 12-19%. Among patients with HbA1 c ≥8%, in conditions of good and poor hygiene, gingival fluid exudation increased up to 47-63%, and 61-85%, respectively. Assessment of gingival fluid exudation showed a greater dependence of the severity of periodontitis on the glycemic status than on the hygienic state of the oral cavity.