Beatrice Anne M., Pampita Chakraborty, Pradip Mukhopadhyay, Sujoy Ghosh
Keywords
FCPD • Periodontal disease
Abstract
Background Periodontal disease (PD) is a recognized complication of diabetes and is associated with poor glycemic control. Prevalence of PD is high, both in type 2 and type 1 diabetes. However, such information is not available for FCPD, which is a unique subtype of diabetes.
Material and methods Twenty-five subjects of FCPD were evaluated for detailed dental evaluation and compared with nondiabetic control (N = 25) and T2DM (N = 50). Baseline demographic parameters, HbA1c, were recorded, and periodontal health was evaluated by simplified oral hygiene index (OHIS), gingival index (GI), bleeding on probing (BOP), loss of attachment (LOA), and probing depth (PPD).
Results PD was significantly higher in FCPD (17/25, 68%) as compared to control (9/25, 36%) (p = 0.04). In T2DM, 31/50 (62%) had PD (p = NS compared to FCPD). In FCPD, it was mild in 20% and moderate in 48%. The duration of diabetes and mean HbA1c was 7.9 ± 2.58 years and 8.10 ± 0.78%, respectively. The mean LOA and PPD were 1.80 ± 0.9 mm and 2.45 ± 0.69 mm, respectively, and OHIS was 2.04 ± 0.59. Bleeding on probing was found in 4 subjects (18%). All parameters in FCPD were significantly worse compared to nondiabetic controls. However, the parameters in FCPD except OHIS were not different from T2DM. There was a positive correlation of HbA1c with GI (r = 0.49, p = 0.04) and the LOA (r = 0.420, p = 0.03) but not with BOP and OHIS in FCPD group.
Conclusion PD is common in FCPD like other forms of diabetes, and its severity correlates with glycemic control.
