Periodontitis among a Group of Type TwoDiabetic Patientsin Relation to Risk of Vascular Disease

Abstract

Background: Type two diabetic patients have higher risk of cardiovascular and periodontal disease. Furthermore,patients with more severe periodontal disease have higher incidence of cardiovascular disease. This study aimed toassess the association between periodontal health status and the risk of vascular disease in type 2 diabetic patients.Materials and Methods: One hundred type 2 diabetes mellitus patients and fifty apparently healthy males wereenrolled in this study. Oral examinations conducted were; plaque Index, calculus index, gingival index, probingpocket depth, and clinical attachment level. For the assessment of vascular risk, arterial stiffness index was used.Results: According to arterial stiffness index, type 2 diabetic patients were categorized into two groups: Group A:type 2 diabetic patients without vascular disease risk. Group B: type 2 diabetic patients with vascular disease risk. Theperiodontal disease parameters including gingival index, probing pocket depth, and clinical attachment level werehigher in healthy controls in comparison to diabetics and in group B in comparison to group A. The differencebetween group A vs. group B for probing pocket depth is of highly significant (P<0.01) and for clinical attachmentlevel is statistically significant (P<0.05).Conclusion: The increase in severity of periodontal disease can be used as an indicator for the increase of risk forvascular disease in type 2 diabetes patients