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- DOI 10.18231/j.jchm.v.12.i.2.6
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CrossMark
- Citation
Correlation between glycemic control and chronic periodontitis severity: A cross-sectional study
- Author Details:
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Ena Sharma *
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Sreejith Sreejith Krishnna
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Simran Thind
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Jotsaroop Singh
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Harmanjeet Kaur
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Radhika Goyal
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Ruhee Sangha
Background: Chronic periodontitis (CP) and diabetes mellitus (DM) share a bidirectional relationship. Poor glycemic control accelerates periodontal destruction, while periodontitis exacerbates systemic inflammation, impacting glycemic regulation. This study evaluates the correlation between glycemic control, measured by fasting blood sugar (FBS) and glycated hemoglobin (HbA1c), and the severity of periodontitis. Additionally, it examines the prevalence of undiagnosed diabetes among periodontitis patients.
Materials and Methods: A cross-sectional observational study was conducted on 150 patients diagnosed with chronic periodontitis. Participants underwent a comprehensive periodontal examination, including Plaque Index (PI), Gingival Index (GI), Probing Pocket Depth (PPD), Clinical Attachment Loss (CAL), and radiographic assessment. Blood samples were collected for FBS and HbA1c measurements. Patients were categorized into diabetic (HbA1c ≥6.5%), prediabetic (HbA1c 5.7%–6.4%), and non-diabetic (HbA1c <5.7%) groups. Statistical analysis assessed the correlation between glycemic markers and periodontal disease severity.
Results: The study revealed a significant positive correlation between poor glycemic control and chronic periodontitis severity. The mean PPD and CAL values were highest in the diabetic group (4.98±0.64 mm and 5.42±1.12 mm, respectively), followed by the prediabetic (4.23±0.52 mm and 4.76±0.98 mm) and non-diabetic groups (3.65±0.48 mm and 3.92±0.86 mm) (p<0.001). HbA1c levels showed a strong correlation with PPD (r=0.72) and CAL (r=0.69), indicating that as glycemic levels worsened, periodontal destruction increased. Additionally, 18% of participants were found to have undiagnosed diabetes, emphasizing the potential role of periodontal health in diabetes screening.
Conclusion: Poor glycemic control is strongly associated with increased periodontitis severity. The high prevalence of undiagnosed diabetes among periodontitis patients underscores the need for routine glycemic screening in dental settings. Interdisciplinary collaboration between periodontists and physicians is essential for early detection and integrated management of diabetes and periodontal disease.
References
- Nicki RC, Walker BR, Ralston SH. Davidson's Principles and Practice of Medicine. 20th edt. Churchill Livingstone, 2006.
- Harrison's Principles of Internal Medicine. Kasper DL (editor). 17th edt. Mcgraw-Hill Professional, 2008
- Tripathi KD. Essentials of medical pharmacology. 6th edt. Jaypee Publishers, 2008.
- Nishimura F, Takahashi K, Kurihara M, Takashiba S, Murayama Y. Periodontal disease as a complication of diabetes. Ann Periodontol. 1998;3(1):20-9.
- Grossi SJ and Genco RJ. Periodontal disease and diabetes mellitus: a two way relationship. Ann Periodontol. 1998;3(1):51-61.
- Tervonen T, Oliver R. Long-term control of diabetes mellitus and periodontitis. J Clin Periodontol 1993;20:431-435
- Lacopino AM. Periodontitis and diabetes interrelationship: Role of inflammation. Ann Periodontol 2001;6:125-137.
- Bridges RB, Anderson JW, Saxe SR, Gregory K, Bridges SR. Periodontal status of diabetic and non-diabetic men: Effects of smoking, glycemic control, and socioeconomic factors. J Periodontol 1996; 67:1185-92.
- Loe H. Periodontal disease. The sixth complication of diabetes mellitus. Diab Care 1993;16(1):329-34.
- Zambon JJ, Reynolds H, Fisher JG, Shlossman M, Dunford R, Genco RJ. Microbiological and immunological studies of adult periodontitis in patients with non-insulin dependent diabetes mellitus. J Periodontol 1988;59:23-31.
- American Academy of Periodontology. Diabetes and periodontal diseases: position paper. J Periodontol 1999; 70:935-49.
- Chávarry NGM, Vettore MV, Sansone C, Sheiham A. The relationship between diabetes mellitus and destructive periodontal disease: a meta-analysis. Oral Health Prev Dent. 2009;7(2):107–27 82 Sharma et al./ The Journal of Community Health Management 2025;12(2):78-82
- Taylor GW. Bidirectional interrelationships between diabetes and periodontal diseases: an epidemiologic perspective. Ann Periodontol. 2001;6(1):99–112.
- Simpson TC, Needleman I, Wild SH, Moles DR, Mills EJ. Treatment of periodontal disease for glycaemic control in people with diabetes. Cochrane Database Syst Rev. 2015;(11):CD004714.
- Poudel P, Griffiths R, Arora A, Wong VW, Flack JR, Hanley F, et al.
- Oral health knowledge, attitudes and care practices of people with diabetes: a systematic review. BMC Public Health. 2018;18(1):577.
How to Cite This Article
Vancouver
Sharma E, Krishnna SS, Thind S, Singh J, Kaur H, Goyal R, Sangha R. Correlation between glycemic control and chronic periodontitis severity: A cross-sectional study [Internet]. J Community Health Manag. 2025 [cited 2025 Oct 23];12(2):78-82. Available from: https://doi.org/10.18231/j.jchm.v.12.i.2.6
APA
Sharma, E., Krishnna, S. S., Thind, S., Singh, J., Kaur, H., Goyal, R., Sangha, R. (2025). Correlation between glycemic control and chronic periodontitis severity: A cross-sectional study. J Community Health Manag, 12(2), 78-82. https://doi.org/10.18231/j.jchm.v.12.i.2.6
MLA
Sharma, Ena, Krishnna, Sreejith Sreejith, Thind, Simran, Singh, Jotsaroop, Kaur, Harmanjeet, Goyal, Radhika, Sangha, Ruhee. "Correlation between glycemic control and chronic periodontitis severity: A cross-sectional study." J Community Health Manag, vol. 12, no. 2, 2025, pp. 78-82. https://doi.org/10.18231/j.jchm.v.12.i.2.6
Chicago
Sharma, E., Krishnna, S. S., Thind, S., Singh, J., Kaur, H., Goyal, R., Sangha, R.. "Correlation between glycemic control and chronic periodontitis severity: A cross-sectional study." J Community Health Manag 12, no. 2 (2025): 78-82. https://doi.org/10.18231/j.jchm.v.12.i.2.6