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Published on: July 14, 2023
[Severe periodontitis, edentulism and neuropathy in patients with type 2 diabetes mellitus]
Rufino Menchaca-Díaz1, Bernardo Bogarín-López, Miguel Alberto Zamudio-Gómez
1Universidad Autónoma de Baja California. Tijuana, México. rufino@uabc.edu.mx
Unlabelled:
Periodontitis is a frequent pathologic condition in diabetic patient, and has been associated with chronic complications like nephropathy, cardiovascular disease, peripheral artery disease or death.
Objective:
To document the association between severe periodontitis and edentulism with the presence of sensory-motor neuropathy in diabetic patients.
Material And Method:
Cross-sectional study in type 2 diabetic patients from the family medicine unit no. 27 of the IMSS in Tijuana, México. Patients were evaluated to identify periodontitis and sensory-motor neuropathy. Information was also obtained about sex, age, duration of diabetes, glycemic control, smoking and alcohol use.
Results:
Four hundred and thirty-six patients completed all measurements. In 180 (41.3%) neuropathy was identified, and associated with age (p < 0.001); duration of diabetes (p < 0.001); fasting glucose (p < 0.001); severe periodontitis (OR: 2.7; IC 95%: 1.5-4.8);and with edentulism (OR: 4.4; IC 95%: 2.0-9.4). Logistic regression multivariable analysis kept as significative the association between severe periodontitis and edentulism with neuropathy (adjusted OR: 1.7; IC 95%: 1.1-2.6).
Conclusions:
Periodontitis and edentulism are associated with the presence of neuropathy in diabetic patients.
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