Prevalence of undiagnosed diabetes and prediabetes related to periodontitis and its risk factors in elderly individuals
Metadata
Show full item recordEditorial
Elsevier
Materia
Periodontitis Type 2 diabetes mellitus Prediabetes Lifestyles Western diet Physical Activity
Date
2023-03-21Referencia bibliográfica
J. Portes et al. Prevalence of undiagnosed diabetes and prediabetes related to periodontitis and its risk factors in elderly individuals. Journal of Dentistry 132 (2023) 104480[https://doi.org/10.1016/j.jdent.2023.104480]
Sponsorship
Junta de Andalucía Grupo de Investigación CTS113, SpainAbstract
Objective: The prevalence of undiagnosed diabetes was estimated to increase with age and can reach 3.5%. The
purpose of the study was to evaluate the prevalence of undiagnosed diabetes and prediabetes in the elderly
patients who attended a dental clinic and to find common risk factors.
Methods: Male patients, older than 50 years, attended their first dental visit to the School of Dentistry for a period
of two years, and it was proposed to evaluate undiagnosed type 2 diabetes mellitus. Periodontal, biochemical,
microbiological examinations, nutritional profile, and physical activity were performed.
Results: A total of 106 patients were examined, 6 (5.6%) had diabetes, and 37 (34.9%) had prediabetes without
prior diagnosis. The severity of periodontitis was greater in patients with diabetes. Most of the patients were
overweight and had increased systolic blood pressure. Patients with prediabetes and periodontitis had a low
adherence to the Mediterranean diet. Tannerella forsythia was present in more patients with periodontitis, and the
prevalence of Aggregatibacter actinomycetemcomitans is practically absent in groups with periodontitis, except for
the group with diabetes.
Conclusions: In the population studied, the prevalence of patients without a diagnosis of diabetes and prediabetes
was very high and underestimated. The increased severity of periodontitis in patients with diabetes and in
conjunction with the high level of cortisol seen in patients with periodontitis, especially those with diabetes,
emphasize the dysregulation of the immunoinflammatory system.
Clinical significance: It is essential to add all this data to our dental practice to cover patient health with a broader
landscape.