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題名 | 非胰島素依賴型糖尿病患者與非糖尿病者牙周參數之比較=Comparison of Periodontal Paramenters between Noninsulin Dependent Diabetic and Non-Diabetic Indiviauals |
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作者 | 楊寶珠; 呂炫堃; 王國陽; | 書刊名 | 中華牙醫學雜誌 |
卷期 | 16:1 1997.03[民86.03] |
頁次 | 頁7-18 |
分類號 | 416.946 |
關鍵詞 | 非胰島素依賴型糖尿病; 牙周臨床指數; NIDDM; Periodontal parameters; |
語文 | 中文(Chinese) |
中文摘要 | 本研究之目的,乃欲使用各種牙周病臨床指標,以比較非胰島素依賴型糖尿病患者與非糖尿病者的牙周狀況,藉以深入探討糖尿病與非糖尿病之間牙周臨床指數之差異,及了解糖尿病對牙周組織病變臨床上可能導致之影響,受檢人數共164人,其中包括糖尿病組72人,非糖尿病組92人,兩組平均年齡分別為54.3及54.9歲,受檢者均選擇其 6顆 Ramfijord teeth(#16, #11, #24 及 #31, #36, #44)為代表,測其牙周臨床指標,包括牙菌斑指數,牙結石指數,牙齦指數及牙周附連喪失,前兩項代表局部致病因素,後兩項為牙周狀況指標。結果顯示非胰島素依賴型糖尿病確實與牙周病狀況指標具有高度相關性,糖尿病組均比非糖尿病組有較高之牙齦指數及附連喪失,顯示非胰島素依賴型糖尿病患對牙周病之抵抗力較低,並且血糖控制程度愈差者,牙齦發炎愈嚴重,患病愈久者,牙周附連喪失愈多。因此牙周病應可視為糖尿病的一種併發症而加以預防,診斷,或治療。由本研究顯示,非胰島素依賴型糖尿病患者之牙周病仍以牙菌斑及牙結石為最主要之致病因素,其對於一般正規之牙周病預防及基本治療方法,也應有良好之反應,因此對於非胰島素依賴型糖尿病患者之口腔健康的維護,應與血糖的控制同樣受到強調,俾使兩者能相輔相成。 |
英文摘要 | This study investigated the periodontal condition of NIDDM patients and compared them with that of nondiabetic individuals. Seventy-two NIDDM patients and ninety-two nondiabetics were examined, aged 37-79 years (average 54.6 years). Measurements of clinical periodontal parameters, which include plaque index, calculus index, gingival index and attachment loss, were executed on 4 surfaces of 6 "Ramfjord teeth" selected in each subject. The investigation revealed significant correlation between the presence of diabetic mellitus and periodontal variables. The results also showed more gingival inflammation and attachment loss in the diabetic group than in the nondiabetics when they were stratified by age, plaque index, or calculus index. In the DM group, the duration of disease showed a positive trend with an increaseing amount of attachment loss. The results of this study indicate that in the diabetic patient, age, plaque accumulation, and calculus formanation have a more detrimental effect on the periodontal apparatus than it would in the nondiabetic person. Periodontal disease should be considered a potential complication in the treatment of patients with NIDDM. |
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