Dr. Manisha Malviya, Dr. Mehul Trivedi, Dr Pradip K Chourasia, Dr Jyoti V Tote


Introduction: There are evidences on literature correlating Diabetes Mellitus type 2 with tooth loss.
Considering the necessity of understanding the role dentition plays on welfare and daily life of diabetic
people, this study was done around a tertiary medical Institute's adjoined territory, Urban & Rural health centres aiming to
assess the number of missing teeth and to examine the relationship between age and tooth-loss in diabetic patients.
Method: This study was to assess the number of missing teeth and to examine the relationship between age and tooth-loss in
diabetic patients. The study consisted of 201 diabetic patients and an equal number of non-diabetic patients as control. Selfadministered
questionnaires were distributed and this was followed by an oral examination of each patient; number of missing
teeth were recorded in a data collecting sheet. Study was designed as a cross sectional analytical study . Information was
analysed by using the Microsoft Excel and SPSS 20. Study was conducted around a tertiary medical Institute's ( having a dental
unit ) adjoined territory, Urban & Rural health centres.
Results: Study subjects were within age-group 35 -75 years for diabetics and 30 – 68 years for non-diabetics. The mean number
of missing teeth in diabetics was 5.18 ± 0.70 while non-diabetics had 3.17 ± 0.53 which was statistically signicant when pvalue
was ≤ 0.005. Diabetic patients, within the age-group of 35-44 had 3.21 mean missing teeth and those within the agegroup
of 64-75 years had 7.31 mean missing teeth.
Conclusion: The Average mean number of missing teeth in the diabetic patients and the control subjects increased gradually
as patients grew older but tooth loss was more signicant in the diabetics. Within the limitations of this study, tooth loss is more
in diabetic patients than nondiabetics and increases more in diabetics as both groups grow older.


Tooth Loss , Diabetic Patients , Age , Periodontal Disease

Full Text:



Smyth S, Heron A. Diabetes and obesity: The twin epidemics. Nat Med 2006;12:75-80.

Taylor GW. Bidirectional interrelationships between diabetes and periodontal diseases: An epidemiologic perspective. Ann Periodontol 2001;6:99-112.

Löe H (1993 Jan) Periodontal disease. The sixth complication of diabetes mellitus. Diabetes Care 16: 329–334.

Lalla E, Lamster IB (2012) Assessment and management of patients with diabetes mellitus in the dental office. Dent Clin North Am 56: 819–829.

Morita I, Inagaki K, Nakamura F, Noguchi T, Matsubara T, et al. (2012 Feb) Relationship between periodontal status and levels of glycated hemoglobin. J Dent Res 91(2):161–6 91: 161.

Campus G, Salem A, Uzzau S, Baldoni E, Tonolo G (2005 Mar) Diabetes and periodontal disease: a case-control study. J Periodontol 76: 418–425.

Tsai C, Hayes C, Taylor GW (2002 Jun) Glycemic control of type 2 diabetes and severe periodontal disease in the US adult population. Community Dent Oral Epidemiol 30: 182–192.

Ribeiro FV, de Mendonça AC, Santos VR, Bastos MF, Figueiredo LC, et al. (2011 Aug) Cytokines and bone-related factors in systemically healthy patients with chronic periodontitis and patients with type 2 diabetes and chronic periodontitis. J Periodontol 82: 1187–1196.

Santos VR, Lima JA, Miranda TS, Feres M, Zimmermann GS, et al. (2012 Mar) Relationship between glycemic subsets and generalized chronic periodontitis in type 2 diabetic Brazilian subjects. Arch Oral Biol 57: 293–299.

Alpagot T, Silverman S, Lundergan W, Bell C, Chambers DW (2001 Jun) Crevicular fluid elastase levels in relation to periodontitis and metabolic control of diabetes. J Periodontal Res ;36(3):169–74 36: 169–174.

Tanwir F, Altamash M, Gustafsson A (2009) Effect of diabetes on periodontal status of a population with poor oral health. Acta Odontol Scand 67: 129–133.

Leung WK, Siu SC, Chu FC, Wong KW, Jin L, et al. (2008) Oral health status of low-income, middle-aged to elderly Hong Kong Chinese with type 2 diabetes mellitus. Oral Health Prev Dent 6: 105–118.

Lamster IB, Lalla E, Borqnakke WS, Taylor GW (2008) Нe relationship between oral Health and Diabetes mellitus. J Am Dent Assoc 139: 19S-24S.

Lalla E, Lamster IB, Feit M, Huang L, Spessot A (2000) Blockage of RAGE suppresses periodontitis-associated bone loss in diabetic mice. J Clin Invest 105: 1117-1124.

Hughes FJ (1995) Cytokines and cell signaling in the periodontium. Oral Dis 1: 259-265

Ochoa SP, Ospina CA, Colorado KJ, Montoya YP, Saldarriaga AF (2012) Periodontal status and tooth loss in diabetic patients at the University Hospital San Vicente de Paul. Biomedica 32: 52-59.

World Health Organization: Oral Health Surveys, Basic Methods, ed 4. Geneva, World Health Organization, 1997.

WHO 6cLentLfic Group on Epidemiology, Etiology and Prevention of Periodontal Diseases (1978) Epidemiology, etiology and prevention of periodontal disease: a report of WHO scLentLfic group [meeting held in Moscow from 23 Nov-2 Dec.1977]. World Health Organ Tech Rep Ser No.621 Geneva.

Azodo CC (2009) Current trends in the management of diabetes mellitus: Нe Dentist’s Perspective. Journal of Postgraduate Medicine 11: 113-129.


  • There are currently no refbacks.