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2012, Number 1

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Gac Med Mex 2012; 148 (1)

Periodontitis severa, edentulismo y neuropatía en pacientes con diabetes mellitus tipo 2

Menchaca-Díaz R, Bogarín-López B, Zamudio-Gómez MA, Anzaldo-Campos MC

Language: Spanish
References: 18
Page: 34-41
PDF size: 90.57 Kb.


ABSTRACT

Introduction: 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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