Glycemic Control, Inflammatory Mediators, and Periodontal Health: A Cross-Sectional Study in Patients with Diabetes DOI Open Access

Vanessa Bolchis,

Daniela Jumanca, Ramona G. Dumitrescu

и другие.

Journal of Clinical Medicine, Год журнала: 2025, Номер 14(8), С. 2847 - 2847

Опубликована: Апрель 21, 2025

Background/Objectives: The bidirectional relationship between diabetes mellitus (DM) and periodontal disease (PD) has garnered increasing attention due to shared inflammatory mechanisms mutual exacerbation. In Romania, despite a high prevalence of PD, integration oral health into care remains limited. This study aimed investigate the association glycemic control, salivary biomarkers (IL-1β, IL-6, MMP-8), status in diabetic patients. Additionally, it evaluated patients’ awareness risks their communication with healthcare providers regarding care. Methods: A cross-sectional, observational was conducted May December 2024, involving 79 adult patients confirmed type 1 or 2 DM. Periodontal examinations assessed probing pocket depth (PPD), clinical attachment level (CAL), plaque index (PI), bleeding on (BOP). Salivary samples were collected quantify IL-1β, MMP-8. Participants also completed structured questionnaire symptoms, hygiene practices, diabetes–periodontitis link. Correlation t-test analyses used explore associations clinical, biochemical, self-reported variables. Results: Most participants had advanced periodontitis (65.8% Stage IV; 72.2% Grade C). IL-1β IL-6 positively correlated (r = 0.34, p < 0.01), while MMP-8 PI 0.28) BOP 0.26). Inflammatory markers showed weak correlation HbA1c. Notably, higher knowledge reported worse indices, suggesting increased symptom rather than preventive effectiveness. Conclusions: reinforces link DM PD highlights need for integrated models. screening education should be embedded within management, particularly high-risk populations.

Язык: Английский

Salivary microbiome and periodontopathogen/denitrifying bacteria associated with gingivitis and periodontitis in people with type 2-diabetes DOI Creative Commons
Endang Winiati Bachtiar,

Boy M. Bachtiar,

Dicky L. Tahapary

и другие.

F1000Research, Год журнала: 2025, Номер 14, С. 297 - 297

Опубликована: Март 14, 2025

Background Despite diabetes mellitus and periodontal diseases are mutually exclusive, little is known about particular types of bacteria that may have exacerbated the development diabetics’ inflammation. This study’s aim was to compare salivary microbiomes individuals with type 2 (20–40 years old) who had gingivitis or periodontitis those did not. Additionally, we evaluated relationship between number periodontopathogens amount nitrate-reducing in their microbiome. Methods Saliva collected, DNA isolated, entire 16S ribosomal RNA gene amplified, sample libraries were prepared accordance Oxford Nanopore MinION Technology procedure. The relative abundance bacterial diversity saliva samples pooled according three groups; T2DM patients without disease (G1), (G2), (G3), measured using bioinformatic methods. relationships periodontopathic (Porphyromonas gingivalis, Treponema denticola, Tannerella forsythia, Fusobacterium spp.) denitrifying community (Haemophilus, Neisseria, Rothia, Veillonella) assessed. Results Alpha-diversity analysis revealed, G1 group significantly lower than groups G2 G3 (p< 0.0001). However, microbiota profiles diabetic patient comparable. Using receiver operating characteristic (ROC) analysis, potential biomarkers for differentiating discovered. Areas under curve (AUC) spp. Neisseria found be 0.94 (p = 0.43), while AUC P. gingivalis Rothia not significant (0.84, p 0.08). Conclusion People also exhibit different These features might essential indicators early identification treatment order prevent periodontitis.

Язык: Английский

Процитировано

0

Glycemic Control, Inflammatory Mediators, and Periodontal Health: A Cross-Sectional Study in Patients with Diabetes DOI Open Access

Vanessa Bolchis,

Daniela Jumanca, Ramona G. Dumitrescu

и другие.

Journal of Clinical Medicine, Год журнала: 2025, Номер 14(8), С. 2847 - 2847

Опубликована: Апрель 21, 2025

Background/Objectives: The bidirectional relationship between diabetes mellitus (DM) and periodontal disease (PD) has garnered increasing attention due to shared inflammatory mechanisms mutual exacerbation. In Romania, despite a high prevalence of PD, integration oral health into care remains limited. This study aimed investigate the association glycemic control, salivary biomarkers (IL-1β, IL-6, MMP-8), status in diabetic patients. Additionally, it evaluated patients’ awareness risks their communication with healthcare providers regarding care. Methods: A cross-sectional, observational was conducted May December 2024, involving 79 adult patients confirmed type 1 or 2 DM. Periodontal examinations assessed probing pocket depth (PPD), clinical attachment level (CAL), plaque index (PI), bleeding on (BOP). Salivary samples were collected quantify IL-1β, MMP-8. Participants also completed structured questionnaire symptoms, hygiene practices, diabetes–periodontitis link. Correlation t-test analyses used explore associations clinical, biochemical, self-reported variables. Results: Most participants had advanced periodontitis (65.8% Stage IV; 72.2% Grade C). IL-1β IL-6 positively correlated (r = 0.34, p < 0.01), while MMP-8 PI 0.28) BOP 0.26). Inflammatory markers showed weak correlation HbA1c. Notably, higher knowledge reported worse indices, suggesting increased symptom rather than preventive effectiveness. Conclusions: reinforces link DM PD highlights need for integrated models. screening education should be embedded within management, particularly high-risk populations.

Язык: Английский

Процитировано

0