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Periodontal conditi...
Periodontal conditions, retinopathy, and serum markers in individuals with type 1 diabetes
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- Widén, Cecilia (author)
- Kristianstad University,Kristianstad University, SWE,Oral Health - Public Health - Quality of Life (OHAL),Department of Oral Health,Oral Hälsa - Allmänhälsa - Livskvalitet (OHAL),Avdelningen för oral hälsa
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- Holmer, Helene (author)
- Central Hospital Kristianstad, SWE,Kristianstad Hospital,Centralsjukhuset Kristianstad
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- Sättlin, Susanna (author)
- Kristianstad University,Kristianstad University, SWE,Oral Health - Public Health - Quality of Life (OHAL),Department of Oral Health,Oral Hälsa - Allmänhälsa - Livskvalitet (OHAL),Avdelningen för oral hälsa
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- Renvert, Stefan (author)
- Blekinge Institute of Technology,Blekinge Tekniska Högskola,Institutionen för hälsa,Kristianstad University, SWE,Oral Health - Public Health - Quality of Life (OHAL),Department of Oral Health,Oral Hälsa - Allmänhälsa - Livskvalitet (OHAL),Avdelningen för oral hälsa
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- Lernmark, Åke (author)
- Lund University,Lunds universitet,Celiaki och diabetes,Forskargrupper vid Lunds universitet,Celiac Disease and Diabetes Unit,Lund University Research Groups,Skåne University Hospital,Lund University/Clinical Research Centre, SWE
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- Persson, Gösta Rutger (author)
- Kristianstad University,University of Washington, Seattle,Kristianstad University, SWE; University of Washington, USA,Oral Health - Public Health - Quality of Life (OHAL),Department of Oral Health,USA,Oral Hälsa - Allmänhälsa - Livskvalitet (OHAL),Avdelningen för oral hälsa
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(creator_code:org_t)
- Wiley-Blackwell, 2020
- 2020
- English.
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In: Journal of Periodontology. - : Wiley-Blackwell. - 0022-3492 .- 1943-3670. ; 91:11, s. 1436-1443
- Related links:
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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Abstract
Subject headings
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- Background: The prevalence of diabetes is high and increasing. Periodontitis has been identified as a risk factor in both type 1 and 2 diabetes. The study purpose was to assess periodontal conditions, retinopathy, and serum glutamic acid decarboxylase antibody (GADA) titers in relation to retinopathy in individuals with type 1 diabetes (T1D). Methods: The study is a case series. Adult individuals with a diagnosis of T1D (n = 85) monitored ≥5 years were recruited from an endocrinology clinic. Peripheral venous blood samples were analyzed including assessments of serum HbA1c levels and GADA titers. Medical and periodontal conditions were examined, and the data assessed. Independent t tests, binary and multivariate analyses, χ2 and odds ratios were employed. Results: Gingivitis was found in 68.2%, periodontitis in 21.2%, and retinopathy in 64.7%, GADA (≥35 U/mL) in 54.1%, and serum HbA1c > 48 mmol/mol in 94.3% of the individuals. The unadjusted odds ratio for periodontitis to differentiate a diagnosis of retinopathy was 7.3 (95%CI 1.6, 4.4, P <0.01). Multivariate analyses identified the following dependent factors to differentiate retinopathy; age, T1D duration, gingivitis, periodontitis at P < 0.001, gender, and serum GADA at P < 0.01, and by the number of remaining teeth at P < 0.05. Conclusion: Retinopathy as a complication to T1D is linked to the duration of diabetes, age of the individual and with increasing severity to periodontitis. Periodontal intervention studies are warranted. © 2020 American Academy of Periodontology
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Keyword
- diabetes immunology
- periodontal-systemic disease interactions
- periodontitis
Publication and Content Type
- ref (subject category)
- art (subject category)
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