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- W2093739617 abstract "The Medline database was searched for studies published from January 1970 to October 2003, with a search by hand for further references in relevant studies. Observational studies or clinical trials conducted on humans and published in the English language were included. Data extraction was carried out by three authors. Areas of disagreement were solved by discussion. A range of indices were recorded, eg, plaque index (PI), calculus index, gingival index (GI), bleeding on probing (BOP), probing pocket depth (PPD), clinical attachment loss (CAL), gingival recession, periodontal index and bone loss index. Control of diabetes was measured by percentage of glycosylated haemoglobin in the blood. Estimates of the overall difference in each of the periodontal parameters and their corresponding 95% confidence intervals were calculated using both fixed-effect and random-effect models. Homogeneity of effect size was tested using Q statistics. Publication bias was examined by plotting the differences from individual studies against their corresponding standard errors. Eighteen comparative cross-sectional studies, three prospective cohort studies and baseline data from two clinical trials were included. Diabetics had significantly worse oral hygiene as measured by the mean PI, greater severity of gingival disease according to mean GI, and more severe periodontal disease as measured by the mean PPD and CAL. Individuals with diabetes were similar, nevertheless, to nondiabetics in the extent of oral hygiene and gingival and periodontal disease, according to the proportion of surfaces or sites with specified scores for PI, GI, BOP, PPD and CAL. Diabetic patients had worse oral hygiene and higher severity of gingival and periodontal diseases, but they have the same extent of the periodontal diseases as nondiabetics." @default.
- W2093739617 created "2016-06-24" @default.
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- W2093739617 date "2006-01-01" @default.
- W2093739617 modified "2023-10-11" @default.
- W2093739617 title "Evidence of an association between diabetes and severity of periodontal diseases" @default.
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- W2093739617 doi "https://doi.org/10.1038/sj.ebd.6400409" @default.
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