Observational Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 26, 2021; 9(36): 11300-11310
Published online Dec 26, 2021. doi: 10.12998/wjcc.v9.i36.11300
Correlation of periodontal inflamed surface area with glycemic status in controlled and uncontrolled type 2 diabetes mellitus
Krishna Anil, Rosamma Joseph Vadakkekuttical, Chandni Radhakrishnan, Fairoz Cheriyalingal Parambath
Krishna Anil, Rosamma Joseph Vadakkekuttical, Department of Periodontics, Government Dental College (Affiliated to Kerala University of Health Sciences), Calicut 673008, Kerala, India
Chandni Radhakrishnan, Department of Medicine, Government Medical College (Affiliated to Kerala University of Health Sciences), Calicut 673008, Kerala, India
Fairoz Cheriyalingal Parambath, Department of Microbiology, Government Medical College (Affiliated to Kerala University of Health Sciences), Calicut 673008, Kerala, India
Author contributions: Vadakkekuttical RJ has proposed the article’s conception; Vadakkekuttical RJ and Anil K has contributed to data analysis; Vadakkekuttical RJ, Radhakrishnan C and Parambath FC has contributed to intellectual content; all authors did the study design, data interpretation and approved the final version to be published.
Institutional review board statement: The study was reviewed and approved by the Institutional ethics committee government dental college Kozhikode on 29-11-2016, IEC No. 83/2016 DCC dated 29-11-16.
Informed consent statement: All the study participants were explained about the study and informed written consent was obtained prior to study enrollment.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest in this study.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rosamma Joseph Vadakkekuttical, MDS, Professor, Department of Periodontics, Government Dental College (Affiliated to Kerala University of Health Sciences), Govt. Medical College Campus, Calicut 673008, Kerala, India. drrosammajoseph@gmail.com
Received: April 24, 2021
Peer-review started: April 24, 2021
First decision: May 12, 2021
Revised: May 13, 2021
Accepted: August 23, 2021
Article in press: August 23, 2021
Published online: December 26, 2021
Core Tip

Core Tip: Poor glycemic control and diabetic complications result in severe periodontal destruction. Periodontitis causes systemic inflammatory burden through inflammatory mediators and affects glycemic control. Periodontal inflamed surface area (PISA) estimates periodontal inflammatory burden. This cross-sectional study assessed the proportion and severity of periodontitis and evaluated the correlation between PISA and glycated hemoglobin (HbA1c) in controlled, and uncontrolled type 2 diabetes mellitus (T2DM) with and without microvascular complications. There was a significant positive correlation between PISA and HbA1c. High proportion and severity of periodontitis, and increased inflamed surface area in uncontrolled T2DM may have contributed to poor glycemic control and microvascular complications.