Russel’s score and diabetes mellitus type 2 “finding the association”: a cross sectional study from one of the districts in Bihar, India

Neeraj Kumar; Rishabh Kumar Rana; Vivek Kumar; Rohit .; Pramod Kumar Sinha

doi:10.18203/2320-6012.ijrms20190936

Authors

Neeraj Kumar Department of Medicine, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India
Rishabh Kumar Rana Department of PSM, RIMS, Ranchi, Jharkhand, India http://orcid.org/0000-0002-3585-5346
Vivek Kumar Department of Pathology, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India
Rohit . Director, Dental Health Care, Gaya, Bihar, India
Pramod Kumar Sinha Department of Medicine, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20190936

Keywords:

Bihar, Diabetes mellitus type 2, Periodontitis, Oral health, Russel's score

Abstract

Background: Diabetes has been on the rise since last decade or so with prevalence rate changing as more research is being done. India is one of the most burdened country from diabetes specially type 2. With changing life style other diseases are also on the rise and evidence is being generated to find tangible association. One such disease is periodontitis. As evidence from the State of Bihar for association between periodontitis and diabetes mellitus is negligible this study was conducted to find the same.

Methods: A cross sectional observational study in community settings was done for three months on 200 diabetic willing participants. Data was generated using a semi structured pretested questionnaire. Data analysis was done using SPSS version 22.0 and statistical measures of central tendency like mean, mode, median and standard deviation were used. For establishing association chi square tests were used. P values<0.05 were considered to be statistically significant.

Results: 61.5% of the participants were male while 65.5% were from rural area. The study population was on an average on the older side with a mean age of 52±12.15 and on the bulky size with a BMI of 28.85±4.08. Authors got the average Russel’s score to be 1.1±1.79. The mean blood sugar level for fasting was 146.40±59.99 and post prandial levels was 211.59±82.49. A Russel score category of established periodontal disease and terminal disease was present in 77.5% of participants having an altered fasting blood sugar level. Majority of the males had established periodontal disease and terminal disease. Patients with elevated postprandial blood sugar levels had more established periodontal disease and terminal disease.

Conclusions: Oral health is definitely associated with diabetes mellitus type 2 and its other factors like duration, glycaemic control, blood sugar levels etc. Public awareness regarding this is minimal. More research and awareness regarding this will help in keeping the diabetic population healthy.

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References

Acharya AB, Satyanarayan A, Thakur SL. Status of association studies linking diabetes mellitus and periodontal disease in India. Int J Dia Devel Count. 2010;30(2):69.

Rajhans NS, Kohad RM, Chaudhari VG, Mhaske NH. A clinical study of the relationship between diabetes mellitus and periodontal disease. J Indian Soci Periodontol. 2011;15(4):388.

Babu NC, Gomes AJ. (2011). Systemic manifestations of oral diseases. J Oral Maxillofacial Pathol. 2011;15:144-7.

Suvan J, D'Aiuto F, Moles DR, Petrie A, Donos N. Association between overweight/obesity and periodontitis in adults. A systematic review. Obesity Reviews. 2011;12(5):e381-404.

Marchetti E, Monaco A, Procaccini L, Mummolo S, Gatto R, Tetè S, et al. Periodontal disease: the influence of metabolic syndrome. Nutrit Metabolism. 2012;9(1):88.

Eke PI, Page RC, Wei L, Thornton‐Evans G, Genco RJ. Update of the case definitions for population‐based surveillance of periodontitis. J Periodontol. 2012;83(12):1449-54.

Chapple I L C. Time to take periodontitis seriously. BMJ.2014;348- 2645.

Tran VT, Trinh DH, Lam NA. National oral health survey of Vietnam. Hanoi, Vietnam: Medical publishing house. 2002;80.

Arora N, Papapanou PN, Rosenbaum M, Jacobs Jr DR, Desvarieux M, Demmer RT. Periodontal infection, impaired fasting glucose and impaired glucose tolerance: results from the continuous national health and nutrition examination survey 2009-2010. J Clinical Periodontol. 2014 l;41(7):643-52.

Casarin RC, Barbagallo A, Meulman T, Santos VR, Sallum EA, Nociti FH, et al. Subgingival biodiversity in subjects with uncontrolled type‐2 diabetes and chronic periodontitis. J Periodontal Res. 2013;48(1):30-6.

Duarte PM, Szeremeske MT, Lima JA, Dias Gonçalves TE, Santos VR, Bastos MF, et al. Expression of immune‐inflammatory markers in sites of chronic periodontitis in patients with type 2 diabetes. J Periodontol. 2012;83(4):426-34.

Vieira Ribeiro F, de Mendonça AC, Santos VR, Bastos MF, Figueiredo LC, Duarte PM. Cytokines and bone‐related factors in systemically healthy patients with chronic periodontitis and patients with type 2 diabetes and chronic periodontitis. J Periodontol. 2011;82(8):1187-96.

Bayani M, Pourali M, Keivan M. Possible interaction between visfatin, periodontal infection, and other systemic diseases: A brief review of literature. European J Dentistry.2017;11(3):407.

Russell AL. A system of classification and scoring for prevalence surveys of periodontal disease. J. Dept Res.1956;35:350-9.

Census of India. Census City Gaya. Available at: https://www.census2011.co.in/census/city/181-gaya.html. Accessed 2nd January 2, 2019.

Global report on diabetes WHO 2016. Publications Page 6 Overall Prevalence. Available at: http://apps.who.int/iris/bitstream/handle/10665/204871/9789241565257_eng.pdf;jsessionid=03CD94EE91D76F74B2CE8D86C5E70C53?sequence=1. Accessed 2nd January, 2019.

Daniel WW, eds. Chapter 6 Estimation. Biostatistics: a foundation for analysis in the health sciences. 7th ed. New York: John Wiley & Sons.; 1999:147-200.

American Diabetes Association (ADA) Standards of medical care in diabetes. Diabetes Care. 2014;37:S14-80.

WHO. BMI definition. Available at: http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi. (Accessed 2nd January, 2019).

Website: WHO. Physical Activity and Adults. Available at: https://www.who.int/dietphysicalactivity/factsheet_adults/en/. (Accessed 2nd January, 2019).

Emrich LJ, Shlossman M, Genco RJ. Periodontal disease in non-insulin-dependent diabetes mellitus. J Periodontal. 1991;62:123-31.

Thorsternsson H, Hugoson A. Periodontal disease experience in adult long-duration insulin-dependent diabetics. J Clin Periodontal. 1993;20:352-8.

Taylor GW. Bidirectional interrelationships between diabetes and periodontal diseases: an epidemiologic perspective. Ann Periodontol. 2001;6(1):99-112.

Iwamoto Y, Nishimura F, Nakagawa M, Sugimoto H, Shikata K, Makino H, et al. The effect of antimicrobial periodontal treatment on circulating tumor necrosis factor-alpha and glycated hemoglobin level in patients with type 2 diabetes. J Periodontal. 2001;72:774-8.

Mattout C, Bourgeois D, Bouchard P. Type 2 diabetes and periodontal indicators: epidemiology in France 2002-2003. J Periodontal Res. 2006;41:253-8.

Lalla E, Papapanou PN. Diabetes mellitus and periodontitis: a tale of two common interrelated diseases. Nature Reviews Endocrinol. 2011:7,738-48.

Rajhans NS, Kohad RM, Chaudhari VG, Mhaske NH. A clinical study of the relationship between diabetes mellitus and periodontal disease. J Indian Soc Periodontol. 2011;15(4):388-92.

Miller LS, Manwell MA, Newbold D, Reding ME, Rasheed A, Blodgett J, et al. The relationship between reduction in periodontal inflammation and diabetes control: A report of 9 cases. J Periodontal. 1992;63:843-8.

Taylor GW, Burt BA, Becker MP, Genco RJ, Shlossman M, Knowler WC, et al. Severe periodontitis and risk for poor glycemic control in patients with non-insulin dependent diabetes mellitus. J Periodontal. 1996;67:1085-93.

Oberoi SS, Harish Y, Hiremath S, Puranik M. A cross-sectional survey to study the relationship of periodontal disease with cardiovascular disease, respiratory disease, and diabetes mellitus. J Ind Soc Periodontol. 2016;20:446-52.