Deep gum pockets and later type 2 diabetes: an uncertain association

Summarised from:

Association between periodontal condition and the development of type 2 diabetes mellitus—Results from a 15-year follow-up study

(Journal of Clinical Periodontology; doi: 10.1111/jcpe.13005)

Authors:

Ville Myllymäki, Tuomas Saxlin, Matti Knuuttila, Ulla Rajala, Sirkka Keinänen-Kiukaanniemi, Sirpa Anttila, Pekka Ylöstalo

Summarised by:

Dr Varkha Rattu

Research Topic:

Why does this matter?

Researchers wanted to know whether gum disease could help identify people more likely to develop type 2 diabetes. This study followed adults of the same age for around fifteen years.

What was studied?

The Finnish analysis included 395 people without diabetes at baseline who completed follow-up. Researchers compared later diabetes diagnoses across groups with healthy gums, moderately deep pockets, deeper pockets or no natural teeth.

What did the researchers find?

Diabetes was diagnosed more often among people with deeper pockets in the unadjusted comparisons. However, the main group differences were not statistically clear after accounting for other factors. The groups also differed in family history, smoking, body size and health behaviours. Many people from the original cohort were not available at follow-up.

What does this mean for me?

The study suggests a possible pattern but does not establish that gum disease independently causes diabetes. The percentages from each group should not be treated as a personal risk calculator. It also does not show that treating deep pockets prevents diabetes. A dental assessment can identify a condition needing dental care, while a separate medical assessment considers the combined factors that influence glucose risk. Uncertain research should be described as uncertain, even when its headline sounds plausible.

What should I keep in mind?

Following people over time helps researchers study the order of events, but it does not remove all uncertainty. People with different health or dental histories may also differ in medicines, smoking, access to care and other influences. Some participants may be missing from later assessments. Statistical adjustments cannot fully account for everything. The results describe patterns in the people studied, not a personal forecast. They should be considered alongside other research and your own clinical findings when discussing their relevance to you.

Read the full article Back to Research

Research  |  22.08.18

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Periodontitis-Diabetes Hub Position: Founder & Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Amar Puttanna

Periodontitis-Diabetes Hub Position: Diabetes Co-Lead

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Dr Rajeev Raghavan

Periodontitis-Diabetes Hub Position: Diabetes Co-Lead

Team - The Periodontitis-Diabetes Hub

Professor Mark Ide

Periodontitis-Diabetes Hub Position: Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Professor Luigi Nibali

Periodontitis-Diabetes Hub Position: Periodontology Co-Lead

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Dr Dominika Antoniszczak

Periodontitis-Diabetes Hub Position: Education and Support Advisor

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Dr Jasmine Loke

Periodontitis-Diabetes Hub Position: Clinical Content Advisor

Team - The Periodontitis-Diabetes Hub

Dr Mira Shah

Periodontitis-Diabetes Hub Position: Patient Resource Advisor

Team - The Periodontitis-Diabetes Hub

Elaine Tilling

Periodontitis-Diabetes Hub Position: Outreach and Communications Lead

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