dc.contributor.author | Kithela, S K | |
dc.date.accessioned | 2014-01-10T10:00:23Z | |
dc.date.available | 2014-01-10T10:00:23Z | |
dc.date.issued | 2013 | |
dc.identifier.citation | Kithela,Silas K.,2013.Periodontal Health Status In Relation To Glycaemic Profile Among Type 2 Diabetic Patients At Kenyatta National Hospital. | en_US |
dc.identifier.uri | http://hdl.handle.net/11295/62896 | |
dc.description.abstract | Background
Periodontal health is influenced by risk factors such as genetics, poor oral hygiene,
virulence of the attacking micro-organisms and underlying systemic factors. Among
the systemic factors that may influence periodontal health, is diabetes mellitus.
Diabetes complications like hyperglycaemia have been known to influence
periodontium through delayed wound healing, leading to higher prevalence and more
severe form of periodontal disease.
Main Objective
To describe the periodontal health status in relation to glycaemic profiles among type
2 diabetic patients at Kenyatta National Hospital (KNH).
Study area
The study was conducted at the diabetic clinic at KNH.
Study population
All patients with type 2 diabetes presenting for treatment at the KNH diabetic clinic
during the period of study were included.
Sampling method
This was done through a convenient sampling procedure, where only those patients
examined and found to have periodontal disease were included in the study.
Study design
This was a hospital based descriptive cross-sectional study.
Materials and Methods
Sixty two patients met the inclusion criteria; ten of these did not consent to blood
withdrawal and two of the samples haemolysed during transport. Data on
demographical variables were:. collected and recorded in a special chart. Plaque
score, clinical attachment loss, probing depth and bleeding on probing were
assessed and recorded using a Hu Freidy sterile periodontal probe and dental
mirrors. Probing depth was determined at six points on each tooth (mesiobuccal,
buccal, distobuccal, lingual, mesiolingual, distolingual) on all teeth except the third
molars. These measurements were recorded in the clinical examination form.
Patients' blood samples were drawn under aseptic conditions and then taken to The
Nairobi Hospital laboratory where under aseptic technique glycated haemoglobin
was assessed.
Data analysis and presentation
Data were coded and processed with Statistical Package for Social Sciences (SPSS)
21.0. Comparison of means and proportions was done using Pearson's correlation
test and Chi-Square test. Data is presented in the form of tables and chart diagrams.
Results
Of the SOparticipants recruited, 21(42%) were male and 29(S8%) female. Their age
range was between 33 and 78 years with a mean of S6.4years (S.D ±11.27years).
47(94%) of the participants had never smoked while 3(6%) were smokers. Most
40(80%) of the participants had poor oral hygiene with mean plaque scores ~2. The
overall mean plaque score was 2.S(±0.88SD). The overall mean gingival index was
1.6{±0.9SSD). Majority 37{74%) of the participants had moderate to severe gingivitis.
Most 33{66%) of the participants had moderate to severe periodontitis. Most
33(66%) of the participants had poorly controlled diabetes with HbA 1c levels above
8%. There was no relationship between HbA 1c levels and the severity of periodontal
disease (r=O.OO,n=SO, p>O.OS).
Conclusions
Majority (64%) of the participants had moderate to severe periodontitis. Majority
33(66%) of the participants had HbA 1c level of above 8%. There was no correlation
between periodontal disease and HbA 1c levels.
Recommendations
Dental education should be carried out regularly among diabetics to ensure there is
change of attitude, so that they can be going for regular dental checkups. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.title | Periodontal Health Status In Relation To Glycaemic Profile Among Type 2 Diabetic Patients At Kenyatta National Hospital | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |