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Table of Contents
LETTER TO EDITOR
Year : 2019  |  Volume : 9  |  Issue : 2  |  Page : 95

Periodontal status among patients with type II diabetes in a newly developing country


Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq

Date of Web Publication30-Sep-2019

Correspondence Address:
Prof. Mahmood Dhahir Al-Mendalawi
P.O. Box 55302, Baghdad Post Office, Baghdad
Iraq
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jid.jid_9_19

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How to cite this article:
Al-Mendalawi MD. Periodontal status among patients with type II diabetes in a newly developing country. J Interdiscip Dentistry 2019;9:95

How to cite this URL:
Al-Mendalawi MD. Periodontal status among patients with type II diabetes in a newly developing country. J Interdiscip Dentistry [serial online] 2019 [cited 2019 Oct 16];9:95. Available from: http://www.jidonline.com/text.asp?2019/9/2/95/268378



Sir,

In their interesting study, Zaiden et al.[1] estimated the prevalence of periodontal disease among patients with type II diabetes in Doha, Qatar. On employing the community periodontal index (CPI), they found that periodontitis was common (39%) among the studied population.[1] I assume that the following methodological limitation might cast some suspicions on the study results. It is obvious that CPI is an old assessment tool adopted by the World Health Organization to evaluate periodontal status. It was constructed more than two decades ago. It is an invasive technique, and if employed for screening of periodontal disorders, increases the cost of evaluation. Therefore, saliva test involving estimating hemoglobin (Hb) and lactate dehydrogenase (LD) levels in the saliva has been developed. Evaluation of this new technique revealed that the sensitivity and specificity for Hb levels were 0.759 and 0.763, respectively, and for LD levels 0.722 and 0.711, respectively. Combining these two tests, when samples tested positive for both Hb and LD, the positive predictive value was 91.7%.[2] Being less invasive with accepted sensitivity, specificity, and positive predictive value, saliva test could be considered a viable alternative to CPI for periodontal screening.[2] I assume that if Zaiden et al.[1] employed saliva test in the study methodology instead of CPI, different results might be obtained. In spite of the aforementioned limitation, the increased tendency of diabetic patients to have periodontitis necessitates regular checking of periodontal status and considering implementing periodontal therapy as such therapy could contribute to better glycemic control in diabetic patients with periodontitis.[3]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Zaidan K, Alwadyaa A, Al Khuzaei D, Al Majed H, Al Lenjawi B, Mohamed H. Periodontal status among patients with type II diabetes in a newly developing country. J Interdiscip Dentistry 2018;8:81-6.  Back to cited text no. 1
  [Full text]  
2.
Nomura Y, Okada A, Kakuta E, Gunji T, Kajiura S, Hanada N. Anew screening method for periodontitis: An alternative to the community periodontal index. BMC Oral Health 2016;16:64.  Back to cited text no. 2
    
3.
Benrachadi L, Mohamed Saleh Z, Bouziane A. The impact of periodontal therapy on the diabetes control: A systematic review. Presse Med 2019;48:4-18.  Back to cited text no. 3
    




 

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