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Periodontitis and glycemic control in diabetes: NHANES 2009 to 2012. J Periodontol 2015 Apr;86(4):499-506



Pubmed ID




Scopus ID

2-s2.0-84926381999   28 Citations


BACKGROUND: This study examines the association between periodontitis, diabetes (DM), and glycemic control.

METHODS: National Health and Nutrition Examination Survey data for 2009 to 2012 were analyzed. Periodontitis status of each participant was assessed using the full-mouth periodontal examination protocol, classified using the Centers for Disease Control and Prevention and the American Academy of Periodontology surveillance case definition for total periodontitis. Self-reported DM status was defined as yes or no. Glycemic control was assessed using glycohemoglobin data at cutoff points of 7.0%, 7.5%, 8.0%, 8.5%, and 9.0%. Descriptive statistics and logistic regression analyses were performed, and all analyses were adjusted for the survey design.

RESULTS: Overall, 7,042 adults ≥30 years old with complete data were included in the study. The mean glycohemoglobin levels for individuals with and without periodontitis were 5.9% and 5.6%, respectively, and increased to 7.4% and 7.0% for participants with DM. The majority of participants with and without periodontitis were aged 50 to 64 and 35 to 49 years (37.4% versus 44.5%), respectively. In the bivariate analysis, several demographic factors were significantly associated with having periodontitis, including self-reported DM status and glycemic control. In the multivariate analysis, demographic factors, glycohemoglobin cutoff values of 8.0%, 8.5%, and 9.0%, and mean glycohemoglobin level remained significant, but self-reported DM status was not.

CONCLUSION: This study demonstrates that glycohemoglobin and demographic factors are significantly associated with periodontitis, but not self-reported status.

Author List

Garcia D, Tarima S, Okunseri C


Christopher Okunseri DDS,MS Associate Professor and Director in the Clinical Services department at Marquette University
Sergey S. Tarima PhD Associate Professor in the Institute for Health and Equity department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

African Americans
Age Factors
Aged, 80 and over
Cross-Sectional Studies
Diabetes Mellitus
Educational Status
Glycated Hemoglobin A
Marital Status
Mexican Americans
Middle Aged
Nutrition Surveys
Periodontal Index
Population Surveillance
Sex Factors
United States
jenkins-FCD Prod-486 e3098984f26de787f5ecab75090d0a28e7f4f7c0