en پریودنتولوژی Periodontology پژوهشي Research <p> <strong>Background</strong>: Prospective studies that investigated the influence of glycemic control in the progression of periodontitis and tooth loss during periodontal maintenance therapy (PMT) programs have not previously been reported. The aim of the present study is to evaluate associations between glycemic control status and progression of periodontitis and tooth loss among individuals during PMT.</p><p> <strong> Methods</strong>: A total of 92 individuals, all recruited from a prospective cohort with 238 participants undergoing PMT, participated in this study. Diabetes control was assessed according to percentage of glycated hemoglobin (HbA1c). Individuals were matched for sex and smoking and were divided into three groups: 23 individuals with diabetes and poor glycemic control (PGC), 23 individuals with diabetes and good glycemic control (GGC), and 46 controls with no diabetes (NDC). Full-mouth periodontal examination, including bleeding on probing (BOP), probing depth (PD), and clinical attachment level, was performed at all PMT visits during a 5-year interval. </p><p> <strong>Results</strong>: Progression of periodontitis and tooth loss were significantly higher among PGC compared to GGC and NDC. The final logistic model in the final examination included: 1) for the progression of periodontitis, HbA1c ≥6.5% (odds ratio [OR] = 2.9), smoking (OR = 3.7), and BOP in >30% of sites (OR = 4.1) and 2) for tooth loss, HbA1c ≥6.5% (OR = 3.1), smoking (OR = 4.1), and PD 4 to 6 mm in ≤10% of sites (OR = 3.3). </p><p> <strong>Conclusions:</strong> PGC individuals, especially smokers, presented with a higher progression of periodontitis and tooth loss compared to NDC and GGC individuals. This result highlights the influence of glycemic control in maintaining a good periodontal status. </p><hr><p></p><p> <strong>Source: </strong>Journal of Periodentology </p><p><a href="http://www.joponline.org/doi/abs/10.1902/jop.2012.120255" target="_blank"><font color="#0000ff"> Full Text</font></a></p> Diabetes, maintenance, periodontal attachment loss, periodontitis, risk factors, tooth loss 0 0 http://idai.ir/browse.php?a_code=A-10-32-1290&slc_lang=en&sid=1 Fernando Oliveira Costa focperio@uol.com.br 10031947532846005695 10031947532846005695 Yes Department of Periodontology, Dentistry School, Federal University of Minas Gerais, Belo Horizonte, Brazil Luís Otávio Miranda Cota 10031947532846005696 10031947532846005696 No Department of Periodontology, Dentistry School, Federal University of Minas Gerais, Belo Horizonte, Brazil Eugênio José Pereira Lages 10031947532846005697 10031947532846005697 No Department of Periodontology, Dentistry School, Federal University of Minas Gerais, Belo Horizonte, Brazil Alcione Maria Soares Dutra Oliveira 10031947532846005698 10031947532846005698 No Department of Periodontology, Faculty of Dentistry, Pontific Catholic University of Minas Gerais, Brazil Peterson Antônio Dutra Oliveira 10031947532846005699 10031947532846005699 No Department of Periodontology, Faculty of Dentistry, Pontific Catholic University of Minas Gerais, Brazil Renata Magalhães Cyrino 10031947532846005700 10031947532846005700 No Department of Periodontology, Dentistry School, Federal University of Minas Gerais, Belo Horizonte, Brazil Telma Campos Medeiros Lorentz 10031947532846005701 10031947532846005701 No Department of Periodontology, Dentistry School, Federal University of Minas Gerais, Belo Horizonte, Brazil Sheila Cavalca Cortelli 10031947532846005702 10031947532846005702 No Department of Dentistry, Periodontics Research Division, University of Taubaté, Taubaté, São Paulo, Brazil José Roberto Cortelli 10031947532846005703 10031947532846005703 No Department of Dentistry, Periodontics Research Division, University of Taubaté, Taubaté, São Paulo, Brazil