Journal of Dentomaxillofacial Science
Vol. 7 No. 1 (2022): (Available online: 1 April 2022)

Periodontitis correlated with increased ESR and platelet counts in Indonesians with type 2 diabetes mellitus

Hendri Susanto (Department of Oral Medicine, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia)
Frank Abbas (University Medical Center Groningen-Center for Dentistry, University of Groningen, The Netherlands)



Article Info

Publish Date
01 Apr 2022

Abstract

Background : Periodontitis increases systemic inflammation in type 2 diabetes mellitus (DM2). Platelet count may be increased in periodontitis. The increased systemic inflammation and platelet counts are considered risk factors for atherosclerosis. However, there was no study investigating the correlation between periodontitis and platelet counts in type 2 diabetes mellitus in Indonesians. Objective: To assess the correlation between periodontitis, systemic inflammatory markers and platelet counts in Indonesian DM2 patients.   Methods: A full mouth periodontal examination including bleeding on probing, probing pocket depth, gingival recession, and plaque scores was performed in Indonesians DM2 in Dr. Sardjito Hospital, Yogyakarta. Indonesia. In addition, glycated hemoglobin (HbA1c), erythrocyte sedimentation rates (ESR), High sensitivity C reactive protein (Hs-CRP), peripheral blood counts, were assessed. To assess age, body mass index (BMI) education level, ethnicity, sex/gender, smoking, a standardized questionnaire was used and presented descriptively. In correlation and multiple linear regression analyses, it was assessed whether periodontitis operationalized with periodontal inflamed surface area (PISA) correlated with systemic inflammatory markers (Hs-CRP, ESR), HbA1c and peripheral blood counts (hemoglobin, leucocytes, erythrocytes, platelets, hematocrite) with 95% Confidence Interval.Results: In 44 Indonesians treated for DM2, PISA was associated with ESR (r = 0.32; p<0.05), and platelet count (r = 0.527; p < 0.05). Plaque score and PISA were the predictors for platelet count (p<0.05)Conclusion: Periodontitis Is associated with increased the systemic inflammation marker Erythrocyte Sedimentation Rate (ESR) and platelet counts in Indonesians DM2 and therefore may form an additional risk factor for atherosclerosis in these patients.

Copyrights © 2022






Journal Info

Abbrev

jdmfs

Publisher

Subject

Dentistry

Description

Journal of Dentomaxillofacial Science (J Dentomaxillofac Sci) is an international, peer-reviewed, and open access journal published in English language. Our journal aims to keep dentists informed of developments and advances in general dentistry and its different specialties in an easy-to-read ...