ArticleActa diabetologica2022
Periodontitis, age-related diseases and diabetes in an endocrinological outpatient setting (PARADIES): a cross-sectional analysis on predictive factors for periodontitis in a German outpatient facility.
Article in Acta diabetologica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.
- Association between periodontitis and oral health-related quality of life in patients with systemic conditions: A meta-analysis.Journal of periodontology · 2026Pooled it
- Correlation of the oral health and biochemical profile in hemodialysis patients with end-stage renal diseases.Odontology · 2025Article
- Does the Phase-One Functional Therapy Increase the Risk of an External Apical Root Resorption Following the Phase-Two Fixed Orthodontic Treatment? A Pilot Study.Dentistry journal · 2025Article
- Oral health knowledge and practices of people living with type 2 diabetes in three health facilities in the Dschang Health District, West Region, Cameroon.The Pan African medical journal · 2025Article
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Authors and funding
3 authors at 1 institution in 2 countries.
Funding
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Abstract
backgroundDiabetes mellitus (DM) is a risk factor for periodontitis. Data on risk-modifying factors for periodontitis in diabetes patients are limited.
aimsWe tested whether sex, age, type of diabetes, metabolic state, comorbidities, complications, measures of well-being and quality of life are predicting periodontitis in a German diabetes outpatient cohort.
methodsIn total, 1180 out of 1293 participating DM patients completed questionnaires on quality of life, dental hygiene and health. All patients also filled out a modified version of the periodontitis risk questionnaire by the American Association for Periodontology, from which the status of "assumed periodontitis" was deducted. In a subset of participants (n = 461), we measured or inquired the most recent Community Parodontal Index (CPI), providing an objective measure for clinically diagnosed periodontitis. For all subjects, DM history and phenotype, major metabolic parameters (HbA1c, BMI, LDL and total cholesterol levels), general health risk factors, comorbidities and medication were collected.
resultsClinically diagnosed (CPI > 2) and assumed periodontitis was detected in 60-67% of our patients. Male sex and oral health-related quality of life were associated with clinically diagnosed periodontitis. Male sex, age, smoking, dental hygiene, dental control and diabetes-related quality of life independently predicted assumed periodontitis.
conclusionIn DM patients, quality of life and lifestyle factors which systemically alter microvascular and immunological functions seem to predict periodontitis. Further studies are needed for replication and for pathomechanistic clarification.
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