Xác định nhu cầu điều trị quanh răng ở bệnh nhân đái tháo đường TYP 2

XAC DjNH NHU cAu DIEU TRI QUANH RANG ft BENH NHAN DAI THAO DUdNG TYP 2

T6MTAT ••'•.•'-•.:

Mgc tiiu: Nhim danh gii tinh trgng quanh ring

(QR) va xic dinh nhu ciu diiu tri QR a bgnh nhin DTD

typ 2^

Ddi twgng vi phwomg phip: Sw dung phwang phip

nghiin ciru md ta dt ngang. Ddi twang nghiin ciru la

625 bgnh nhin tw 35 tudi trd lin, dwgc chin doin mic

DTD typ 2 theo tieu ehuin eiia IDF - 2005 [1], dang

dwgc theo ddi vi dieu tri tgi Bgnh vign Ngi tiet Tmng

wang tw thing 3 din 7/2008. Cic bgnh nhan dwgc khim

lim sing mgt cich toin dign de danh gii VSRM, tinh

trgng Igi vi tinh trgng QR thdng qua cic ch! sd OHI-S

(Green & Vennillion - 1975), Gl (Loe & Sllness - 1965)

va CPITN (Ainamo - 1982) [4].

Kit qua: VSRM cua bgnh nhin DTD typ 2 rat kem

vdi tmng binh chi sd OHI-S li 4,6 ± 1,1. Khdng ed ty lg

md QR hoin toin linh mgnh. 100% bgnh nhan bj viem

lai, tmng dd VL nhg chiem 29,4%,, VL tmng binh chiem

63,2% vi VL ning chiim 7,4%,. Tinh trgng QR d ngwdi

DTD typ 2 rit kim vdi ty /g CPI 2, CPI 3 vi CPI 4 lan

Iwat la 24%; 50,2% vi 25,8%. Tmng binh mdi bgnh

nhin ed khoing 3 vung luc phan CPI 2; 2 vung CPI 3 va

4 vi 1 viing mit ring. Nhu du dieu tri QR rit Idn vdi

74,2% TN II vi 25,8% TN III.

Ket lugn: Tinh trgng QR eua ddi twang nghiin cwu

rit kim, dn phii ed cic ehwang trinh ning cao sire

khoi ring migng mdt cich toin dign cho ngwdi DTD typ

2 dwa trin sw phdi hap giira chim sdc rang migng va

diiu trj DTD.

Tir khoi: dii thio dwdng, vi sinh ring miing, swc

khoi ring migng.

SUMMARY

To determine periodontal treatment needs in type

2 diabetic patients.

Aim: The aim of this study was to evaluate

periodontal status and determine periodontal tmatment

needs in patients wUh^type 2 diabetes.

Material and method: Six hundred and twenty five

type 2 diabetics (follov>'ng criteria of IDF - 2005) with age

i. 35 years old attending treatmeh* at National

Endocrinology Hospital fmm 3 to 7/2008 wem invited to

participate in the emss-seetional study. Periodontal

examination included full - mouth assessment for 0ml

Hygiene Index simplified (OHI-S), Gingival Index (Gl) and

Community Perisdontal Index of Tmatment Need (CPITN).

Results: Type 2 diabetics' omi hygiene was very

poor with the mean of OHI-S as 4.6 ± 1.1. None of the

subjects had a healthy periodontium. All of the subjects

wem suffemd from gingivitis. Among them: 29.4%, mild,

63.2% moderate and 7.4%, sevem gingivitis. Periodontal

status of type 2 diabetics wem very poor with

pementage of CPI 2, CPI 3 and CPI 4 in tum as 24%,,

50.2%, and 25.8%. In the mean, each patient had 3

sextants with dental calculus (CPI 2), 2 sextants with

periodontal pocket (CPI 3 & 4) and 1 sextant with

missing teeth. Periodontal tmatment needs wem too

NGUYI N XUAN THLfC,

0 6 QUANG TRUNG, TA VA N BIN H

high with 74.2% TN II, 25,8%, TN III.

Conclusion: The poor periodontal status of our

study-subjects indicates a need td establish a

comprehensive oral health promotion pmgramme for

type 2 diabetes based on collaboration between dental

care professionals and diabetic cam.

Keywords: diabetes, oral hygiene, oral health.

DAT VAN D^.

Bgnh dgi thao dudng (DTD) hign dang gia tang mpt

each nhanh ehdng, dgc bigt la d cae nude dang phat

trien, trong dd DTD typ 2 chiem khoang 90%. Su biing

nd DTD typ 2 va cac bien chung ciia nd dang la thach

thue Idn vdi Y hpc va cpng ddng [1]. TU nhirng nam 90

cua the ky XX, khi nghien cuu d cpng ddng dgn cu Pima

Indian (thugc bang Arizona - My) - noi cd ty Ig mle DTD

typ 2 Idn nhit the gidi, sau khi dg dieu chinh ve cae yeu

td nhilu nhu tudi, gidi, tinh trgng VSRM ... eac tac gia

da di den nhgn dmh DTD thuc su la mpt yeu td nguy co

ciia bgnh QR. Mpt sd tac gia edn cho ring bgnh QR lg

bien chung thu 6 ciia DTD. Bgnh QR d ngudi DTD typ 2

ngng hon so vdi ngudi khong mle DTD ca v l ty Ig, su

lan rpng vg muc dp trim trpng [7]. 0" Vigt Nam, hiu nhu

chua cb tai ligu nao ndi ve bgnh QR eiia ngudi DTD typ

2. Chinh vi vgy ehiing tbi tien hanh nghien eUu nay

nhim mgc tieu:

Danh gia tinh trgng QR vi xic djnh nhu cau dieu

trj QR d ngwdi DTD typ 2.

DQ\ TU'DNG VA PHLraNG PHAP NGHIEN CLCU.

1. Ddi lup'ng nghien ciru.

Nghien cuu dupe tiln hgnh tren 625 bgnh nhgn DTD

typ 2 tu 35 tudi trd len, dang dupe theo doi va dilu trj tgi

Bgnh vign Npi tilt Trung uang (tu thgng 3 den thang 7

nam 2008).

2. Phuang phap nghien ciru.

.Su rUtng phuang phap nghien cuu md ta elt ngang

tien cuu.

cae bgnh nhan dupe chin doan mle DTD typ 2 theo

tieu chuin chin doan ciia higp hpi DTD qude te (IDF) -

2005 [1].

Tit ca cae BN dupe kl^am lam sang de ghi nhgn chi

sd vg sinh rang migng dan gian (Oral Hygiene Index

Simplified - OHI-S) theo Green & Vermillion - 1975, chi

sd Ipi Gingival Index -Gl) theo Loe & Silness - 1965 va

ehi sd nhu cau dieu trj quanh rang cpng ddng

(Community Periodontal Index of Treatment Needs -

CPITN) theo Ainamo -1982 [4].

2.1. Chi sd OHI-S (theo Green & Vermillion -

1975): gdm ehi sd Dl-S & Cl-S.

• Chi sd mang bgm rang (Dl-S) ed 4 mue dp:

0 : Hoan toan khdng ed MBR.

1 : Mang bam mem, phii khdng qug 1/3 be mgt tu cd

rang.

2 : Mang bam mem phii 1/3-2/3 b l mat than rang.

3 : Mang bam mem phii > 2/3 b l mgt rang.

• Chi sd cao rgng (Cl-S) cd 4 mUc dp:

0 : Khong cd cao rang.

Y HOC THUC HANH (741) - SO 11/2010 77