DOI QR코드

DOI QR Code

The influence of diabetes mellitus on periodontal tissues: a pilot study

  • Um, Yoo-Jung (Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry) ;
  • Jung, Ui-Won (Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry) ;
  • Kim, Chang-Sung (Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry) ;
  • Bak, Eun-Jung (Department of Oral Biology, BK21 Project, Oral Science Research Center, and Research Center for Orofacial Hard Tissue Regeneration, Yonsei University College of Dentistry) ;
  • Cha, Jeong-Heon (Department of Oral Biology, BK21 Project, Oral Science Research Center, and Research Center for Orofacial Hard Tissue Regeneration, Yonsei University College of Dentistry) ;
  • Yoo, Yun-Jung (Department of Oral Biology, BK21 Project, Oral Science Research Center, and Research Center for Orofacial Hard Tissue Regeneration, Yonsei University College of Dentistry) ;
  • Choi, Seong-Ho (Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry)
  • Received : 2009.12.17
  • Accepted : 2010.02.25
  • Published : 2010.04.30

Abstract

Purpose: The purpose of this study was to preliminarily evaluate the influence of diabetes mellitus (DM) on periodontal tissue without establishment of periodontitis. Methods: Seven-week-old db/db mice were used for the diabetic experimental group and systematically healthy mice of the same age were used as controls. After 1 week of acclimatization, the animals were sacrificed for hard and soft tissue evaluation. The pattern of bone destruction was evaluated by stereomicroscope evaluation with alizarin red staining and radiographic evaluation by microscopic computerized tomography images. Histological evaluation was performed with hematoxylin and eosin stain for evaluation of soft tissue changes. Results: In both stereomicroscope evaluation and radiograph image analysis, aggressive form of bone destruction was observed in diabetic animals when compared to the systematically healthy controls. In histological evaluation, apical migration of junctional epithelium with slight inflammatory cell infiltration was observed with disarrangement of connective tissue fibers. Conclusions: Within the limits of this study, diabetic animals presented distortion in periodontal attachment and an aggressive bone loss pattern when compared to the healthy controls, suggesting that DM has an independent effect on periodontal tissue destruction irrespective of the presence or absence of periodontal disease.

Keywords

References

  1. Mealey BL, Ocampo GL. Diabetes mellitus and periodontal disease. Periodontol 2000 2007;44:127-53. https://doi.org/10.1111/j.1600-0757.2006.00193.x
  2. Shlossman M, Knowler WC, Pettitt DJ, Genco RJ. Type 2 diabetes mellitus and periodontal disease. J Am Dent Assoc 1990;121:532-6.
  3. Mealey BL. Periodontal implications: medically compromised patients. Ann Periodontol 1996;1:256-321. https://doi.org/10.1902/annals.1996.1.1.256
  4. Papapanou PN. Periodontal diseases: epidemiology. Ann Periodontol 1996;1:1-36. https://doi.org/10.1902/annals.1996.1.1.1
  5. Emrich LJ, Shlossman M, Genco RJ. Periodontal disease in non-insulin-dependent diabetes mellitus. J Periodontol 1991;62:123-31. https://doi.org/10.1902/jop.1991.62.2.123
  6. Bartolucci EG, Parkes RB. Accelerated periodontal breakdown in uncontrolled diabetes: pathogenesis and treatment. Oral Surg Oral Med Oral Pathol 1981;52:387-90. https://doi.org/10.1016/0030-4220(81)90336-4
  7. Nassar H, Kantarci A, van Dyke TE. Diabetic periodontitis: a model for activated innate immunity and impaired resolution of inflammation. Periodontol 2000 2007;43:233-44. https://doi.org/10.1111/j.1600-0757.2006.00168.x
  8. Nishimura F, Iwamoto Y, Soga Y. The periodontal host response with diabetes. Periodontol 2000 2007;43:245-53. https://doi.org/10.1111/j.1600-0757.2006.00171.x
  9. Graves DT, Liu R, Oates TW. Diabetes-enhanced inflammation and apoptosis: impact on periodontal pathosis. Periodontol 2000 2007;45:128-37. https://doi.org/10.1111/j.1600-0757.2007.00219.x
  10. Lalla E. Periodontal infections and diabetes mellitus: when will the puzzle be complete? J Clin Periodontol 2007;34:913-6. https://doi.org/10.1111/j.1600-051X.2007.01140.x
  11. Kobayashi K, Forte TM, Taniguchi S, Ishida BY, Oka K, Chan L. The db/db mouse, a model for diabetic dyslipidemia: molecular characterization and effects of Western diet feeding. Metabolism 2000;49:22-31. https://doi.org/10.1016/S0026-0495(00)90588-2
  12. Socransky SS, Haffajee AD. The bacterial etiology of destructive periodontal disease: current concepts. J Periodontol 1992;63:322-31. https://doi.org/10.1902/jop.1992.63.4s.322
  13. Nanci A, Bosshardt DD. Structure of periodontal tissues in health and disease. Periodontol 2000 2006;40:11-28. https://doi.org/10.1111/j.1600-0757.2005.00141.x
  14. Silva JA, Lorencini M, Reis JR, Carvalho HF, Cagnon VH, Stach-Machado DR. The influence of type I diabetes mellitus in periodontal disease induced changes of the gingival epithelium and connective tissue. Tissue Cell 2008;40:283-92. https://doi.org/10.1016/j.tice.2008.02.002
  15. Taylor GW, Burt BA, Becker MP, Genco RJ, Shlossman M, Knowler WC, et al. Severe periodontitis and risk for poor glycemic control in patients with non-insulin-dependent diabetes mellitus. J Periodontol 1996;67:1085-93. https://doi.org/10.1902/jop.1996.67.10s.1085
  16. Bouillon R. Diabetic bone disease. Calcif Tissue Int 1991;49:155-60. https://doi.org/10.1007/BF02556109
  17. Kawaguchi H, Kurokawa T, Hanada K, Hiyama Y, Tamura M, Ogata E, et al. Stimulation of fracture repair by recombinant human basic fibroblast growth factor in normal and streptozotocin-diabetic rats. Endocrinology 1994;135:774-81. https://doi.org/10.1210/en.135.2.774
  18. Lu H, Kraut D, Gerstenfeld LC, Graves DT. Diabetes interferes with the bone formation by affecting the expression of transcription factors that regulate osteoblast differentiation. Endocrinology 2003;144:346-52. https://doi.org/10.1210/en.2002-220072
  19. Santana RB, Xu L, Chase HB, Amar S, Graves DT, Trackman PC. A role for advanced glycation end products in diminished bone healing in type 1 diabetes. Diabetes 2003;52:1502-10. https://doi.org/10.2337/diabetes.52.6.1502
  20. Ohnishi T, Bandow K, Kakimoto K, Machigashira M, Matsuyama T, Matsuguchi T. Oxidative stress causes alveolar bone loss in metabolic syndrome model mice with type 2 diabetes. J Periodontal Res 2009;44:43-51. https://doi.org/10.1111/j.1600-0765.2007.01060.x
  21. Sznajder N, Carraro JJ, Rugna S, Sereday M. Periodontal findings in diabetic and nondiabetic patients. J Periodontol 1978;49:445-8. https://doi.org/10.1902/jop.1978.49.9.445
  22. Sakallioglu EE, Ayas B, Lutfioglu M, Keles GC, Acikgoz G, Firatli E. Gingival levels of monocyte chemoattractant protein-1 (MCP-1) in diabetes mellitus and periodontitis: an experimental study in rats. Clin Oral Investig 2008;12:83-9. https://doi.org/10.1007/s00784-007-0148-6
  23. Emingil G, Atilla G, Huseyinov A. Gingival crevicular fluid monocyte chemoattractant protein-1 and RANTES levels in patients with generalized aggressive periodontitis. J Clin Periodontol 2004;31:829-34. https://doi.org/10.1111/j.1600-051X.2004.00584.x
  24. Garlet GP, Martins W, Jr., Ferreira BR, Milanezi CM, Silva JS. Patterns of chemokines and chemokine receptors expression in different forms of human periodontal disease. J Periodontal Res 2003;38:210-7. https://doi.org/10.1034/j.1600-0765.2003.02012.x
  25. Nomura S, Shouzu A, Omoto S, Nishikawa M, Fukuhara S. Significance of chemokines and activated platelets in patients with diabetes. Clin Exp Immunol 2000;121:437-43. https://doi.org/10.1046/j.1365-2249.2000.01324.x
  26. Tashimo A, Mitamura Y, Nagai S, Nakamura Y, Ohtsuka K, Mizue Y, et al. Aqueous levels of macrophage migration inhibitory factor and monocyte chemotactic protein-1 in patients with diabetic retinopathy. Diabet Med 2004;21:1292-7. https://doi.org/10.1111/j.1464-5491.2004.01334.x

Cited by

  1. Sequential IL‐23 and IL‐17 and increased Mmp8 and Mmp14 expression characterize the progression of an experimental model of periodontal disease in type 1 diabetes vol.227, pp.6, 2010, https://doi.org/10.1002/jcp.22979
  2. Relationship of tooth mortality and implant treatment in Type 2 diabetes mellitus patients in Korean adults vol.5, pp.1, 2013, https://doi.org/10.4047/jap.2013.5.1.51
  3. Periodontal Regeneration - Intrabony Defects: A Systematic Review From the AAP Regeneration Workshop vol.86, pp.2, 2010, https://doi.org/10.1902/jop.2015.130685
  4. Animal models for peri‐implant mucositis and peri‐implantitis vol.68, pp.1, 2010, https://doi.org/10.1111/prd.12064
  5. Crestal Bone Loss Around Submerged and Non-Submerged Dental Implants in Individuals with Type-2 Diabetes Mellitus: A 7-Year Prospective Clinical Study vol.28, pp.1, 2010, https://doi.org/10.1159/000495111
  6. Epigenetic changes caused by diabetes and their potential role in the development of periodontitis vol.12, pp.8, 2010, https://doi.org/10.1111/jdi.13477