Effect of Periodontitis on Overt Nephropathy and End-Stage Renal Disease in Type 2 Diabetes
Response to Shultis et al.
- Frank N. Varon, DDS
- From private practice, Omaha, Nebraska; and the Nebraska Diabetes Control Advisory Committee, Lincoln, Nebraska
- Address correspondence to Frank N. Varon, 5360 South 72nd St., Ralston, Nebraska 68127. E-mail: fvaron{at}cox.net
The research study by Shultis et al. (1), which sought to establish a correlation between periodontal disease and overt nephropathy and end-stage renal disease in type 2 diabetes, raises several concerns.
First, while the analysis of the data attempted to preclude those with known risk factors, it fell short of accounting for many other common complications of diabetes and their direct and indirect impact on oral diseases. Diabetes risk factors and complications that might be associated with alveolar bone changes …
