ALSA and PISA Quantifiable Tool for Diabetic Patients: A Clinical Study


Dental plaque
Attachment Loss Surface Area (ALSA) Index
Periodontal Inflamed Surface Area (PISA) Index

How to Cite

Yashbir Raghav, Abhinav Bhasker, & Abhishek Sharma. (2018). ALSA and PISA Quantifiable Tool for Diabetic Patients: A Clinical Study. International Healthcare Research Journal, 2(1), 16-19.


BACKGROUND: Diabetes is a well known risk factor for Periodontitis and the severity of the periodontal disease is often represented as non-continuous variables that quantify the amount of affected periodontal tissue in partial manner. So, Attachment Loss Surface Area (ALSA) and the Periodontal Inflamed Surface Area (PISA) Index have been introduced in order to find out diseased condition in true sense.
AIM: To find out comparison between diabetic and non diabetic patients by using the Attachment Loss Surface Area (ALSA) and the Periodontal Inflamed Surface Area (PISA) Index.
MATERIALS AND METHOD: The study was done in department of Periodontology and Implantology among 60 diabetic and 40 non diabetic patients who attended the OPD of general hospital. Clinical examination with ALISA, PISA and Plaque Index was recorded and collected data was subject to statistical analysis.
RESULTS: It was found that no statistical difference exists between both of the groups. (p <0.05)
CONCLUSION: It was concluded through this study that though as such no difference was found but ALISA and PISA both the parameters can be used to find out the progress of periodontal condition.


All about diabetes. American Diabetes Association. Available at [Last Accessed December 7th, 2016.]

Flemmig TF. Periodontitis. Ann Periodontol 1999;4:32-8.

American Academy of Periodontology: Position paper. Epidemiology of periodontal diseases. J Periodontol 1996;70:1419-27.

Carranza AF, Newman MG, Takei H. Clinical Periodontology. 10th ed. St.Louis; W.B.Saunders; 2006.

Nesse W, Abbas F, van der Ploeg I, Spijkervet FKL, Dijkstra PU, Vissink A. Periodontal inflamed surface area: quantifying inflammatory burden. J Clin Periodontol 2008;35:668–73.

Nesse W, Linde A, Abbas F, Spijkervet FK, Dijkstra PU, de Brabander EC, Gerstenbluth I, Vissink A. Dose-response relationship between periodontal inflamed surface area and HbA1c in type 2 diabetics. J Clin Periodontol. 2009;36(4):295-300.

Hujoel PP, White BA, Garcia RI, Listgarten MA. The dentogingival epithelial surface area revisited. J Periodontal Res 2001;36:48–55.

Silness J, Loe H. Periodontal Disease In Pregnancy. II. Correlation Between Oral Hygiene And Periodontal Condtion. Acta Odontol Scand 1964;22:121-35.

Nelson R G, Shlossman M, Budding L M, Pettitt D J, Saad M F, Genco R J, and Knowler W C. Periodontal disease and NIDDM in Pima Indians. Diabetes Care 1990;13:836-40.

Cianciola LJ, Park BH, Bruck E, Mosovich L, Genco RJ. Prevalence of periodontal disease in insulin - dependent diabetes mellitus (juvenile diabetes). J Am Dent Assoc 1982;104(5):653-60.

Cohen DW, Friedman LA, Shapiro J, Kyle GC, Franklin S. Diabetes mellitus and periodontal disease: two-year longitudinal observations. I. J Periodontol. 1970;41(12):709-12.

Gensini GF, Modesti PA, Lopponi A, Collela A, Costagli G, Monini M. Diabetic disease and periodontal disease. Diabetes and periodontopathy. Minerva Stomatol 1992;41(9):391-9.

Oliver RC, Tervonen T. Diabetes--a risk factor for periodontitis in adults? J Periodontol 1994;65(5 Suppl):530-8.


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