| Popis: |
Background: Diabetes mellitus (DM) and periodontitis are two chronic diseases that are related, resulting in a greater severity of periodontitis and difficulty in controlling blood glucose in diabetic patients when both are present. Aim: Evaluation of both the influence of periodontal disease and its treatment in patients with DM in terms of reduction in glycosylated hemoglobin levels at 3 and 6 months of treatment. Methods: A sequential, non-probabilistic, controlled, prospective and longitudinal study of cases and controls was carried out at the University Dental Clinic of the Morales Meseguer Hospital in Murcia, Spain. Thirty diabetic patients were divided into two groups: patients with periodontitis (test group) and patients without periodontitis (control group). The periodontal and endocrine-metabolic variables were measured at baseline and at 3 and 6 months after periodontal treatment for both groups. Results: Statistically significant differences were found at 3 and 6 months of periodontal treatment with respect to HbA1c in the group of periodontal patients. However, these differences were not observed in the control group. Conclusion: The presence of periodontal disease in patients with DM increases HbA1c levels. Nonsurgical periodontal treatment significantly decreases the degree of periodontal inflammation and HbA1c levels at 3 and 6 months after treatment. |
