Effect of nonsurgical periodontal treatment on clinical response and glycemic control in type 2 diabetic patients with periodontitis: Controlled clinical trial
| Autor: | S Naganandini, Ajitha Kanduluru |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
type 2 diabetes mellitus Bleeding on probing Dentistry Gastroenterology chemistry.chemical_compound Glycemic control Internal medicine Diabetes mellitus medicine Gingival recession periodontitis Glycemic Periodontitis business.industry oral hygiene medicine.disease Chronic periodontitis lcsh:RK1-715 Clinical attachment loss chemistry lcsh:Dentistry nonsurgical periodontal treatment Glycated hemoglobin medicine.symptom business |
| Zdroj: | Journal of Indian Association of Public Health Dentistry, Vol 12, Iss 4, Pp 261-267 (2014) |
| ISSN: | 2350-0484 2319-5932 |
| Popis: | Background: Type 2 diabetes mellitus (type 2 DM) and chronic periodontitis are common chronic diseases in adults in the world population. Once periodontal disease is established, the chronic nature of this infection may contribute to worsening of diabetic status leading to more severe diabetes-related complications. It has been proposed that the relation of periodontitis and diabetes is bidirectional. Objectives: The objective was to compare the clinical response and glycemic control in type 2 DM patients with periodontitis, before and after the nonsurgical periodontal treatment with controls. Materials and Methods: A total 70 type 2 DM patients with chronic generalized moderate periodontitis was divided into 2 groups. Treatment group (35) received one stage full mouth scaling and root planning plus oral hygiene instructions; the control group (35) received only oral hygiene instructions. At baseline, 1 st month and 3 rd month, the clinical periodontal parameters (plaque index [PI], gingival index [GI], pocket depth [PD], clinical attachment loss [CAL], gingival recession [GR], and bleeding on probing [BOP]) and glycemic parameters (fasting blood sugar [FBS], and postprandial blood sugar [PPBS]) were recorded, whereas the glycated hemoglobin (HbA1c) was recorded only at baseline and 3rd month. The collected data were subjected to statistical analysis. Results: When comparing the mean scores of clinical parameters for both the groups, there was a significant difference in all clinical parameters, that is, mean PI, GI, BOP, PD, CAL scores except mean GR, whereas for the glycemic parameters, there was a significant difference in mean FBS; PPBS values and no significant difference in mean percentage of HbA1c for treatment group at 3 rd month follow-up. Conclusion: Findings of the present study showed that nonsurgical periodontal treatment resulted in lower glycemic levels and the reduction of clinical parameters of periodontal infection, confirming the existing relation between type 2 DM and periodontal disease. |
| Databáze: | OpenAIRE |
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