Application value of combination therapy of periodontal curettage and root planing on moderate-to-severe chronic periodontitis in patients with type 2 diabetes

Abstract

Background Our study attempted to observe the value of periodontal curettage combined with root planing on moderate-to-severe chronic periodontitis in patients with type 2 diabetes. Methods There involved 72 patients with type 2 diabetes mellitus complicated with moderate-to-severe chronic periodontitis who were diagnosed and treated in our hospital from January 2019 to December 2019. The patients enrolled were randomly divided into four groups using a computer-generated table: root planing and periodontal curettage combined group (n = 18), root planning group (n = 18), periodontal curettage group (n = 18) and cleansing group (n = 18). Blood glucose, plaque index (PI), gingival index (GI), probing depth (PD), attachment loss (AL), serum levels of inflammatory factors (Tumor Necrosis Factor Alpha [TNF- α] and hypersensitive C-reactive protein [hs-CRP]) were observed before and after treatment. The collecting dates were analyzed by the chi-square χ 2 test, repeated measurement analysis of variance, or t-test according to different data types and research objectives. Results Before treatment, there was no significant difference in PI, GI, PD and AL among the four groups (P> 0.05), while after 3-month treatment, the levels of PI, GI, PD and AL in the combined group were lower than those in the root planing group, periodontal curettage group and cleansing group, with both root planing group and periodontal curettage group significantly lower than cleansing group (P< 0.05). The fasting blood glucose, 2-h postprandial blood glucose and glycosylated hemoglobin in the combined group, root planing group, periodontal curettage group and cleansing group were significantly lower than those before treatment (P < 0.05). Before treatment, there was no significant difference in TNF- α and hs-CRP among the four groups (P> 0.05), but the levels of TNF- α and hs-CRP in the four groups decreased significantly after 3-month treatment (P< 0.05). The levels of TNF- α and hs-CRP in the combined group were lower than those in the root planing group, periodontal curettage group and cleansing group, and those in the root planing group and periodontal curettage group were significantly lower than those in the cleansing group (P< 0.05). Conclusion The combination therapy of periodontal curettage and root planing exerted beneficial effects on moderate-to-severe chronic periodontitis in patients with type 2 diabetes mellitus, which holds the potential to maintain the level of blood glucose and improve the quality of life of the patients.

Evaluation of the adjuvant effect of topic Bach floral in the clinical response to non-surgical periodontal treatment in patients with type 2 diabetes: pilot study

“…In this randomized clinical trial with a 3-month follow-up, adjuvant use during initial therapy resulted in similar clinical periodontal improvements compared with mechanical therapy alone. These results are consistent with many studies (Camargo et al 2013;Raman et al 2014;Gay et al 2014;Bian et al 2021) and confirm the effectiveness of non-surgical mechanical procedures in the treatment of periodontitis. On the other hand, there was no significant difference between the test group and the control group during the follow-up period.…”

Non-Surgical Periodontal Therapy Could Improve the Periodontal Inflammatory Status in Patients with Periodontitis and Chronic Hepatitis C

“…Regarding the association of periodontitis and systemic disease, Bian et al assessed the influence of NSPT on CRP levels in patients with periodontitis and type-2 diabetes mellitus [32]. Our study showed that 3 months after NSPT, CRP levels decreased significantly, suggesting that CRP is also influenced by liver stress status.…”

Comparative Evaluation of ENAP Vs Gingival Curettage in Pocket Reduction in Periodontitis Patients – A Clinical Study

“…There is insufficient literature to compare the effectiveness of ENAP over curettage.According to Yukna et al, the ENAP tends to higher reduction in periodontal pocket because of the complete eradication of the sulcular epithelium and the potential for soft tissue attachment to the tooth, which was evidenced in the present study. Histological investigations show that the mode of this attachment is most likely a long junctional epithelium 8 .Bian et al stated that combination therapy of curettage and root planing therapy elicited valid effects in terms of reducing PI, GI, PDin his study 9 . Harsas et al also reported reduction in probing pocket depth which was similar to the present study 10 .Also, kumari et al, in a study revealed reduction in PI, GI, BOP, PPD and gain in clinical attachment level in the sites treated with ENAP 11 .Gudakuwala et al in a study stated that there was reduction in PI, GI, PPD and gain in clinical attachment level in the sites treated with ENAP which was similar to the present study 12 .…”