Effectiveness of Full‐Mouth and Partial‐Mouth Scaling and Root Planing in Treating Chronic Periodontitis in Subjects With Type 2 Diabetes

Santos, Vanessa Renata; Lima, Jadson Almeida; Mendonça, Adriana Cutrim de; Máximo, Maria Beatriz Braz; Faveri, Marcelo; Duarte, Poliana Mendes

doi:10.1902/jop.2009.090030

Cited by 75 publications

(90 citation statements)

References 44 publications

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“…These findings suggest that the mechanical periodontal treatment performed within two consecutive days or in weekly appointments produced comparable microbiological benefits up to 12 months in the diabetic subjects, supporting our previous clinical and immunological results. 13,14 The current study demonstrated that FMSRP and PMSRP significantly reduced the individual levels and the proportions of three well-recognized periodontal pathogens (T. forsythia, P. gingivalis and T. denticola) in type 2 diabetic subjects. In addition, both therapies also increased the proportion of the host-compatible Actinomyces species.…”

Section: Discussionsupporting

confidence: 49%

“…4 On the other hand, due to the restricted number of appointments required for FMSRP, one could argue that this approach would promote a poorer outcome, due to the risk of leaving greater amounts of residual calculus and/or the reduction in the number of sessions of plaque control reinforcement. However, the findings from the current and several previous studies [5][6][7][8][9][10][11][12][13][14] have provided considerable evidence that the FMSRP approach does not result in a worse or better clinical or microbiological outcome than the PMSRP approach. Therefore, as FMSRP and PMSRP produce similar beneficial clinical and microbiological results and are well tolerated by patients, both modalities seem to be equally adequate for the initial nonsurgical periodontal treatment in diabetics and non-diabetics and should be used according to patient's needs and preferences and operator abilities.…”

Section: Discussionmentioning

confidence: 63%

“…Previous studies 13,14 have shown that FMSRP and PMSRP did not differ significantly in terms of clinical and immunological outcomes for the treatment of diabetic subjects with chronic periodontitis. In order to supplement these previous data regarding the impact of FMSRP in diabetics, the current study evaluated the microbiological effects of FMSRP and PMSRP in type 2 diabetic subjects with generalized chronic periodontitis.…”

Section: Discussionmentioning

confidence: 86%

“…Two previous studies 13,14 showed that FMSRP and PMSRP did not differ in improving clinical parameters up to 12 months in type 2 diabetic subjects with chronic periodontitis. In addition, FMSRP and PMSRP presented similar effects in modulating the levels of cytokines and osteoclastogenesis related factors in such diabetic subjects.…”

Section: Introductionmentioning

confidence: 85%

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Full-mouth scaling and root planing in type 2 diabetic subjects: one-year microbiological outcomes

Figueiredo

Santos

et al. 2014

Aust Dent J

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Background: This study evaluated the microbiological effects of full-mouth (FM) and partial-mouth (PM) scaling and root planing (SRP) in type 2 diabetic subjects with chronic periodontitis (ChP), up to 12 months. Methods: Thirty-four type 2 diabetic subjects with ChP received either FMSRP (n = 17), in two sessions within two consecutive days, or PMSRP (n = 17) in four sessions within 21 days. Six subgingival biofilm samples per subject were analysed by checkerboard DNA-DNA hybridization for 40 bacterial species at baseline, 3 and 12 months. Results: Both therapies significantly reduced the levels of the red complex species up to 12 months (p < 0.05). The levels of three putative pathogens from the orange complex were significantly reduced in the FMSRP group, whereas a single orange complex species was significantly decreased in the PMSRP group (p < 0.05). Furthermore, the proportions of the host-compatible Actinomyces species were significantly increased in both groups at 3 and 12 months. No significant differences were observed between groups for the counts and proportions of the individual species and the proportions of microbial complexes at any time point (p > 0.05). Conclusions: There were no differences in the bacterial species evaluated after FMSRP and PMSRP in the treatment of type 2 diabetic subjects with ChP, up to 12 months.

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Section: Discussionsupporting

confidence: 49%

Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 85%

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Full-mouth scaling and root planing in type 2 diabetic subjects: one-year microbiological outcomes

Figueiredo

Santos

et al. 2014

Aust Dent J

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“…Non-surgical periodontal therapy is able to reduce the amount of viable periodontopathogens by restoring the local microbiota compatible with periodontal health in diabetic and non-diabetic patients [16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Clinical and Metabolic Effects of two Periodontal Therapeutic Modalities in Diabetic Patients with Residual Pockets

Lucena

Júnior²,

Arrais

et al. 2017

Pesqui. bras. odontopediatria clín. integr.

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Objective: To evaluate the metabolic control and compare the clinical effects between non-surgical and surgical therapies on periodontal treatment of residual pockets of type 2 diabetic patients. Material and Methods: 352 periodontal sites in 16 type 2 diabetic subjects with residual pockets of similar depths were randomly selected, whose contralateral quadrants were divided into G1 and G2 undergoing surgical and nonsurgical therapy, respectively, and evaluated 3 and 6 months after the first intervention. The data were analyzed by Statistical Package of Social Science (SPSS) version 20.0, using descriptive and inferential statistical methods. Fisher's exact test was used to verify differences between means obtained in the clinical parameters between G1 and G2. The significance level adopted was 5%. Results: The mean Hb1Ac values of patients were significantly reduced and the mean PD and CIL values were reduced in G1 with no significant difference when compared to G2. Conclusion: Periodontal treatment was effective in metabolic control of type 2 diabetic patients and that both therapies, surgical and non-surgical, behaved similarly when compared.

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Treatment of periodontal disease for glycaemic control in people with diabetes

Simpson

Needleman

Wild

et al. 2010

Cochrane Database of Systematic Reviews

164

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There is some evidence of improvement in metabolic control in people with diabetes, after treating periodontal disease. There are few studies available and individually these lacked the power to detect a significant effect. Most of the participants in the study had poorly controlled Type 2 DM with little data from randomised trials on the effects on people with Type 1 DM.Improving periodontal health is an important objective in itself. However, in order to understand the potential of this treatment to improve glycaemic control among people with diabetes, larger, carefully conducted and reported studies are needed.

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Effectiveness of Full‐Mouth and Partial‐Mouth Scaling and Root Planing in Treating Chronic Periodontitis in Subjects With Type 2 Diabetes

Cited by 75 publications

References 44 publications

Full-mouth scaling and root planing in type 2 diabetic subjects: one-year microbiological outcomes

Full-mouth scaling and root planing in type 2 diabetic subjects: one-year microbiological outcomes

Clinical and Metabolic Effects of two Periodontal Therapeutic Modalities in Diabetic Patients with Residual Pockets

Treatment of periodontal disease for glycaemic control in people with diabetes

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