Routine Prophylaxes Every 3 Months Improves Chronic Periodontitis Status in Type 2 Diabetes

López, Néstor J.; Quintero, A; Casanova, Patricia A.; Martı́nez, B.

doi:10.1902/jop.2013.130400

Cited by 19 publications

(20 citation statements)

References 39 publications

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“…This observation connotes to the fact that, the average pocket depth had reduced to < 3 mm after NSPT and there by the overall surface area of the pocket lining which acts as a reservoir for periodontal pathogen and inflammatory markers had also reduced. This finding was in accordance with previous studies where significant pocket depth reduction had been observed after NSPT in non diabetic and diabetic patients[25,26]. In control group there was an increase in probing pocket depth and clinical attachment level.…”

Section: Discussionsupporting

confidence: 93%

Nonsurgical periodontal-therapy improves glycosylated hemoglobin levels in pre-diabetic patients with chronic periodontitis

Joseph

Sasikumar

Mammen

et al. 2017

WJD

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AIMTo evaluate the effect of nonsurgical periodontal therapy on glycosylated haemoglobin levels in pre-diabetic patients with chronic periodontitis (CHP).METHODSSixty pre-diabetic patients with CHP were selected and equally allocated to case and control group. All subjects were evaluated at base line for periodontal parameters (plaque index, oral hygiene index, modified gingival index, probing pocket depth, clinical attachment level) and systemic parameters [glycosylated hemoglobin (HbA1c), fasting lipid profile, and fasting blood glucose]. The case group received non-surgical periodontal therapy. Subjects were re-evaluated for periodontal and systemic parameters after three months.RESULTSBoth groups were comparable at baseline. Three months after non surgical periodontal therapy (NSPT), there was significant improvement in periodontal parameters in case group. The mean difference in systemic parameters like HbA1c and fasting plasma glucose from baseline to fourth month for case group was 0.22 ± 0.11 and 3.90 ± 8.48 respectively and control group was -0.056 ± 0.10 and -1.66 ± 6.04 respectively, which was significant between case and control group (P < 0.05). In the case group there was a significant decrease in HbA1c from baseline to three months following NSPT (P < 0.05).CONCLUSIONThis study showed that periodontal inflammation could affect the glycemic control in otherwise systemically healthy individuals. Periodontal therapy improved periodontal health status and decreased glycosylated haemoglobin levels, thus reducing the probability of occurrence of inflammation induced prediabetes in patients with CHP.

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Section: Discussionsupporting

confidence: 93%

Nonsurgical periodontal-therapy improves glycosylated hemoglobin levels in pre-diabetic patients with chronic periodontitis

Joseph

Sasikumar

Mammen

et al. 2017

WJD

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“…Moreover, reports from studies that investigated the treatment of periodontal disease in diabetic patients have described improvements in HbA1c levels and periodontal disease; similar improvements were seen in studies that educated patients about how to care for periodontal disease and diabetes simultaneously . On the other hand, studies like the current study, which only provided education related to caring for periodontal disease, have demonstrated improvements in periodontal disease, but no significant improvements in HbA1c levels. Similarly, our study did not show any significant improvements in HbA1c levels.…”

Section: Discussionsupporting

confidence: 68%

A periodontal disease care program for patients with type 2 diabetes: A randomized controlled trial

Nishihara

Tanabe

Nakamura

et al. 2017

J of Gen and Family Med

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BackgroundDiabetes and periodontitis are interrelated, and patient education and guidance are important. Therefore, we conducted a periodontitis care program for patients with type 2 diabetes to provide education about diabetes and periodontitis and to promote self‐care skills, and we evaluated the effectiveness of this program.MethodsThis was a randomized controlled trial. Thirty‐eight and 39 adult patients diagnosed with type 2 diabetes were allocated to the intervention and control groups, respectively. The program comprised content that promoted optimal behavior for the improvement of diabetes and periodontitis. Periodontitis status, diabetes status, tumor necrosis factor‐α levels, self‐efficacy in relation to periodontitis, and teeth‐brushing behaviors were evaluated before and after the intervention program.ResultsAfter the intervention program, the intervention group demonstrated significant improvements in bleeding on probing, which was used to evaluate periodontitis status (F=7.919; P<.01), and in clinic visit (F=11.765; P<.01), brushing teeth (F=21.606; P<.01), and meal (F=10.884; P<.01) scores on the Self‐Efficacy Scale for Self‐care among Periodontal Disease Patients; patients in the intervention group also exhibited improvements in dental health‐related behaviors (F=7.141; P<.01).ConclusionsThese results suggest that the intervention program was effective at improving periodontitis, self‐efficacy in relation to periodontitis, and dental health‐related behaviors in patients with type 2 diabetes.

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“…It is well known that dental prophylaxis alone plays a role in periodontal health but does not affect the improvement of HbA1c levels [38].…”

Section: Discussionmentioning

confidence: 99%

Impact of combined non-surgical and surgical periodontal treatment in patients with type 2 diabetes mellitus-a preliminary report randomized clinical study

Bukleta¹,

Krasniqi²,

Beretta³

et al. 2018

biomedicalresearch

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Routine Prophylaxes Every 3 Months Improves Chronic Periodontitis Status in Type 2 Diabetes

Abstract: Routine prophylaxes every 3 months significantly improve periodontal health and prevent progression of CP in both poorly controlled and well-controlled patients with T2DM.

Cited by 19 publications

References 39 publications

Nonsurgical periodontal-therapy improves glycosylated hemoglobin levels in pre-diabetic patients with chronic periodontitis

Nonsurgical periodontal-therapy improves glycosylated hemoglobin levels in pre-diabetic patients with chronic periodontitis

A periodontal disease care program for patients with type 2 diabetes: A randomized controlled trial

Impact of combined non-surgical and surgical periodontal treatment in patients with type 2 diabetes mellitus-a preliminary report randomized clinical study

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