Effects of Initial Periodontal Treatment in Moderately Compensated and Decompensated Type 2 Diabetic Patients
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 13, Issue 4
Abstract
Objective: The objectives of this research were to evaluate the effect of periodontal therapy in moderately compensated and decompensated type 2 diabetic patients. Materials and Methods: 20 patients with type 2 diabetes mellitus (DM2) and periodontal disease were selected and divided into two groups (based on HbA1c level): Group 1: Moderately compensated; Group 2: Decompensated. The analyses including clinical periodontal parameters and the quantification of gingival crevicular fluid (GCF), the IL1-β expression in the GCF and Glycated hemoglobin (HbA1c) and fasting glucose (FG) from venous blood were performed at 0, 3, and 6 months. Results: Both groups presented improvement in all clinical periodontal parameters as well as quantification of gingival crevicular fluid and in the expression of IL-1ß present in the fluid after 6 months. However, no statistically significant difference was found in the levels of HbA1C in the group 1 after 6 months, although a significant increase was found after six months in the group 2. While in relation to the FG, a great improvement was found in the group 1 and a significant increase in the group 2 after six months. Conclusions: It was possible to observe that conventional periodontal treatment (scaling and root planning) is more effective for moderately compensated type 2 diabetic patients’ glycemic control rather than for the decompensated patients.
Authors and Affiliations
Paula Bernardon, Gisele Toyama, Karine Figueredo da Costa, Bruno Marques Sbardelotto, Carlos Alberto Garcia Junior, Muriel Machado Marquez Zampiva, Marcela Chiqueto Araújo, Jéssica Cristiane Michelin Mânica, Carlos Augusto Nassar, Patricia Oehlmeyer Nassar
Keywords
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- EP ID EP340513
- DOI 10.9734/BJMMR/2016/23056
- Views 53
- Downloads 0
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