Benefits of non‐surgical periodontal treatment in patients with type 2 diabetes mellitus and chronic periodontitis: A randomized controlled trial

Abstract

Non-surgical periodontal treatment resulted in a better glycaemic status of type 2 diabetes patients and demonstrated the importance of oral health in their general health.

Effect of non‐surgical periodontal treatment on gingival crevicular fluid and serum leptin levels in periodontally healthy chronic periodontitis and chronic periodontitis patients with type 2 diabetes mellitus

“…A significant reduction in HbA1c and RBS levels was observed in the present study. Our results are in accordance with those of Goel et al and Mauri‐Obradors et al, 27,28 who found a significant reduction in HbA1c levels in patients with T2DM with CP patients in the group subjected to SRP rather than the control group, suggesting that NSPT had a beneficial effect on HbA1c levels in moderately controlled T2DM. In their study, Mauri‐Obradors et al concluded that SRP significantly improved the periodontal and metabolic parameters in patients treated with SRP 28 .…”

“…Our results are in accordance with those of Goel et al and Mauri‐Obradors et al, 27,28 who found a significant reduction in HbA1c levels in patients with T2DM with CP patients in the group subjected to SRP rather than the control group, suggesting that NSPT had a beneficial effect on HbA1c levels in moderately controlled T2DM. In their study, Mauri‐Obradors et al concluded that SRP significantly improved the periodontal and metabolic parameters in patients treated with SRP 28 . However, the results of our study are inconsistent with those of Kapellas et al, 29 who found that periodontal therapy did not significantly reduce HbA1c levels in diabetic patients.…”

Prevalence and severity of periodontal disease in type 2 diabetes mellitus patients: a cross-sectional study

“…The bidirectional relationship between systemic diseases such as type 2 diabetes mellitus and periodontal disease has been the topic of numerous clinical researches in periodontal medicine. It also stands out that periodontal disease is the most prevalent oral complication in type 2 diabetes mellitus patients and it is considered the sixth classic diabetes complication (LORENTZ et al, 2009;MOURÃO et al, 2016;GUO et al, 2017). Such affirmations corroborate the findings of the present study, which confirm that generalized gingivitis is more prevalent (score 2) in diabetic patients, along with the fact that such patients presented a lower number of sextants with periodontal health than non-diabetics.…”

“…A recent randomized clinical study (MAURI-OBRADORS et al, 2018) aimed to assess the non-surgical periodontal treatment in relation to glycemic values (hemoglobin A1c or glycated hemoglobin) in type 2 diabetes patients. The study Prevalence and severity… Sandini TRENTIN, M. S. et al analyzed 90 patients, randomly divided into control group (G1) -oral hygiene instruction and supragingival plaque and calculi removal with ultrasound; and experimental group (G2) -oral hygiene instruction, scaling, and root planing with ultrasound and curette.…”

“…Diabetes mellitus leads individuals to hyperglycemia. This, in turn, modifies cells, tissues and organs, causing the decrease of collagen synthesis and chemotaxis, change in growth factors, increase of apoptosis and oxidative stress, decrease of extracellular matrix, deregulation of cytokines, and salivary changes, which result in periodontal disease among other illnesses (MAURI-OBRADORS et al, 2018).…”