Impact of oral health education and a non-surgical periodontal therapy on the quality of life of patients with diabetes mellitus

Abstract

SummaryAim: The aim of the study was to evaluate the impact of oral health education and non-surgical periodontal therapy on the quality of life for a group of patients with type I diabetes mellitus, in Iasi, Romania.Materials and Method: The study was conducted on 21 patients with type 1 diabetes mellitus which also presented a form of periodontitis. We examined: the degree of glycaemic control (by measuring the glycated haemoglobin), the periodontal and oral hygiene parameters at the baseline and after 4 weeks, 6 months and 12 months after the periodontal treatment which consisted in scaling and root planing. The patients also filled an OHIP-14 questionnaire at baseline and 6 month after the periodontal therapy to assess the quality of life.Results and Discussion: We observed a rapid recurrence of the deep periodontal pockets after 12 months in subjects with poor glycaemic control. At baseline, the highest scores for the OHIP-14 were in the sub-domains of pain, discomfort on chewing and self-consciousness.Conclusions: The prolonged poor control of glycaemia is closely related with its complications. The periodontal therapy improved (lower values) the domain codes and final score of the OHIP-14 questionnaire, proving that periodontal health has an impact on the diabetic patients’ quality of life.

Non‐surgical periodontal therapy effectively improves patient‐reported outcomes: A systematic review

“…Two out of the thirteen studies were conducted in United Kingdom (UK) 36,38 and the rest were conducted in Brazil, Nepal, Romania, Germany, Malaysia, Sweden, Taiwan, Turkey, India and Hong Kong 37,39‐48 . One of the Malaysian studies was an abstract, published in 6th Postgraduate Forum on Health Systems and Policies 46 .…”

“…One of the Malaysian studies was an abstract, published in 6th Postgraduate Forum on Health Systems and Policies 46 . Nine studies were university‐based research studies 37,39‐44,46,47 and three were from a periodontal referral clinic 37,38,48 . No gender specific or rural vs urban population studies were reported in the systematic review.…”

“…The follow‐up period of studies ranged from one week to 12 months. Three studies had a follow‐up period of 12 months 39,42,46 . Control groups were found in only three studies 37,38,41 .…”

“…Control groups were found in only three studies 37,38,41 . Seven studies compared the severity/extent of periodontitis in relation to OHIP‐14 36,39,40,42‐44,46 …”

“…Three studies had a follow-up period of 12 months. 39,42,46 Control groups were found in only three studies. 37,38,41 Seven studies compared the severity/extent of periodontitis in relation to OHIP-14.…”