2022
DOI: 10.1002/14651858.cd004714.pub4
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Treatment of periodontitis for glycaemic control in people with diabetes mellitus

Abstract: Treatment of periodontitis for glycaemic control in people with diabetes mellitus (Review)

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Cited by 43 publications
(35 citation statements)
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“…We now have moderate-certainty evidence that periodontal treatment using subgingival instrumentation significantly improves glycemic control in people with both periodontitis and DM compared to no treatment or usual care (29). The study findings support the Mediterranean dietary model as a suitable model for T2DM and the concept that the beneficial health effects of the Mediterranean diet lie primarily in the synergy among various nutrients and foods rather than on any individual component (30). There can be a substantial discordance between laboratory and eA1C (continuous glucose monitoring-estimated HbA1c) levels in a real-world setting.…”
Section: Discussionsupporting
confidence: 53%
“…We now have moderate-certainty evidence that periodontal treatment using subgingival instrumentation significantly improves glycemic control in people with both periodontitis and DM compared to no treatment or usual care (29). The study findings support the Mediterranean dietary model as a suitable model for T2DM and the concept that the beneficial health effects of the Mediterranean diet lie primarily in the synergy among various nutrients and foods rather than on any individual component (30). There can be a substantial discordance between laboratory and eA1C (continuous glucose monitoring-estimated HbA1c) levels in a real-world setting.…”
Section: Discussionsupporting
confidence: 53%
“…Despite controversial discussion [ 8 ], various changes in blood values have been observed in periodontitis patients, including inflammation markers, cytokines, and changes in both white and red blood cell counts [ 25 , 26 , 27 , 28 , 29 ]. Furthermore, periodontal treatment that reduces local inflammation also reduces these systemic effects [ 7 , 30 , 31 ]. In the presented cohort of young athletes, the prevalence of signs of periodontitis was quite high (38%) in comparison to the overall population (1.7%) at this young age [ 32 ].…”
Section: Discussionmentioning
confidence: 99%
“…Providing periodontal treatment to people with type 2 diabetes reduces glycated haemoglobin on average 0.29% (95% CI 0.48%-0.10%) 3-4 months post-treatment based on Cochrane systematic review data from 14 studies involving 1499 participants. 32 People with poorly managed diabetes may receive a greater benefit from periodontal treatment. 33 , 34 , 35 Periodontal treatment has also been shown to improve endothelial function of the brachial artery for up to 6 months, 36 delay progression of carotid intima-media thickness up to a year, 37 and reduce systemic inflammatory biomarkers including C-reactive protein, interleukin-6, and tumour necrosis alpha for up to 3-months.…”
Section: Discussionmentioning
confidence: 99%