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:: Volume 21, Issue 4 (Winter (Special Issue) 2004) ::
J Dent Sch GYEAR__, 21(4): 773-780 Back to browse issues page
The effect of surgical periodontal therapy on metabolic control of type 2 and non-insulin dependent diabetics
Rasool Mofid Corresponding Author: Dr. * , Ashraf Sadat Saneie Dr., Elham Javadi Dr.
Assistant Prof.
Abstract:   (5543 Views)

Aim: There are contradictory results of different studies about the effect of periodontal treatment on metabolic control of diabetes. The aim of this study was to assess the effect of surgical periodontal therapy on metabolic control of type 2 and non-insulin dependent (NIDDM) diabetics. Method & Materials: The method of this study was quasi experimental and before - after treatment. 12 patients with type 2 diabetes and NIDDM who had moderate to severe periodontitis received therapy. At the baseline periodontal parameters including probing pocket depth (PPD), Clinical attachment level (CAL), gingival bleeding index (GBI) and plaque index (PLI) and also laboratory parameters including fasting plasma glucose (FPG) and HbA1C were determined and recorded. Periodontal treatment included scaling, oral hygiene instruction and flap surgery and mechanical debridment. 2 to 3 moths after the last session of surgery all of the mentioned parameters were measured again and recorded. Wilcoxon test was used for statistical analysis.

Results: At the end of the study all of the periodontal parameters showed significant improvement (PPD: P=0.002, CAL: P=0.002, GBI: P=0.002, PLI: P=0.004). The decrease in mean of HbA1C and FPG was slight and was not significant (P=0.4, P=0.6). After dividing patients based on their initial HbA1C into two groups (HbA1C >7%, HbA1C < 7%) there was a significant decrease in HbA1C in the group of HbA1C>7% (P=0.05) but not in the other group (P=0.3). Again in the both of the groups decrease of FPG was not significant.

Conclusion: Surgical periodontal therapy causes significant decrease in HbA1C of diabetics with poorer metabolic control (i.e. HbA1C>7%). Then it is necessary to evaluate diabetics’ periodontal status like the other medical evaluations of them.

J Dent Sch 2004 21(Special Issue): 773

Keywords: Periodontitis, Periodontal therapy, Diabetes type 2, Metabolic control, HbA1C
Full-Text [PDF 124 kb]   (865 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2006/09/6
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Mofid R, Saneie A S, Javadi E. The effect of surgical periodontal therapy on metabolic control of type 2 and non-insulin dependent diabetics. J Dent Sch. 2004; 21 (4) :773-780
URL: http://jds.sbmu.ac.ir/article-1-636-en.html


Volume 21, Issue 4 (Winter (Special Issue) 2004) Back to browse issues page
مجله دانشکده دندانپزشکی دانشگاه علوم پزشکی شهید بهشتی Shahid Beheshti University Dental Journal
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