Srpski arhiv za celokupno lekarstvo 2013 Volume 141, Issue 11-12, Pages: 738-743
https://doi.org/10.2298/SARH1312738M
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Impact of the level of metabolic control on the non-surgical periodontal therapy outcomes in diabetes mellitus type 2 patients: Clinical effects
Mirnić Jelena (Medicinski fakultet, Novi Sad)
Đurić Milanko (Medicinski fakultet, Novi Sad + Klinika za stomatologiju Vojvodine, Novi Sad)
Predin Tanja (Medicinski fakultet, Novi Sad)
Gušić Ivana (Medicinski fakultet, Novi Sad + Klinika za stomatologiju Vojvodine, Novi Sad)
Petrović Đorđe (Medicinski fakultet, Novi Sad + Klinika za stomatologiju Vojvodine, Novi Sad)
Anđelković Aleksandra (Medicinski fakultet, Novi Sad)
Bajkin Branislav (Medicinski fakultet, Novi Sad + Klinika za stomatologiju Vojvodine, Novi Sad)
Introduction. Diabetes mellitus as a complex metabolic disease influences
functioning of numerous organs. Chronic periodontitis is one of frequent
diabetic complications. Objective. The aim of this study was to compare the
clinical effects of nonsurgical periodontal therapy between diabetes
mellitus type 2 patients (DM type 2) and nondiabetic individuals (control
group). Methods. Our study included 41 DM type 2 subjects and 21 nondiabetic
individuals, all of them with chronic periodontitis. The diabetic group was
divided into two subgroups based on the level of glycosylated hemoglobin
(HbA1c) as follows: D1 - 18 subjects with good metabolic control (HbA1c<7%),
and D2 - 23 subjects with poor metabolic (HbA1c≥7%). State of oral hygiene
and periodontal clinical parameters of subjects, such as: plaque index (PI),
gingival index (GI), papilla bleeding index (PBI), probing pocket depth (PPD)
and clinical attachment level (CAL), were evaluated at the baseline and 3
months after scaling and rootplanning. Results. ANOVA test showed that there
was no statistically significant difference of treatment success between
studied groups in relation to GI (p=0.52), PBI (p=0.36) and CAL (p=0.11).
Reduction of PI and PPD in the control group (ΔPI=0.84; ΔPPD=0.35 mm) was
significantly higher (p<0.05) than the reduction of PI and PPD in patients
with the diabetes (group D1 ΔPI=0.60, ΔPPD=0.11 mm; group D2 ΔPI=0.53,
ΔPPD=0.11 mm). Conclusion. Although there were differences in treatment
success between DM subjects and nondiabetic individuals, they were not
significant for the most measured parameters. The results of this study did
not absolutely support the assumption that the level of glycemic control
significantly affected the periodontal therapy outcome in diabetics.
Keywords: diabetes mellitus type 2, glycosylated hemoglobin(HbA1c), periodontal disease/therapy, periodontal index
Projekat Ministarstva nauke Republike Srbije, br. 175075