PMID- 12937594
OWN - NLM
STAT- MEDLINE
DCOM- 20030917
LR  - 20071115
IS  - 1526-3711 (Electronic)
IS  - 1526-3711 (Linking)
VI  - 4
IP  - 3
DP  - 2003 Aug 15
TI  - The effect of oral hygiene instructions on diabetic type 2 male patients with 
      periodontal diseases.
PG  - 24-35
AB  - Periodontal disease and diabetes are two common chronic diseases affecting 
      humans. The aim of this study was to assess the effect of oral hygiene 
      instructions on periodontal disease among type 2 male diabetic Saudi subjects. 
      Sixty subjects completed the study and were divided into three groups of 20: 
      healthy (non-diabetic) with periodontal disease, type 2 diabetic with early or 
      moderate periodontal disease, and type 2 diabetic with advanced periodontitis. 
      The age ranged from 24-64 (42 +/- 13.60) years. The subjects were examined at 
      King Saud University, College of Dentistry, Riyadh, Saudi Arabia. Oral hygiene 
      practices and smoking habits were recorded. Oral hygiene instructions given to 
      patients were to use an Oral B medium toothbrush and brush three times daily for 
      7 days using the by Bass technique for 2 minutes. Fasting blood glucose level 
      (FBGL), gingival crevicular fluid (GCF), community periodontal index of treatment 
      needs (CPITN), and plaque index (Pll) were used to assess patients' profiles at 
      baseline and at recall visit after 7 days. The results showed there was a 
      significant overall decrease in FBGL, baseline 172.67 mg/dl (+/-64.69) to recall 
      visit 162.20 (+/-58.78) P = 0.000, and GCF volume decreased from.4041 micro l 
      (+/-.1260) to .3698 micro l (+/-.1164) P = 0.000. There was a significant 
      reduction in subjects' CPITN mean scores (from 13.98 (+/-8.24) to 13.32 (+/-8.97) 
      P = 0.000), but there was no significant difference in Group 3 with advanced 
      periodontitis, i.e., 22.25 (+/-1.37) to 22.30 (+/-1.38). There was more than a 
      47% reduction in the overall percentage of plaque scores. The decrease ranged 
      from 82.27 (+/-19.34) to 34.45 (+/-17.04) at baseline and recall visit 
      respectively. It is concluded oral hygiene instructions (a standardized regimen) 
      has an effect on FBGL, GCF, CPITN, and PlI. It is also concluded CPITN is not 
      very sensitive to assess change in periodontal status over a 7 days period. 
      Further studies are needed among diabetic and healthy subjects with a larger 
      sample size and over a longer period of time.
FAU - Almas, Khalid
AU  - Almas K
AD  - Department of Periodontics at New York University, College of Dentistry, USA. 
      Khalidalmas@yahoo.com
FAU - Al-Lazzam, Suleman
AU  - Al-Lazzam S
FAU - Al-Quadairi, Abdulla
AU  - Al-Quadairi A
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
DEP - 20030815
PL  - India
TA  - J Contemp Dent Pract
JT  - The journal of contemporary dental practice
JID - 101090552
RN  - 0 (Blood Glucose)
SB  - IM
MH  - Adult
MH  - Blood Glucose/analysis
MH  - Dental Plaque Index
MH  - Diabetes Mellitus, Type 2/blood/*complications
MH  - Gingival Crevicular Fluid/chemistry
MH  - Health Education, Dental
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Oral Hygiene/*education
MH  - Patient Education as Topic
MH  - Periodontal Diseases/blood/*complications/*therapy
MH  - Periodontal Index
MH  - Treatment Outcome
EDAT- 2003/08/26 05:00
MHDA- 2003/09/18 05:00
CRDT- 2003/08/26 05:00
PHST- 2003/08/26 05:00 [pubmed]
PHST- 2003/09/18 05:00 [medline]
PHST- 2003/08/26 05:00 [entrez]
AID - 1526-3711-114 [pii]
PST - epublish
SO  - J Contemp Dent Pract. 2003 Aug 15;4(3):24-35.