PMID- 28431542 OWN - NLM STAT- MEDLINE DCOM- 20180702 LR - 20221207 IS - 1472-6831 (Electronic) IS - 1472-6831 (Linking) VI - 17 IP - 1 DP - 2017 Apr 21 TI - Effects of periodontal treatment on the medical status of patients with type 2 diabetes mellitus: a pilot study. PG - 77 LID - 10.1186/s12903-017-0369-2 [doi] LID - 77 AB - BACKGROUND: Studies have demonstrated that periodontal disease is associated with the development of systemic complications in patients with type 2 diabetes mellitus (T2DM). The purpose of this pilot study was to investigate which markers among various systemic disease parameters are affected by periodontal treatment in patients with T2DM. METHODS: Twelve patients with T2DM were given oral hygiene instructions and subsequent subgingival scaling and root planing. The periodontal status was recorded, and blood and urine samples were taken to measure various parameters of glucose control and systemic status at baseline and 1 month following the periodontal treatment. Serum concentrations of tumor necrosis factor-alpha and high-sensitivity C-reactive protein were measured by enzyme-linked immunosorbent assay. RESULTS: After the periodontal treatment, the glycated hemoglobin value was significantly improved. The levels of urinary N-acetyl-beta-D-glucosaminidase and albumin, which are markers of renal dysfunction, also decreased significantly after treatment. Among the parameters measured in serum, the gamma-glutamyl transpeptidase level, which is usually interpreted as a marker of liver dysfunction, was significantly reduced. The serum concentrations of tumor necrosis factor-alpha and high-sensitivity C-reactive protein were also significantly reduced by periodontal treatment. CONCLUSION: Within the limitations of this pilot study, periodontal treatment may be effective not only in improving metabolic control, but also in reducing the risk of diabetic kidney and liver disease in patients with T2DM. FAU - Hayashi, Joichiro AU - Hayashi J AD - Division of Periodontology, Department of Oral Biology and Tissue Engineering, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado-shi, Saitama-ken, 350-0283, Japan. hayashi@dent.meikai.ac.jp. FAU - Hasegawa, Akihiko AU - Hasegawa A AD - Meikai University School of Dentistry, Saitama-ken, Japan. FAU - Hayashi, Kohei AU - Hayashi K AD - Division of Periodontology, Department of Oral Biology and Tissue Engineering, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado-shi, Saitama-ken, 350-0283, Japan. FAU - Suzuki, Takafumi AU - Suzuki T AD - Division of Periodontology, Department of Oral Biology and Tissue Engineering, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado-shi, Saitama-ken, 350-0283, Japan. FAU - Ishii, Makiko AU - Ishii M AD - Division of Periodontology, Department of Oral Biology and Tissue Engineering, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado-shi, Saitama-ken, 350-0283, Japan. FAU - Otsuka, Hideharu AU - Otsuka H AD - Division of Periodontology, Department of Oral Biology and Tissue Engineering, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado-shi, Saitama-ken, 350-0283, Japan. FAU - Yatabe, Kazuhiro AU - Yatabe K AD - Division of Periodontology, Department of Oral Biology and Tissue Engineering, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado-shi, Saitama-ken, 350-0283, Japan. FAU - Goto, Seiichi AU - Goto S AD - Meikai University School of Dentistry, Saitama-ken, Japan. FAU - Tatsumi, Junichi AU - Tatsumi J AD - Division of Periodontology, Department of Oral Biology and Tissue Engineering, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado-shi, Saitama-ken, 350-0283, Japan. FAU - Shin, Kitetsu AU - Shin K AD - Division of Periodontology, Department of Oral Biology and Tissue Engineering, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado-shi, Saitama-ken, 350-0283, Japan. LA - eng PT - Journal Article DEP - 20170421 PL - England TA - BMC Oral Health JT - BMC oral health JID - 101088684 RN - 0 (Biomarkers) RN - 0 (Glycated Hemoglobin A) RN - 0 (Tumor Necrosis Factor-alpha) RN - 9007-41-4 (C-Reactive Protein) RN - EC 3.2.1.52 (Acetylglucosaminidase) SB - IM MH - Acetylglucosaminidase/urine MH - Albuminuria/diagnosis MH - Biomarkers/*blood/urine MH - C-Reactive Protein/metabolism MH - Chronic Periodontitis/*blood/*therapy/urine MH - Dental Scaling MH - Diabetes Mellitus, Type 2/*blood/urine MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Glycated Hemoglobin/metabolism MH - Humans MH - Male MH - Middle Aged MH - Oral Hygiene MH - Periodontal Index MH - Pilot Projects MH - Root Planing MH - Tumor Necrosis Factor-alpha/blood PMC - PMC5399866 OTO - NOTNLM OT - Glycated hemoglobin OT - Periodontal treatment OT - Type 2 diabetes mellitus OT - Urinary N-acetyl-beta-D-glucosaminidase OT - gamma-glutamyl transpeptidase EDAT- 2017/04/23 06:00 MHDA- 2018/07/03 06:00 PMCR- 2017/04/21 CRDT- 2017/04/23 06:00 PHST- 2016/11/15 00:00 [received] PHST- 2017/04/12 00:00 [accepted] PHST- 2017/04/23 06:00 [entrez] PHST- 2017/04/23 06:00 [pubmed] PHST- 2018/07/03 06:00 [medline] PHST- 2017/04/21 00:00 [pmc-release] AID - 10.1186/s12903-017-0369-2 [pii] AID - 369 [pii] AID - 10.1186/s12903-017-0369-2 [doi] PST - epublish SO - BMC Oral Health. 2017 Apr 21;17(1):77. doi: 10.1186/s12903-017-0369-2.