PMID- 35343453
OWN - NLM
STAT- MEDLINE
DCOM- 20220331
LR  - 20221207
IS  - 1526-3711 (Electronic)
IS  - 1526-3711 (Linking)
VI  - 22
IP  - 11
DP  - 2021 Nov 1
TI  - Effect of Two Nonsurgical Periodontal Treatment Modalities in Type 2 Diabetes 
      Mellitus Patients with Chronic Periodontitis: A Randomized Clinical Trial.
PG  - 1275-1280
AB  - AIM AND OBJECTIVE: The current study aimed to investigate the effect of two 
      nonsurgical periodontal treatment modalities on clinical periodontal parameters 
      and glycemic control. MATERIALS AND METHODS: A randomized clinical trial was 
      conducted with a sample of 64 type 2 diabetes mellitus (T2DM) patients with 
      chronic periodontitis. Subjects were randomly assigned into two groups. Group I 
      received oral hygiene instructions (OHI) at baseline and each recall visit. Group 
      II received one-stage full-mouth scaling and root planning (SRP) combining OHI. 
      At baseline, third month, and sixth month the plaque index (PlI), gingival index 
      (GI), probing pocket depth (PPD), clinical attachment loss (CAL), and glycated 
      hemoglobin (HbA1c) were recorded and analyzed. RESULTS: After treatment, two 
      groups showed signi fi cant differences for all parameters at both assessed times (p 
      <0.05). The OHI alone only demonstrated a slight reduction in GI in third month, 
      with no significant changes for PlI and PPD indexes. However, Group I recorded 
      the increased HbA1c and CAL values at 6-month follow-up (p <0.05). The 
      combination of OHI and SRP exhibited a significant improvement in all periodontal 
      values (p <0.05). Also, the HbA1C levels of Group II showed a significant 
      reduction after treatment and were lower than those of Group I. CONCLUSIONS: Oral 
      hygiene instructions only resulted in a better gingival condition of diabetic 
      patients in the initial time. The nonsurgical periodontal therapy by combining 
      SRP and OHI significantly improved both periodontal health and glycemic control. 
      CLINICAL SIGNIFICANCE: Diabetic patients should be supplied with an effective OHI 
      modality and a professional dental debridement.
FAU - Tran, Tan-Tai
AU  - Tran TT
AD  - Faculty of Odonto-stomatology, Hue University of Medicine and Pharmacy, Hue 
      University, Hue, Vietnam.
FAU - Ngo, Quynh-Trang Thi
AU  - Ngo QT
AD  - Faculty of Odonto-stomatology, Hue University of Medicine and Pharmacy, Hue 
      University, Hue, Vietnam.
FAU - Tran, Dang Huu
AU  - Tran DH
AD  - Faculty of Odonto-stomatology, Hue University of Medicine and Pharmacy, Hue 
      University, Hue, Vietnam.
FAU - Nguyen, Thuy-Duong Thi
AU  - Nguyen TT
AD  - Thuy-Duong Thi Nguyen, Faculty of Odonto-stomatology, Hue University of Medicine 
      and Pharmacy, Hue University, Hue, Vietnam, Phone: +0084 904181688, e-mail: 
      nttduong@hueuni.edu.vn; nttduong@huemed-univ.edu.vn.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20211101
PL  - India
TA  - J Contemp Dent Pract
JT  - The journal of contemporary dental practice
JID - 101090552
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - *Chronic Periodontitis/complications/therapy
MH  - Dental Scaling/methods
MH  - *Diabetes Mellitus, Type 2/complications/therapy
MH  - Glycated Hemoglobin/analysis
MH  - Humans
MH  - Root Planing/methods
OTO - NOTNLM
OT  - Chronic periodontitis
OT  - Glycemic control
OT  - Nonsurgical periodontal therapy Type 2 diabetes mellitus.
EDAT- 2022/03/29 06:00
MHDA- 2022/04/01 06:00
CRDT- 2022/03/28 09:14
PHST- 2022/03/28 09:14 [entrez]
PHST- 2022/03/29 06:00 [pubmed]
PHST- 2022/04/01 06:00 [medline]
AID - 1526-3711-2951 [pii]
PST - epublish
SO  - J Contemp Dent Pract. 2021 Nov 1;22(11):1275-1280.