تاثير بهبودي وضعيت پريورنتال متابوليك بيماران ديابتي نوع 2

Effect of periodontal treatment on glycemic control in patients with diabetes type 11

Introduction: Periodontal disease is a common infection-induced inflammatory disease among individuals suffering from diabetes mellitus. The purpose of this study was to assess the effects of treatment of periodontal disease on the level of metabolic control of diabetes. Methods: From a total of 156 patients suffering from periodontal disease and type 2 diabetes that had referred to the diabetes clinic of Shariati Hospital (Tehran-Iran) finally the study was performed on 71 patients who were randomly divided into 4 groups.l) Control group which only received oral hygien education. 2) Periodontal treatment included ultrasonic scaling. 3) Periodontal treatment included ultrasonic scaling and topical chlorhexidine 0.2% for two weeks. 4) Periodontal treatment included ultrasonic scaling and topical chlorhexidine 0.2% and systemic doxycycline 100mg daily for two weeks. Assessments were performed prior one to and 3 months after treatment and included probing depth (PD), gingival index (GI), plaque index (PI) bleeding on probing (BOP), fasting blood sugar (FBS) and Hb Al C. Results: After 3 months follow-up control groups showed a significant increase (P<0.001) in Hb AIC, but we found a significant reduction (P<0.01) in Hb A IC among group 3. After 3 months follow-up all 3 groups receiving scaling, showed significant reduction (P<0.001) in Hb AIC in comparison to control group. Conclusion: It can be concluded that periodontal treatments have clear effect in metabolic control improvement of diabetic patients, therefore we must consider the role of periodontal treatment in managing of diabetic patients.