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Evaluation of clinical and metabolic changes after non surgical periodontal treatment of type 2 diabetes mellitus patients: A clinico biochemical study.

Kudva P, Tabasum ST, Garg N - J Indian Soc Periodontol (2010)

Bottom Line: A correlation was observed between clinical and biochemical parameters between and within two groups at baseline and 3 month.The P value >0.05 showed no statistical significance of correlation between the test and control groups.Both groups of patients showed an improvement in clinical and metabolic parameters assessed at 3 months after nonsurgical periodontal therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Jaipur Dental College, Dhand, Tehsil-Amer, Jaipur - 303 101, India.

ABSTRACT

Aim: To evaluate the clinical and metabolic changes following nonsurgical periodontal therapy of type-2 diabetic patients and nondiabetic patients.

Materials and methods: Fifteen nondiabetics and fifteen type-2 diabetics with moderate to severe periodontitis were selected after meeting inclusion and exclusion criteria. Periodontal pocket probing was performed using a Williams graduated periodontal probe and comparisons of the clinical and biochemical parameters like plaque index, gingival index, probing depth, glycated hemoglobin, and lipid profile (total cholesterol, high density lipoprotein, low density lipoprotein, triglycerides and very low density lipoprotein) were done between and within two groups at baseline and 3 month.

Results: A correlation was observed between clinical and biochemical parameters between and within two groups at baseline and 3 month. The P value of diabetic group was<0.001 in all clinical parameters (plaque index PI, Gingival index GI, and Probing Pocket Depth PPD) in diabetic and nondiabetic group, showed statistically highly significant difference in GI, PI, PPD, <.01 in Glycated Hemoglobulin (HbAlc1) in test group and<0.05 in control group showed statistically significant difference. The P value of test group was >0.05 in Lipid profile (total cholesterol, low density lipoprotein, high density lipoprotein, serum triglyceride, very low density lipoprotein) that showed no significant difference and in control group<0.05 in total Cholesterol, high density lipoprotein and <0.01 in Low density lipoprotein, Very Low Density Lipoprotein, and Serum Triglyceride, respectively, showed statistically significant in Total cholesterol, Low density lipoprotein, Very Low Density Lipoprotein, and Serum Triglyceride, not significant in high density lipoprotein. The P value >0.05 showed no statistical significance of correlation between the test and control groups.

Conclusion: Both groups of patients showed an improvement in clinical and metabolic parameters assessed at 3 months after nonsurgical periodontal therapy.

No MeSH data available.


Related in: MedlinePlus

Showing the mean value of Probing depth at different intervals of diabetic & non-diabetic patients
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Figure 10: Showing the mean value of Probing depth at different intervals of diabetic & non-diabetic patients

Mentions: Highly significant reduction in the plaque index scores, Gingival index, and Probing pocket depth was seen in both the control and test groups from baseline to 3 months. [Figures 8–10] These findings are in accordance with the results obtained in studies conducted by Bridges R et al.,[8] Kiran M et al.,[9] Guglielmo Campus et al.,[10] Mattout C et al.,[11] and Patricia A.A. O’Connell et al.,[12] These reductions in the scores can be attributed to scaling and root planning accompanied by diminution of inflammatory infiltrate and laying down of new collagen.[9]


Evaluation of clinical and metabolic changes after non surgical periodontal treatment of type 2 diabetes mellitus patients: A clinico biochemical study.

Kudva P, Tabasum ST, Garg N - J Indian Soc Periodontol (2010)

Showing the mean value of Probing depth at different intervals of diabetic & non-diabetic patients
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3118078&req=5

Figure 10: Showing the mean value of Probing depth at different intervals of diabetic & non-diabetic patients
Mentions: Highly significant reduction in the plaque index scores, Gingival index, and Probing pocket depth was seen in both the control and test groups from baseline to 3 months. [Figures 8–10] These findings are in accordance with the results obtained in studies conducted by Bridges R et al.,[8] Kiran M et al.,[9] Guglielmo Campus et al.,[10] Mattout C et al.,[11] and Patricia A.A. O’Connell et al.,[12] These reductions in the scores can be attributed to scaling and root planning accompanied by diminution of inflammatory infiltrate and laying down of new collagen.[9]

Bottom Line: A correlation was observed between clinical and biochemical parameters between and within two groups at baseline and 3 month.The P value >0.05 showed no statistical significance of correlation between the test and control groups.Both groups of patients showed an improvement in clinical and metabolic parameters assessed at 3 months after nonsurgical periodontal therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Jaipur Dental College, Dhand, Tehsil-Amer, Jaipur - 303 101, India.

ABSTRACT

Aim: To evaluate the clinical and metabolic changes following nonsurgical periodontal therapy of type-2 diabetic patients and nondiabetic patients.

Materials and methods: Fifteen nondiabetics and fifteen type-2 diabetics with moderate to severe periodontitis were selected after meeting inclusion and exclusion criteria. Periodontal pocket probing was performed using a Williams graduated periodontal probe and comparisons of the clinical and biochemical parameters like plaque index, gingival index, probing depth, glycated hemoglobin, and lipid profile (total cholesterol, high density lipoprotein, low density lipoprotein, triglycerides and very low density lipoprotein) were done between and within two groups at baseline and 3 month.

Results: A correlation was observed between clinical and biochemical parameters between and within two groups at baseline and 3 month. The P value of diabetic group was<0.001 in all clinical parameters (plaque index PI, Gingival index GI, and Probing Pocket Depth PPD) in diabetic and nondiabetic group, showed statistically highly significant difference in GI, PI, PPD, <.01 in Glycated Hemoglobulin (HbAlc1) in test group and<0.05 in control group showed statistically significant difference. The P value of test group was >0.05 in Lipid profile (total cholesterol, low density lipoprotein, high density lipoprotein, serum triglyceride, very low density lipoprotein) that showed no significant difference and in control group<0.05 in total Cholesterol, high density lipoprotein and <0.01 in Low density lipoprotein, Very Low Density Lipoprotein, and Serum Triglyceride, respectively, showed statistically significant in Total cholesterol, Low density lipoprotein, Very Low Density Lipoprotein, and Serum Triglyceride, not significant in high density lipoprotein. The P value >0.05 showed no statistical significance of correlation between the test and control groups.

Conclusion: Both groups of patients showed an improvement in clinical and metabolic parameters assessed at 3 months after nonsurgical periodontal therapy.

No MeSH data available.


Related in: MedlinePlus