Journal
JOURNAL OF CLINICAL PERIODONTOLOGY
Volume 38, Issue 2, Pages 142-147Publisher
WILEY
DOI: 10.1111/j.1600-051X.2010.01652.x
Keywords
diabetes mellitus; glycaemic control; HbA1c; non-surgical; periodontal disease; RCT
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Funding
- European National Fund and National Resources
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P>Aim The purpose of the present study was to assess the effect of non-surgical periodontal therapy on glycaemic control of type 2 diabetes patients with moderate-to-severe periodontitis. Materials and methods This was a randomized, controlled clinical trial of patients with type 2 diabetes. A total of 60 patients with moderate-to-severe periodontal disease were assigned to either a periodontal treatment arm, consisting of scaling and root planing (intervention group [IG]), or a delayed treatment arm that received periodontal care after 6 months (control group [CG]). Periodontal parameters and glycosylated haemoglobin (A1C) were evaluated at 1, 3 and 6 months. Results All periodontal parameters improved significantly in the IG. A1C levels decreased statistically significantly more in the IG versus the CG (0.72% versus 0.13%; p < 0.01) independently of other confounders. Conclusions This study provides evidence that periodontal treatment contributes to improved glycaemic control in type 2 diabetes mellitus patients. Larger controlled trials are needed to confirm if this finding is generalizable to other populations of patients with type 2 diabetes.
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