بررسي تاثير درمان غير جراحي پريودنتال بر ميزان هموگلوبين گليكوزيد در بيماران ديابتي نوع II

The Effect of Non Surgical Periodontal Therapy on HbAic Value in Type II Diabetes Mellitus Patients

Introduction: Periodontal disease is a common infection-induced inflammatory disease among individuals suffering from diabetes mellitus. The aim of the present study was to investigate the effect of non surgical periodontal therapy on HbAJc value in type 2 diabetes mellitus patients. Materials & Methods: In this clinical trial study, approved by ethical committee of Tehran Shahed University of Medical Sciences, 20 patients with poorly controlled type 2 diabetes mellitus and chronic periodontitis were selected from Yazd diabetes center and received mechanical periodontal treatment (oral hygiene instruction, full mouth scaling and root planing). At base line and after 3 months, the glycated hemoglobin values (HbAlc), fasting blood sugar and clinical periodontal parameters (plaque index, gingival index, probing depth, percent of sites with probing depth>4 mm, and percent of sites with probing depth>6 mm were recorded. Paired /-test was used for data analysis. Results: After treatment, all patients showed clinical improvement in periodontal status (.PcO.OOl). The HbA|C value reduced significantly after the 3 months of observation period (PcO.OO 1). Conclusion: The results of our study showed that non surgical periodontal treatment is associated with reduction in glycated hemoglobin level in type 2 diabetic patients. Control of periodontal infection as an important part of the overall management of diabetes mellitus patients, is recommended.