Periodontology, Dental School, Cascavel, University of State of West of Paraná, Rue Pernambuco 593, Cascavel, Parana, Brazil.
Diabetes Res Clin Pract. 2012 Apr;96(1):35-9. doi: 10.1016/j.diabres.2011.11.017. Epub 2011 Dec 7.
The objective of this study was to evaluate improvement of lipids and periodontal disease in patients with type 2 Diabetes mellitus, by means of the relationship between blood levels of total cholesterol and its fractions, triglycerides and clinical periodontal parameters. Twenty patients, in age-range 18-70 years, were selected and divided into 2 groups: (1) conventional periodontal scaling and root planing+controlled mechanic; (2) conventional periodontal scaling and root planing+controlled mechanical+maintenance therapy. The analyses were performed on day 0, 180 and 720 days, including plaque index, gingival index, probing depth and clinical attachment level, and evaluation of total cholesterol and its fractions, and triglycerides. The 2 groups presented significant reduction in clinical periodontal parameters, however, probing depth did not diminish significantly only in Group 1. There was significant improvement in all blood parameters in both groups. It was concluded that after 720 days of the experiment, there were significant improvements in clinical and blood parameters, in general. The group that received maintenance therapy also showed a more expressive improvement in clinical periodontal parameters, in general, suggesting that this therapy is important and necessary in patients with type 2 Diabetes mellitus and periodontal disease.
本研究旨在通过总胆固醇及其各成分、甘油三酯与临床牙周参数之间的关系,评估 2 型糖尿病患者的血脂和牙周病改善情况。选取 20 名年龄在 18-70 岁之间的患者,将其分为两组:(1)常规牙周刮治和根面平整+控制力学;(2)常规牙周刮治和根面平整+控制力学+维持治疗。在第 0、180 和 720 天进行分析,包括菌斑指数、牙龈指数、探诊深度和临床附着水平,并评估总胆固醇及其各成分和甘油三酯。两组的临床牙周参数均有显著降低,但仅第 1 组的探诊深度无显著降低。两组的所有血液参数均有显著改善。结论:实验 720 天后,两组的临床和血液参数均有显著改善。一般来说,接受维持治疗的组在临床牙周参数方面也有更显著的改善,这表明该治疗对 2 型糖尿病合并牙周病患者非常重要和必要。