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2型糖尿病合并广泛性牙周炎患者非手术牙周治疗前后糖化血红蛋白(HbA1c)水平变化的研究

A study on the change in HbA1c levels before and after non-surgical periodontal therapy in type-2 diabetes mellitus in generalized periodontitis.

作者信息

Munjal Akshay, Jain Yashika, Kote Sowmya, Krishnan Vineesh, Fahim Rafi, Metha Samruddhi Swapnil, Passi Deepak

机构信息

Department of Periodontology, World College of Medical Sciences and Research Hospital, Jhajjar, Haryana, India.

Public Health Dentistry, KGF College of Dental Sciences, Bangalore, Karnataka, India.

出版信息

J Family Med Prim Care. 2019 Apr;8(4):1326-1329. doi: 10.4103/jfmpc.jfmpc_105_19.

Abstract

AIM

The aim of this study was to evaluate and investigate changes in HbA1c levels before and after non-surgical periodontal therapy in type-2 diabetes mellitus patients with generalized periodontitis.

MATERIALS AND METHODS

A statistically significant number of type-2 diabetes mellitus subjects diagnosed with chronic generalized periodontitis were included in the study. The selected subjects were randomly allocated to 2 groups. Group 1: Control group: Subjects who received only scaling and root planning. Group 2: Test group: Subjects received antibiotic coverage with non-surgical periodontal therapy (scaling and root planning). Clinical parameters included plaque index, gingival index, PRO MIG pocket depth, and clinical attachment level. In addition, the metabolic parameters were recorded at the same time intervals, which included fasting blood sugar, random blood sugar, and HbA1c levels.

STATISTICAL ANALYSIS

ANOVA test was applied to the parameters.

RESULTS

HbA1c more significantly reduced by test group compared to the other group. Conclusion: there is definitely a positive effect of nonsurgical on HbA1c levels in type 2 diabetes mellitus. This point levels significantly reduced after conventional non-surgical periodontal therapy.

CONCLUSION

There is definitely a positive effect of non-surgical periodontal therapy on HbA1c levels in type 2 diabetes patients with chronic periodontitis.

摘要

目的

本研究旨在评估和调查患有广泛性牙周炎的2型糖尿病患者在非手术牙周治疗前后糖化血红蛋白(HbA1c)水平的变化。

材料与方法

本研究纳入了统计学上显著数量的被诊断为慢性广泛性牙周炎的2型糖尿病患者。所选受试者被随机分为2组。第1组:对照组:仅接受龈上洁治和根面平整的受试者。第2组:试验组:接受非手术牙周治疗(龈上洁治和根面平整)并使用抗生素的受试者。临床参数包括菌斑指数、牙龈指数、牙周袋探诊深度和临床附着水平。此外,在相同时间间隔记录代谢参数,包括空腹血糖、随机血糖和HbA1c水平。

统计分析

对各项参数应用方差分析测试。

结果

试验组的HbA1c水平相比另一组降低得更显著。结论:非手术治疗对2型糖尿病患者的HbA-1c水平肯定有积极作用。在进行常规非手术牙周治疗后,该指标水平显著降低。

结论

非手术牙周治疗对患有慢性牙周炎的2型糖尿病患者的HbA1c水平肯定有积极作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8e5/6510074/8b45f680a9df/JFMPC-8-1326-g001.jpg

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