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Periodontal treatment and HbA1c levels in subjects with diabetes mellitus

Altamash, M. (author)
Division of Periodontology, Department of Dental Medicine, Altamash Institute of Dental Medicine, Karachi, Pakistan; Division of Periodontology, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden
Klinge, Björn (author)
Karolinska Institutet,Malmö högskola,Odontologiska fakulteten (OD),Division of Periodontology, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden
Engström, P. -E (author)
Karolinska Institutet
 (creator_code:org_t)
2015-08-30
2016
English.
In: Journal of Oral Rehabilitation. - : John Wiley & Sons. - 1365-2842 .- 0305-182X. ; 43:1, s. 31-38
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • It has earlier been reported that individuals with poorly controlled diabetes have severe periodontal disease (PD) compared to well-controlled diabetes. This longitudinal interventional study compared periodontal treatment outcomes with HbA1c level changes in four groups of diabetic and non-diabetic patients with or without PD, respectively. HbA1c, bleeding on probing (BOP), plaque index and periodontal pocket depth (PPD) 4 < 6 mm and >= 6 mm were recorded at baseline to 3 months after non-surgical treatment and 3-6 months for surgical treatment in subjects with or without T2D, and with or without PD. A total of 129 patients were followed from baseline to 6 months. Diabetics with PD and without PD showed reductions in HbA1c levels with a mean value of 0.3% after 3 months and mean values of 1% and 0.8%, respectively, after 6 months. Diabetics with PD showed higher levels of BOP versus non-diabetics without PD (P < 0.01) and versus diabetics without PD (P < 0.05) at baseline. After 6 months, diabetics with PD showed higher number of PPD 4 < 6 mm versus diabetics without PD (P < 0.01) and non-diabetics with PD (P < 0.01). Diabetics without PD showed higher levels of PPD 4 < 6 mm versus non-diabetics without PD (P < 0.01). Surgical and non-surgical periodontal treatment in all groups improved periodontal inflammatory conditions with a decrease in HbA1c levels in a period of three and 6 months. No change was seen in the number of pockets PPD 4 < 6 mm in diabetic subjects with PD after non-surgical and surgical treatment.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Odontologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Dentistry (hsv//eng)

Keyword

dental plaque indexes
gingival bleeding on probing
HbA1c
periodontal
disease
type 2 diabetes mellitus

Publication and Content Type

ref (subject category)
art (subject category)

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By the author/editor
Altamash, M.
Klinge, Björn
Engström, P. -E
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MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Dentistry
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Journal of Oral ...
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Malmö University
Karolinska Institutet

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