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Improvement of periodontal parameters following intensive diabetes care and supragingival dental prophylaxis in patients with type 2 diabetes: A prospective cohort study.
Mizutani, Koji; Minami, Isao; Mikami, Risako; Kido, Daisuke; Takeda, Kohei; Nakagawa, Keita; Takemura, Shu; Saito, Natsumi; Kominato, Hiromi; Sakaniwa, Eri; Konuma, Kuniha; Izumi, Yuichi; Ogawa, Yoshihiro; Iwata, Takanori.
Afiliación
  • Mizutani K; Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
  • Minami I; Department of Molecular Endocrinology and Metabolism, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
  • Mikami R; Department of Endocrinology, Yokohama City Minato Red Cross Hospital, Yokohama, Japan.
  • Kido D; Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
  • Takeda K; Department of General Dentistry, Tokyo Medical and Dental University Hospital, Tokyo, Japan.
  • Nakagawa K; Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
  • Takemura S; Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
  • Saito N; Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
  • Kominato H; Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
  • Sakaniwa E; Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
  • Konuma K; Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
  • Izumi Y; Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
  • Ogawa Y; Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
  • Iwata T; Oral Care Periodontics Center, Southern Tohoku General Hospital, Fukushima, Japan.
J Clin Periodontol ; 51(6): 733-741, 2024 06.
Article en En | MEDLINE | ID: mdl-38449337
ABSTRACT

AIM:

This study aimed to investigate the effects of diabetes care on periodontal inflammation. MATERIALS AND

METHODS:

This prospective cohort study included 51 Japanese patients with type 2 diabetes who underwent intensive diabetes care including educational hospitalization and regular outpatient treatment for 6 months. Dental prophylaxis without subgingival scaling was provided three times during the observational period. Associations between changes in periodontal parameters and glycaemic control levels were evaluated using multiple regression analysis.

RESULTS:

Overall, 33 participants (mean age 58.7 ± 12.9) were followed up for 6 months. At baseline examination, 82% were diagnosed with Stage III or IV periodontitis. Haemoglobin A1c (HbA1c) level changed from 9.6 ± 1.8% at baseline to 7.4 ± 1.3% at 6 months. The ratio of probing pocket depth (PPD) ≥4 mm, bleeding on probing (BOP), full-mouth plaque control record (PCR), periodontal epithelial surface area (PESA) and periodontal inflamed surface area (PISA) also significantly improved. The reduction in PPD and PESA was significantly associated with changes in both HbA1c and fasting plasma glucose (FPG) levels, and the reduction in PISA was significantly associated with an improvement in FPG after adjusting for smoking, change in body mass index and full-mouth PCR.

CONCLUSIONS:

This is the first study to report a significant improvement in PPD and BOP after intensive diabetes care and dental prophylaxis without subgingival scaling. CLINICAL TRIAL REGISTRATION NUMBER UMIN000040218.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hemoglobina Glucada / Índice Periodontal / Profilaxis Dental / Diabetes Mellitus Tipo 2 Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Clin Periodontol Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hemoglobina Glucada / Índice Periodontal / Profilaxis Dental / Diabetes Mellitus Tipo 2 Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Clin Periodontol Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos