Long-term effect of periodontal surgery on oral health and metabolic control of diabetics
Objective The objective of this study was to evaluate impact of periodontal surgery on periodontal health and on glycaemia control of type 1 and type 2 (T1DM; T2DM) diabetics with severe periodontitis, during 12 months follow-up, in comparison with non-diabetic controls. Materials and methods A tota...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Pranckeviciene, Alma [verfasserIn] Siudikiene, Jolanta [verfasserIn] Ostrauskas, Rytas [verfasserIn] Machiulskiene, Vita [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2016 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Clinical Oral Investigations - Springer-Verlag, 2001, 21(2016), 3 vom: 11. Apr., Seite 735-743 |
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| Übergeordnetes Werk: |
volume:21 ; year:2016 ; number:3 ; day:11 ; month:04 ; pages:735-743 |
| Links: |
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| DOI / URN: |
10.1007/s00784-016-1819-y |
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| 520 | |a Objective The objective of this study was to evaluate impact of periodontal surgery on periodontal health and on glycaemia control of type 1 and type 2 (T1DM; T2DM) diabetics with severe periodontitis, during 12 months follow-up, in comparison with non-diabetic controls. Materials and methods A total of 23 T1DM and 10 T2DM patients with respective number of matched non-diabetics were examined prior to, and 3, 6 and 12 months after periodontal surgery. Glycosylated haemoglobin (HbA1c) reflected control of DM. Periodontal parameters were oral debris (DI-S), probing pocket depth (PPD), clinical attachment loss (CAL) and bleeding on probing (BOP). Results Periodontal status in all diabetics improved after 3 months and remained so during follow-up: mean (SD) DI-S > 1 (T1DM 1.1(0.5)/0.9(0.7); T2DM 1.2(0.4)/0.8(0.4)), PPD >5 mm (T1DM 35.1(32.2)/5.1(7.8); T2DM 46.3(24.2)/13.0(10.9)), CAL ≥6 mm (T1DM 44.4(37.0)/24.52(27.2)); mean % BOP >50 % (T1DM 57.1(25.1)/22.8(20.8)), T2DM 59.4(20.8)/18.9(15.7)), p < 0.05. Mean HbA1c values decreased in T2DM patients after 3 months and remained stable during follow-up. No improvement of glycaemia control was observed in T1DM patients. Positive correlation between mean HbA1c and CAL changes was observed (r = 0.842, p < 0.05). Mean changes of periodontal parameters did not differ between diabetics and controls. Conclusion Periodontal surgery improved significantly periodontal status of all patients and metabolic control of T2DM patients. Clinical relevance Research findings concerning long-term effect of periodontal surgery among patients with diabetes mellitus are scarce. We found that surgical periodontal treatment positively affects periodontal health of all diabetics and improves metabolic control of type 2 DM. There is a positive correlation between clinical attachment loss and glycosylated haemoglobin levels. | ||
| 650 | 4 | |a Diabetes mellitus, type 1 |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Diabetes mellitus, type 2 |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Periodontitis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Periodontal surgery |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Siudikiene, Jolanta |e verfasserin |4 aut | |
| 700 | 1 | |a Ostrauskas, Rytas |e verfasserin |4 aut | |
| 700 | 1 | |a Machiulskiene, Vita |e verfasserin |4 aut | |
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10.1007/s00784-016-1819-y doi (DE-627)SPR007816359 (SPR)s00784-016-1819-y-e DE-627 ger DE-627 rakwb eng Pranckeviciene, Alma verfasserin aut Long-term effect of periodontal surgery on oral health and metabolic control of diabetics 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective The objective of this study was to evaluate impact of periodontal surgery on periodontal health and on glycaemia control of type 1 and type 2 (T1DM; T2DM) diabetics with severe periodontitis, during 12 months follow-up, in comparison with non-diabetic controls. Materials and methods A total of 23 T1DM and 10 T2DM patients with respective number of matched non-diabetics were examined prior to, and 3, 6 and 12 months after periodontal surgery. Glycosylated haemoglobin (HbA1c) reflected control of DM. Periodontal parameters were oral debris (DI-S), probing pocket depth (PPD), clinical attachment loss (CAL) and bleeding on probing (BOP). Results Periodontal status in all diabetics improved after 3 months and remained so during follow-up: mean (SD) DI-S > 1 (T1DM 1.1(0.5)/0.9(0.7); T2DM 1.2(0.4)/0.8(0.4)), PPD >5 mm (T1DM 35.1(32.2)/5.1(7.8); T2DM 46.3(24.2)/13.0(10.9)), CAL ≥6 mm (T1DM 44.4(37.0)/24.52(27.2)); mean % BOP >50 % (T1DM 57.1(25.1)/22.8(20.8)), T2DM 59.4(20.8)/18.9(15.7)), p < 0.05. Mean HbA1c values decreased in T2DM patients after 3 months and remained stable during follow-up. No improvement of glycaemia control was observed in T1DM patients. Positive correlation between mean HbA1c and CAL changes was observed (r = 0.842, p < 0.05). Mean changes of periodontal parameters did not differ between diabetics and controls. Conclusion Periodontal surgery improved significantly periodontal status of all patients and metabolic control of T2DM patients. Clinical relevance Research findings concerning long-term effect of periodontal surgery among patients with diabetes mellitus are scarce. We found that surgical periodontal treatment positively affects periodontal health of all diabetics and improves metabolic control of type 2 DM. There is a positive correlation between clinical attachment loss and glycosylated haemoglobin levels. Diabetes mellitus, type 1 (dpeaa)DE-He213 Diabetes mellitus, type 2 (dpeaa)DE-He213 Periodontitis (dpeaa)DE-He213 Periodontal surgery (dpeaa)DE-He213 Siudikiene, Jolanta verfasserin aut Ostrauskas, Rytas verfasserin aut Machiulskiene, Vita verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 21(2016), 3 vom: 11. Apr., Seite 735-743 (DE-627)SPR007794231 nnns volume:21 year:2016 number:3 day:11 month:04 pages:735-743 https://dx.doi.org/10.1007/s00784-016-1819-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 21 2016 3 11 04 735-743 |
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10.1007/s00784-016-1819-y doi (DE-627)SPR007816359 (SPR)s00784-016-1819-y-e DE-627 ger DE-627 rakwb eng Pranckeviciene, Alma verfasserin aut Long-term effect of periodontal surgery on oral health and metabolic control of diabetics 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective The objective of this study was to evaluate impact of periodontal surgery on periodontal health and on glycaemia control of type 1 and type 2 (T1DM; T2DM) diabetics with severe periodontitis, during 12 months follow-up, in comparison with non-diabetic controls. Materials and methods A total of 23 T1DM and 10 T2DM patients with respective number of matched non-diabetics were examined prior to, and 3, 6 and 12 months after periodontal surgery. Glycosylated haemoglobin (HbA1c) reflected control of DM. Periodontal parameters were oral debris (DI-S), probing pocket depth (PPD), clinical attachment loss (CAL) and bleeding on probing (BOP). Results Periodontal status in all diabetics improved after 3 months and remained so during follow-up: mean (SD) DI-S > 1 (T1DM 1.1(0.5)/0.9(0.7); T2DM 1.2(0.4)/0.8(0.4)), PPD >5 mm (T1DM 35.1(32.2)/5.1(7.8); T2DM 46.3(24.2)/13.0(10.9)), CAL ≥6 mm (T1DM 44.4(37.0)/24.52(27.2)); mean % BOP >50 % (T1DM 57.1(25.1)/22.8(20.8)), T2DM 59.4(20.8)/18.9(15.7)), p < 0.05. Mean HbA1c values decreased in T2DM patients after 3 months and remained stable during follow-up. No improvement of glycaemia control was observed in T1DM patients. Positive correlation between mean HbA1c and CAL changes was observed (r = 0.842, p < 0.05). Mean changes of periodontal parameters did not differ between diabetics and controls. Conclusion Periodontal surgery improved significantly periodontal status of all patients and metabolic control of T2DM patients. Clinical relevance Research findings concerning long-term effect of periodontal surgery among patients with diabetes mellitus are scarce. We found that surgical periodontal treatment positively affects periodontal health of all diabetics and improves metabolic control of type 2 DM. There is a positive correlation between clinical attachment loss and glycosylated haemoglobin levels. Diabetes mellitus, type 1 (dpeaa)DE-He213 Diabetes mellitus, type 2 (dpeaa)DE-He213 Periodontitis (dpeaa)DE-He213 Periodontal surgery (dpeaa)DE-He213 Siudikiene, Jolanta verfasserin aut Ostrauskas, Rytas verfasserin aut Machiulskiene, Vita verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 21(2016), 3 vom: 11. Apr., Seite 735-743 (DE-627)SPR007794231 nnns volume:21 year:2016 number:3 day:11 month:04 pages:735-743 https://dx.doi.org/10.1007/s00784-016-1819-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 21 2016 3 11 04 735-743 |
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10.1007/s00784-016-1819-y doi (DE-627)SPR007816359 (SPR)s00784-016-1819-y-e DE-627 ger DE-627 rakwb eng Pranckeviciene, Alma verfasserin aut Long-term effect of periodontal surgery on oral health and metabolic control of diabetics 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective The objective of this study was to evaluate impact of periodontal surgery on periodontal health and on glycaemia control of type 1 and type 2 (T1DM; T2DM) diabetics with severe periodontitis, during 12 months follow-up, in comparison with non-diabetic controls. Materials and methods A total of 23 T1DM and 10 T2DM patients with respective number of matched non-diabetics were examined prior to, and 3, 6 and 12 months after periodontal surgery. Glycosylated haemoglobin (HbA1c) reflected control of DM. Periodontal parameters were oral debris (DI-S), probing pocket depth (PPD), clinical attachment loss (CAL) and bleeding on probing (BOP). Results Periodontal status in all diabetics improved after 3 months and remained so during follow-up: mean (SD) DI-S > 1 (T1DM 1.1(0.5)/0.9(0.7); T2DM 1.2(0.4)/0.8(0.4)), PPD >5 mm (T1DM 35.1(32.2)/5.1(7.8); T2DM 46.3(24.2)/13.0(10.9)), CAL ≥6 mm (T1DM 44.4(37.0)/24.52(27.2)); mean % BOP >50 % (T1DM 57.1(25.1)/22.8(20.8)), T2DM 59.4(20.8)/18.9(15.7)), p < 0.05. Mean HbA1c values decreased in T2DM patients after 3 months and remained stable during follow-up. No improvement of glycaemia control was observed in T1DM patients. Positive correlation between mean HbA1c and CAL changes was observed (r = 0.842, p < 0.05). Mean changes of periodontal parameters did not differ between diabetics and controls. Conclusion Periodontal surgery improved significantly periodontal status of all patients and metabolic control of T2DM patients. Clinical relevance Research findings concerning long-term effect of periodontal surgery among patients with diabetes mellitus are scarce. We found that surgical periodontal treatment positively affects periodontal health of all diabetics and improves metabolic control of type 2 DM. There is a positive correlation between clinical attachment loss and glycosylated haemoglobin levels. Diabetes mellitus, type 1 (dpeaa)DE-He213 Diabetes mellitus, type 2 (dpeaa)DE-He213 Periodontitis (dpeaa)DE-He213 Periodontal surgery (dpeaa)DE-He213 Siudikiene, Jolanta verfasserin aut Ostrauskas, Rytas verfasserin aut Machiulskiene, Vita verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 21(2016), 3 vom: 11. Apr., Seite 735-743 (DE-627)SPR007794231 nnns volume:21 year:2016 number:3 day:11 month:04 pages:735-743 https://dx.doi.org/10.1007/s00784-016-1819-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 21 2016 3 11 04 735-743 |
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10.1007/s00784-016-1819-y doi (DE-627)SPR007816359 (SPR)s00784-016-1819-y-e DE-627 ger DE-627 rakwb eng Pranckeviciene, Alma verfasserin aut Long-term effect of periodontal surgery on oral health and metabolic control of diabetics 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective The objective of this study was to evaluate impact of periodontal surgery on periodontal health and on glycaemia control of type 1 and type 2 (T1DM; T2DM) diabetics with severe periodontitis, during 12 months follow-up, in comparison with non-diabetic controls. Materials and methods A total of 23 T1DM and 10 T2DM patients with respective number of matched non-diabetics were examined prior to, and 3, 6 and 12 months after periodontal surgery. Glycosylated haemoglobin (HbA1c) reflected control of DM. Periodontal parameters were oral debris (DI-S), probing pocket depth (PPD), clinical attachment loss (CAL) and bleeding on probing (BOP). Results Periodontal status in all diabetics improved after 3 months and remained so during follow-up: mean (SD) DI-S > 1 (T1DM 1.1(0.5)/0.9(0.7); T2DM 1.2(0.4)/0.8(0.4)), PPD >5 mm (T1DM 35.1(32.2)/5.1(7.8); T2DM 46.3(24.2)/13.0(10.9)), CAL ≥6 mm (T1DM 44.4(37.0)/24.52(27.2)); mean % BOP >50 % (T1DM 57.1(25.1)/22.8(20.8)), T2DM 59.4(20.8)/18.9(15.7)), p < 0.05. Mean HbA1c values decreased in T2DM patients after 3 months and remained stable during follow-up. No improvement of glycaemia control was observed in T1DM patients. Positive correlation between mean HbA1c and CAL changes was observed (r = 0.842, p < 0.05). Mean changes of periodontal parameters did not differ between diabetics and controls. Conclusion Periodontal surgery improved significantly periodontal status of all patients and metabolic control of T2DM patients. Clinical relevance Research findings concerning long-term effect of periodontal surgery among patients with diabetes mellitus are scarce. We found that surgical periodontal treatment positively affects periodontal health of all diabetics and improves metabolic control of type 2 DM. There is a positive correlation between clinical attachment loss and glycosylated haemoglobin levels. Diabetes mellitus, type 1 (dpeaa)DE-He213 Diabetes mellitus, type 2 (dpeaa)DE-He213 Periodontitis (dpeaa)DE-He213 Periodontal surgery (dpeaa)DE-He213 Siudikiene, Jolanta verfasserin aut Ostrauskas, Rytas verfasserin aut Machiulskiene, Vita verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 21(2016), 3 vom: 11. Apr., Seite 735-743 (DE-627)SPR007794231 nnns volume:21 year:2016 number:3 day:11 month:04 pages:735-743 https://dx.doi.org/10.1007/s00784-016-1819-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 21 2016 3 11 04 735-743 |
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10.1007/s00784-016-1819-y doi (DE-627)SPR007816359 (SPR)s00784-016-1819-y-e DE-627 ger DE-627 rakwb eng Pranckeviciene, Alma verfasserin aut Long-term effect of periodontal surgery on oral health and metabolic control of diabetics 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective The objective of this study was to evaluate impact of periodontal surgery on periodontal health and on glycaemia control of type 1 and type 2 (T1DM; T2DM) diabetics with severe periodontitis, during 12 months follow-up, in comparison with non-diabetic controls. Materials and methods A total of 23 T1DM and 10 T2DM patients with respective number of matched non-diabetics were examined prior to, and 3, 6 and 12 months after periodontal surgery. Glycosylated haemoglobin (HbA1c) reflected control of DM. Periodontal parameters were oral debris (DI-S), probing pocket depth (PPD), clinical attachment loss (CAL) and bleeding on probing (BOP). Results Periodontal status in all diabetics improved after 3 months and remained so during follow-up: mean (SD) DI-S > 1 (T1DM 1.1(0.5)/0.9(0.7); T2DM 1.2(0.4)/0.8(0.4)), PPD >5 mm (T1DM 35.1(32.2)/5.1(7.8); T2DM 46.3(24.2)/13.0(10.9)), CAL ≥6 mm (T1DM 44.4(37.0)/24.52(27.2)); mean % BOP >50 % (T1DM 57.1(25.1)/22.8(20.8)), T2DM 59.4(20.8)/18.9(15.7)), p < 0.05. Mean HbA1c values decreased in T2DM patients after 3 months and remained stable during follow-up. No improvement of glycaemia control was observed in T1DM patients. Positive correlation between mean HbA1c and CAL changes was observed (r = 0.842, p < 0.05). Mean changes of periodontal parameters did not differ between diabetics and controls. Conclusion Periodontal surgery improved significantly periodontal status of all patients and metabolic control of T2DM patients. Clinical relevance Research findings concerning long-term effect of periodontal surgery among patients with diabetes mellitus are scarce. We found that surgical periodontal treatment positively affects periodontal health of all diabetics and improves metabolic control of type 2 DM. There is a positive correlation between clinical attachment loss and glycosylated haemoglobin levels. Diabetes mellitus, type 1 (dpeaa)DE-He213 Diabetes mellitus, type 2 (dpeaa)DE-He213 Periodontitis (dpeaa)DE-He213 Periodontal surgery (dpeaa)DE-He213 Siudikiene, Jolanta verfasserin aut Ostrauskas, Rytas verfasserin aut Machiulskiene, Vita verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 21(2016), 3 vom: 11. Apr., Seite 735-743 (DE-627)SPR007794231 nnns volume:21 year:2016 number:3 day:11 month:04 pages:735-743 https://dx.doi.org/10.1007/s00784-016-1819-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 21 2016 3 11 04 735-743 |
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Materials and methods A total of 23 T1DM and 10 T2DM patients with respective number of matched non-diabetics were examined prior to, and 3, 6 and 12 months after periodontal surgery. Glycosylated haemoglobin (HbA1c) reflected control of DM. Periodontal parameters were oral debris (DI-S), probing pocket depth (PPD), clinical attachment loss (CAL) and bleeding on probing (BOP). Results Periodontal status in all diabetics improved after 3 months and remained so during follow-up: mean (SD) DI-S > 1 (T1DM 1.1(0.5)/0.9(0.7); T2DM 1.2(0.4)/0.8(0.4)), PPD >5 mm (T1DM 35.1(32.2)/5.1(7.8); T2DM 46.3(24.2)/13.0(10.9)), CAL ≥6 mm (T1DM 44.4(37.0)/24.52(27.2)); mean % BOP >50 % (T1DM 57.1(25.1)/22.8(20.8)), T2DM 59.4(20.8)/18.9(15.7)), p < 0.05. Mean HbA1c values decreased in T2DM patients after 3 months and remained stable during follow-up. No improvement of glycaemia control was observed in T1DM patients. Positive correlation between mean HbA1c and CAL changes was observed (r = 0.842, p < 0.05). Mean changes of periodontal parameters did not differ between diabetics and controls. Conclusion Periodontal surgery improved significantly periodontal status of all patients and metabolic control of T2DM patients. Clinical relevance Research findings concerning long-term effect of periodontal surgery among patients with diabetes mellitus are scarce. We found that surgical periodontal treatment positively affects periodontal health of all diabetics and improves metabolic control of type 2 DM. 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long-term effect of periodontal surgery on oral health and metabolic control of diabetics |
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Long-term effect of periodontal surgery on oral health and metabolic control of diabetics |
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Objective The objective of this study was to evaluate impact of periodontal surgery on periodontal health and on glycaemia control of type 1 and type 2 (T1DM; T2DM) diabetics with severe periodontitis, during 12 months follow-up, in comparison with non-diabetic controls. Materials and methods A total of 23 T1DM and 10 T2DM patients with respective number of matched non-diabetics were examined prior to, and 3, 6 and 12 months after periodontal surgery. Glycosylated haemoglobin (HbA1c) reflected control of DM. Periodontal parameters were oral debris (DI-S), probing pocket depth (PPD), clinical attachment loss (CAL) and bleeding on probing (BOP). Results Periodontal status in all diabetics improved after 3 months and remained so during follow-up: mean (SD) DI-S > 1 (T1DM 1.1(0.5)/0.9(0.7); T2DM 1.2(0.4)/0.8(0.4)), PPD >5 mm (T1DM 35.1(32.2)/5.1(7.8); T2DM 46.3(24.2)/13.0(10.9)), CAL ≥6 mm (T1DM 44.4(37.0)/24.52(27.2)); mean % BOP >50 % (T1DM 57.1(25.1)/22.8(20.8)), T2DM 59.4(20.8)/18.9(15.7)), p < 0.05. Mean HbA1c values decreased in T2DM patients after 3 months and remained stable during follow-up. No improvement of glycaemia control was observed in T1DM patients. Positive correlation between mean HbA1c and CAL changes was observed (r = 0.842, p < 0.05). Mean changes of periodontal parameters did not differ between diabetics and controls. Conclusion Periodontal surgery improved significantly periodontal status of all patients and metabolic control of T2DM patients. Clinical relevance Research findings concerning long-term effect of periodontal surgery among patients with diabetes mellitus are scarce. We found that surgical periodontal treatment positively affects periodontal health of all diabetics and improves metabolic control of type 2 DM. There is a positive correlation between clinical attachment loss and glycosylated haemoglobin levels. |
| abstractGer |
Objective The objective of this study was to evaluate impact of periodontal surgery on periodontal health and on glycaemia control of type 1 and type 2 (T1DM; T2DM) diabetics with severe periodontitis, during 12 months follow-up, in comparison with non-diabetic controls. Materials and methods A total of 23 T1DM and 10 T2DM patients with respective number of matched non-diabetics were examined prior to, and 3, 6 and 12 months after periodontal surgery. Glycosylated haemoglobin (HbA1c) reflected control of DM. Periodontal parameters were oral debris (DI-S), probing pocket depth (PPD), clinical attachment loss (CAL) and bleeding on probing (BOP). Results Periodontal status in all diabetics improved after 3 months and remained so during follow-up: mean (SD) DI-S > 1 (T1DM 1.1(0.5)/0.9(0.7); T2DM 1.2(0.4)/0.8(0.4)), PPD >5 mm (T1DM 35.1(32.2)/5.1(7.8); T2DM 46.3(24.2)/13.0(10.9)), CAL ≥6 mm (T1DM 44.4(37.0)/24.52(27.2)); mean % BOP >50 % (T1DM 57.1(25.1)/22.8(20.8)), T2DM 59.4(20.8)/18.9(15.7)), p < 0.05. Mean HbA1c values decreased in T2DM patients after 3 months and remained stable during follow-up. No improvement of glycaemia control was observed in T1DM patients. Positive correlation between mean HbA1c and CAL changes was observed (r = 0.842, p < 0.05). Mean changes of periodontal parameters did not differ between diabetics and controls. Conclusion Periodontal surgery improved significantly periodontal status of all patients and metabolic control of T2DM patients. Clinical relevance Research findings concerning long-term effect of periodontal surgery among patients with diabetes mellitus are scarce. We found that surgical periodontal treatment positively affects periodontal health of all diabetics and improves metabolic control of type 2 DM. There is a positive correlation between clinical attachment loss and glycosylated haemoglobin levels. |
| abstract_unstemmed |
Objective The objective of this study was to evaluate impact of periodontal surgery on periodontal health and on glycaemia control of type 1 and type 2 (T1DM; T2DM) diabetics with severe periodontitis, during 12 months follow-up, in comparison with non-diabetic controls. Materials and methods A total of 23 T1DM and 10 T2DM patients with respective number of matched non-diabetics were examined prior to, and 3, 6 and 12 months after periodontal surgery. Glycosylated haemoglobin (HbA1c) reflected control of DM. Periodontal parameters were oral debris (DI-S), probing pocket depth (PPD), clinical attachment loss (CAL) and bleeding on probing (BOP). Results Periodontal status in all diabetics improved after 3 months and remained so during follow-up: mean (SD) DI-S > 1 (T1DM 1.1(0.5)/0.9(0.7); T2DM 1.2(0.4)/0.8(0.4)), PPD >5 mm (T1DM 35.1(32.2)/5.1(7.8); T2DM 46.3(24.2)/13.0(10.9)), CAL ≥6 mm (T1DM 44.4(37.0)/24.52(27.2)); mean % BOP >50 % (T1DM 57.1(25.1)/22.8(20.8)), T2DM 59.4(20.8)/18.9(15.7)), p < 0.05. Mean HbA1c values decreased in T2DM patients after 3 months and remained stable during follow-up. No improvement of glycaemia control was observed in T1DM patients. Positive correlation between mean HbA1c and CAL changes was observed (r = 0.842, p < 0.05). Mean changes of periodontal parameters did not differ between diabetics and controls. Conclusion Periodontal surgery improved significantly periodontal status of all patients and metabolic control of T2DM patients. Clinical relevance Research findings concerning long-term effect of periodontal surgery among patients with diabetes mellitus are scarce. We found that surgical periodontal treatment positively affects periodontal health of all diabetics and improves metabolic control of type 2 DM. There is a positive correlation between clinical attachment loss and glycosylated haemoglobin levels. |
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