Effect of Conventional Periodontal Treatment (Scaling and Root Planing) on Type-2 Diabetic Patient with Moderate Generalized Chronic Periodontitis: A Clinical Study

J Pharm Bioallied Sci. 2021 Jun;13(Suppl 1):S706-S710. doi: 10.4103/jpbs.JPBS_692_20. Epub 2021 Jun 5.

Abstract

Background: The aim is to assess the effect of periodontal therapy and scaling and root planing (SRP) on the metabolic control in Type 2 diabetes mellitus (DM) patients with chronic periodontitis based on the estimation of glycated hemoglobin (HbA1c).

Materials and methods: A prospective, comparative, clinical study was performed on 50 patients suffering from Type 2 DM with moderate, generalized chronic periodontitis. Type 2 moderately controlled diabetic patients with HbA1c values within the range of 6%-8% were selected. The parameters recorded were gingival index, plaque index, sulcus bleeding index, probing pocket depth, clinical attachment level, and HbA1c. The recordings were done at baseline and 6 months after SRP procedures.

Results: Reductions in all the clinical parameters were observed and were found to be statistically significant (P < 0.05).

Conclusion: SRP resulted in a statistically significant reduction in the clinical parameters and HbA1c. Hence, periodontal treatment should be included in the management of diabetic patients.

Keywords: Advanced glycation end-products; diabetes mellitus; glycated hemoglobin; inflammatory mediators; nonsurgical periodontal therapy.