Healing response to non surgical periodontal therapy in patients with diabetes mellitus

Abstract

Background & AIM: Despite several investigations, evidence is still controversial regarding the effect of periodontal treatment on diabetes. This study evaluates and compares the effect on glycemic control and periodontal status with or without nonsurgical periodontal therapy in patients with type 2 diabetes mellitus and chronic periodontitis. Materials & Methods: A total of 60 patients diagnosed with diabetes and with moderate to severe periodontitis were selected. They were assigned in an alternative sequence, into test and control group. Both groups were instructed to continue with their medical treatment without modifications. Scaling and root surface debridement were performed in the test group whereas the control group received oral hygiene instructions with no treatment during the 3-month study period. Result: Reductions in all the clinical parameters were observed and were found to be statistically significant (P < 0.005). Karl-Pearson coefficient test, Z-test, and paired t-test Conclusion: This study showed that nonsurgical periodontal therapy may have a beneficial effect on HbA1c level in moderately controlled type 2 diabetic patients.