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Type: Artigo de periódico
Title: Clinical And Laboratory Evaluations Of Non-surgical Periodontal Treatment In Subjects With Diabetes Mellitus.
Author: da Cruz, Gabriela Alessandra
de Toledo, Sergio
Sallum, Enilson Antonio
Sallum, Antonio Wilson
Ambrosano, Gláucia Maria Bovi
de Cássia Orlandi Sardi, Janaina
da Cruz, Sérgio Eduardo Braga
Gonçalves, Reginaldo Bruno
Abstract: The aim of this study was to evaluate the clinical and laboratory changes 3 months after full-mouth scaling and root planing in subjects with and without diabetes mellitus. This study was performed using 10 subjects with type 2 diabetes mellitus who required insulin therapy (DM) and 10 healthy adult control subjects (NDM) with generalized chronic periodontal disease. Both groups were treated with full-mouth scaling and root planing and given oral hygiene instructions. Clinical parameters, including plaque index (PI), gingival index (GI), probing depth (PD), gingival recession (GR), and clinical attachment level (CAL), were measured at four sites per tooth. Subgingival plaque samples were obtained from sites with the deepest PD (> or =5 mm) and with furcations in each subject. Samples were also tested for the presence of Aggregatibacter actinomycetemcomitans (previously Actinobacillus actinomycetemcomitans), Porphyromonas gingivalis, and Tannerella forsythia (previously T. forsythensis) by polymerase chain reaction. Glycemic control (glycosylated hemoglobin [HbA1c] and fasting glucose levels) and clinical and microbiologic assessments were recorded at baseline and 3 months after periodontal treatment. Data revealed statistical changes (P < or =0.05; analysis of variance [ANOVA]) in clinical variables (PI, GI, PD, GR, and CAL) between baseline and 3 months in both groups. Conversely, no improvement in the fasting glucose level or glycosylated hemoglobin (P < or =0.05; ANOVA) was found after treatment. Besides some reduction in the bacterial frequency 3 months after treatment, no statistically significant difference was found between the groups. Clinical and laboratory responses were similar in DM and NDM groups 3 months after full-mouth scaling and root planing.
Subject: Adult
Aggregatibacter Actinomycetemcomitans
Blood Glucose
Chronic Disease
Dental Plaque
Dental Plaque Index
Dental Scaling
Diabetes Mellitus, Type 2
Follow-up Studies
Furcation Defects
Gingival Recession
Hemoglobin A, Glycosylated
Hypoglycemic Agents
Middle Aged
Oral Hygiene
Periodontal Attachment Loss
Periodontal Diseases
Periodontal Index
Periodontal Pocket
Porphyromonas Gingivalis
Root Planing
Citation: Journal Of Periodontology. v. 79, n. 7, p. 1150-7, 2008-Jul.
Rights: fechado
Identifier DOI: 10.1902/jop.2008.070503
Date Issue: 2008
Appears in Collections:Unicamp - Artigos e Outros Documentos

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