Gisele Maria Campos Fabri; Paulo Sérgio Rangel D’Alleva; Simão Augusto Lottemberg; Cynthia Savioli; Mariana Yumi Takahashi Puerta & José Tadeu Tesseroli de Siqueira
Summary
The aim of this study was to evaluate the periodontal condition and the metabolic control of patients with diabetes mellitus type 2. Patients with diabetes mellitus type 2 were evaluated pre- and post (30 days) treatment of the periodontitis through the following exams: glycemia, glycosylated hemoglobin, plaque index, gingival bleeding index and periodontal pocket depth index. Periodontal treatment consisted of: Scaling, root planning and plaque control, associated with systemic antibiotic therapy with amoxicillin. Seventeen patients (12 women and 5 men; mean age = 55.94 years) were included. The chief complaints were: gingival bleeding (n=13); gingival pain (n=8), tooth mobility (n=3), gingival swelling (n=2) and halitosis (n=2). The mean time of these complaints ranged from 2 months to 20 years. None of them had ever received guidance on oral hygiene or dental assessment. There was a reduction in the following indexes (30 days after the periodontal treatment): plaque, from 41.79±24% to 12.26±13%) (p≤0.0005), gingival bleeding from 51.58±25%) to 15.77±15% (p≤0.0005), periodontal pocket depth from 0.98±0.91 mm to 1.76±0.63 mm) (p≤0.0005). In 15 patients there was a reduction in the glycosylated hemoglobin (10.85±3.03% to 8.72±1.68%) (p≤0.0005). This preliminary study shows that patients of this sample had chronic and severe periodontal disease; there was a reduction in the glycosylated hemoglobin levels, but not of glycemia, 30 days after periodontal treatment. Long-standing studies are necessary; however patients with diabetes mellitus need control of chronic infections, including periodontal disease.
KEY WORDS: periodontal disease, diabetes mellitus, metabolic control.
How to cite this article
FABRI, G. M. C.; D’ALLEVA, P. S. R.; LOTTEMBERG, S. A.; SAVIOLI, C.; PUERTA, M. Y. T. & SIQUEIRA, J. T. T. Periodontitis and metabolic control: A preliminary study. Int. J. Odontostomat., 8(2):273-277, 2014.