Effect of periodontal basic treatment on inflammatory control,serum levels of inflammatory markers and glucose metabolism in patients with chronic periodontitis complicated by type 2 diabetes
Guo Zhansheng, Liu Xin, Cai Yamin. Effect of periodontal basic treatment on inflammatory control,serum levels of inflammatory markers and glucose metabolism in patients with chronic periodontitis complicated by type 2 diabetes[J]. Health Medicine Research and Practice, 2017,14(5):46-49.
Guo Zhansheng, Liu Xin, Cai Yamin. Effect of periodontal basic treatment on inflammatory control,serum levels of inflammatory markers and glucose metabolism in patients with chronic periodontitis complicated by type 2 diabetes[J]. Health Medicine Research and Practice, 2017,14(5):46-49.DOI:
Objective To assess the effect of periodontal basic treatment on the inflammatory control
serum levels of inflammatory markers and glucose metabolism in patients with chronic periodontitis complicated by type 2 diabetes.Methods Sixty patients with both chronic periodontitis and type 2 diabetes were enrolled from a Hunan hospital between May 2015 and January 2017.Using a random number table
patients were randomized into the trial group(n=30)or the control group(n=30).Patients in the trial group received routine treatment plus periodontal basic treatment
while those in the control group received routine treatment alone.The parameters reflecting the severity of periodontal inflammation and glucose metabolism as well as the serum levels of inflammatory markers were assessed and compared.Results Before treatment
the gingival bleeding index(GBI)and probing depth(PD)were similar between the two groups(P>0.05);after treatment
the GBI and PD were improved in both groups
but significantly better in the trial group compared with those in the control group(P<0.05).At baseline
the serum levels of tumor necrosis factorα(TNF-α)
hypersensitive C-reactive protein(CRP)
fasting plasma glucose(FPG)and glycosylated hemoglobin(HbA1 c)were comparable between the two groups(P >0.05);after treatment
the serum TNF-α
CRP
FPG and HbA1 clevels were reduced in both groups
but significantly lower in the trial group compared with those in the control group(P<0.05).Conclusion For patients with chronic periodontitis complicated by type 2 diabetes
periodontal basic treatment could greatly improve the periodontal status
alleviate both local and systemic inflammatory response
and facilitate glucose control
which is worthy of clinical use.
关键词
2型糖尿病慢性牙周炎炎症指标血糖代谢
Keywords
Type 2 diabetesChronic periodontitisInflammatory markersGlucose metabolism