TISSUE RESPONSE OF TYPE 2 DIABETICS TOWARDS NON-SURGICAL PERIODONTAL THERAPY: A RETROSPECTIVE, COMPARATIVE STUDY WITH NON-DIABETICS - A PRELIMINARY INVESTIGATION

D. Swaminathan, Goh Yc, S. Lau, A. Ramanathan
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Abstract

The purpose of this study was to assess the tissue response of Type 2 diabetic subjects towards non surgical periodontal therapy as compared with matched, non-diabetic subjects. This was a retrospective, comparative study using periodontal case notes of 40 subjects attending undergraduates’ periodontal clinics (20 diabetics, 20 non-diabetics), who were selected based on the inclusion and exclusion criteria. Response towards non surgical periodontal therapy was assessed through three clinical periodontal parameters, namely plaque score, gingivitis score and number of periodontal pocket ≥5mm at the baseline and after initial non surgical periodontal therapy. Data obtained was then analyzed by SPSS Version 12. Both diabetic and non-diabetic subjects showed significant improvements (p-value = 0.021; 0.000; 0.001 and 0.010; 0.014; 0.001) in all three parameters after the therapy. However, when comparison was made between the two groups, there was no significant difference (p-value = 0.913; 0.892 and 0.903) in any of the parameters. Periodontal conditions improved clinically in both diabetic and non-diabetic subjects after non-surgical periodontal therapy. Therefore, both groups responded similarly towards the therapy and thus it can be postulated that well-controlled diabetic status does not have a significant effect on the outcome of periodontal therapy.
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2型糖尿病患者对非手术牙周治疗的组织反应:一项与非糖尿病患者的回顾性比较研究-初步调查
本研究的目的是评估2型糖尿病患者与匹配的非糖尿病患者相比,对非手术牙周治疗的组织反应。这是一项回顾性的比较研究,使用40名在本科生牙周门诊就诊的受试者的牙周病例记录(20名糖尿病患者,20名非糖尿病患者),他们是根据纳入和排除标准选择的。通过三个临床牙周参数,即牙菌斑评分、牙龈炎评分和牙周袋≥5mm的数量,在基线和初始非手术牙周治疗后评估对非手术牙周治疗的反应。然后用SPSS Version 12对所得数据进行分析。糖尿病和非糖尿病受试者均有显著改善(p值= 0.021;0.000;0.001和0.010;0.014;0.001)。但两组比较,差异无统计学意义(p值= 0.913;0.892和0.903)。糖尿病和非糖尿病患者在接受非手术牙周治疗后,其牙周状况均有改善。因此,两组对治疗的反应相似,因此可以假设控制良好的糖尿病状态对牙周治疗的结果没有显着影响。
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