Evaluation of long-term effects of diode laser application in periodontal treatment of poorly controlled type 2 diabetic patients with chronic periodontitis

Yükleniyor...
Küçük Resim

Tarih

2019

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

WILEY

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Purpose This study aimed to investigate the effects of diode laser (DL) in addition to non-surgical periodontal treatment on periodontal parameters, systemic inflammatory response and serum haemoglobin A(1c) (HbA(1c)) level in patients with poorly controlled type 2 diabetes mellitus (T2DM) and chronic periodontitis. Methods Thirty-seven patients with poorly controlled T2DM and chronic periodontitis completed this study. The patients were divided into two groups. The individuals in the control group received placebo laser treatment in addition to scaling and root planing (SRP). The individuals in the study group received DL (1 watt) in addition to SRP. Clinical index measurements were performed before treatment (T0), 3 months after treatment (T1) and 6 months after treatment (T2). Plaque index, gingival index, bleeding on probing, clinical attachment level and probing depth were measured to determine periodontal status. HbA1(c) and C-reactive protein (CRP) levels were also analysed using blood samples. Results In both groups, clinical and laboratory parameters were significantly improved at T1 and T2 compared to baseline (P < 0.05). Gingival index, bleeding on probing and probing depth were more significantly reduced after treatment in the SRP+DL group than in the SRP group (P < 0.05). The serum CRP and HbA(1c) levels were similar between the groups (P > 0.05). Conclusion The use of DL in addition to SRP in periodontal treatment of T2DM individuals makes positive contribution to the reduction of local inflammation and to periodontal healing. On the other hand, it has no beneficial effects on systemic inflammatory response and glycaemic control.

Açıklama

Anahtar Kelimeler

chronic periodontitis, C-reactive protein, diabetes mellitus, glycated haemoglobin A, laser therapy

Kaynak

INTERNATIONAL JOURNAL OF DENTAL HYGIENE

WoS Q Değeri

Q4

Scopus Q Değeri

Q1

Cilt

17

Sayı

4

Künye

Dengizek Eltas, S., Gursel, M., Eltas, A., Alptekin, N. O., Ataoglu, T. (2019). Evaluation of Long‐Term Effects of Diode Laser Application in Periodontal Treatment of Poorly Controlled Type 2 Diabetic Patients with Chronic Periodontitis. International Journal of Dental Hygiene, 17(4), 292-299.