The effect of intensive oral hygiene care on gingivitis and periodontal destruction in type 2 diabetic patients - PubMed (original) (raw)

Randomized Controlled Trial

. 2009 Aug 31;50(4):529-36.

doi: 10.3349/ymj.2009.50.4.529. Epub 2009 Aug 19.

Affiliations

Randomized Controlled Trial

The effect of intensive oral hygiene care on gingivitis and periodontal destruction in type 2 diabetic patients

Hee-Kyung Lee et al. Yonsei Med J. 2009.

Abstract

Purpose: This study aimed to investigate the effects of oral hygiene care by oral professionals on periodontal health in type 2 diabetes mellitus patients.

Materials and methods: Diabetic participants were recruited at a university hospital and matched at a 1:1 ratio by age and gender, and randomly allocated into intervention (40 people) and control groups (35 people). Tooth brushing instruction, oral health education, and supra-gingival scaling were implemented in all patients at baseline. This program was repeatedly conducted in intervention patients every month for 6 months, and twice at baseline and the sixth month in the control. Oral health was measured by decayed, missing, and filled teeth (DMFT), plaque index, calculus index, bleeding index, patient hygiene performance (PHP) index, tooth mobility, Russel's periodontal index, and community periodontal index (CPI). Diabetes-related factors, oral and general health behaviors, and sociodemographic factors were interviewed as other confounding factors. An analysis of covariance (ANCOVA) was used with SPSS for Windows 14.0.

Results: At baseline, there were no significant differences between the two groups in average of periodontal health (calculus index, bleeding index, Russel's periodontal index, CPI, and tooth mobility), diabetes-related factors (fasting blood glucose, postprandial blood glucose, and HbA1c), and in distribution of sociodemographic factors and health behaviors. In intervention group, plaque index, dental calculus index, bleeding index, and PHP index were reduced fairly and steadily from the baseline. There were significant differences in plaque index, dental calculus index, bleeding index, PHP index, and Russel's periodontal index between the two groups at sixth month after adjusted for baseline status.

Conclusion: Intensive oral hygiene care can persistently improve oral inflammation status and could slow periodontal deterioration.

Keywords: Dental prophylaxis; oral hygiene; periodontal diseases; type 2 diabetes mellitus.

PubMed Disclaimer

Conflict of interest statement

The authors have no financial conflicts of interest.

Figures

Fig. 1

Fig. 1

Trends of oral hygiene indices for (A) the intervention and (B) control group at follow-up periods.

Similar articles

Cited by

References

    1. Mealey BL, Oates TW American Academy of Periodontology. Diabetes mellitus and periodontal diseases. J Periodontol. 2006;77:1289–1303. - PubMed
    1. Complication of diabetes in the United States. American Diabetes Association. [Accessed in 2007. 9. 1]. Available from: https://www.diabetes.org/diabetes-statistics/complications.jsp.
    1. Emrich LJ, Shlossman M, Genco RJ. Periodontal disease in non-insulin-dependent diabetes mellitus. J Periodontol. 1991;62:123–131. - PubMed
    1. Sandler HC, Stahl SS. Prevalence of periodontal disease in a hospitalized population. J Dent Res. 1960;39:439–449. - PubMed
    1. Christgau M, Palitzsch KD, Schmalz G, Kreiner U, Frenzel S. Healing response to non-surgical periodontal therapy in patients with diabetes mellitus: clinical, microbiological, and immunologic results. J Clin Periodontol. 1998;25:112–124. - PubMed

Publication types

MeSH terms

LinkOut - more resources