Having Poorly and Well Controlled Type 2 Diabetes with Chronic Periodontitis: a 3-month evaluation

Year 2010, Volume: 12 Issue: 1, 15 - 21, 01.03.2010

Ela Tules Fırat Ali Kemal Kadiroğlu Ahmet Dağ

Abstract

Aim: To evaluate the effect of nonsurgical periodontal therapy on serum C-reactive protein(CRP), interlökin-6 (IL-6) levels and periodontal parameters in patients with poorly and wellcontrolled type 2 diabetes with chronic periodontitis.Methods: Forty-five patients were included in the study. Of the 45, 30 had type 2 diabetesmellitus with chronic periodontitis (group 1A; poorly controlled group, n = 15, HbA1c ≥ 7%and group 1B; well controlled group, n = 15, HbA1c < 7%) and 15 were systemically healthy(group 2) with chronic periodontitis. Plaque index, gingival index, probing depth, clinicalattachment loss, gingival bleeding index scores, serum CRP and IL-6 concentrations weremeasured at baseline and 3 months after the nonsurgical periodontal therapy. Results: After the nonsurgical periodontal therapy all periodontal parameters and CRP and IL6 levels decreased significantly by the third month compared to baseline values in all groups.No statistically significant difference was determined among the groups between baseline andthird-month periodontal parameters, or in CRP or IL-6 levels after nonsurgical periodontaltherapy. Conclusion: Improvement in periodontal health is effective on control of systemic infectionvia reducing serum concentrations of CRP and IL-6 in patients with poorly and well controlledtype 2 diabetes with chronic periodontitis. The effects of nonsurgical periodontal treatmentseems to be independent of the degree of diabetic status

Keywords

CRP, IL-6, periodontal therapy, periodontitis, type 2 diabetes mellitus

Kronik Periodontitisi Olan Kötü ve İyi Kontollü Tip 2 Diabet Hastalarında Periodontal Tedavinin Serum CRP ve IL-6 Seviyeleri Üzerine Etkisinin Değerlendirilmesi; 3 aylık bir değerlendirme

Abstract

Amaç: Kronik periodontitisi olan kötü ve iyi kontrollü tip 2 diabetik hastalarda cerrahi olmayan periodontal tedavinin serum C-reactif protein (CRP), interlökin-6 (IL-6) ve periodontal parametreler üzerine etkisinin değerlendirilmesidir. Method: Çalışmaya 45 hasta dahil edildi. 30 hasta kronik periodontitisi olan tip 2 diabet hastası idi.( grup 1A; kötü kontrollü grup, n=15, HbA1c ≥ 7% ve grup 1B; iyi kontrollü grup, n=15, HbA1c < 7%) ve 15 hasta ise kronik periodontitisi olan sistemik olarak sağlıklı hastalar (grup 2) idi. Plak indeksi, gingival indeks, cep derinliği, klinik ataçman kaybı, gingival kanama skorları, serum CRP ve IL-6 konsantrasyonları başlangıçta ve cerrahi olmayan periodontal tedaviden 3 ay sonra ölçüldü. Bulgular: Bütün gruplarda cerrahi olmayan periodontal tedaviden 3 ay sonra başlangıca göre tüm periodontal parametrelerde, serum CRP ve IL-6 seviyelerinde anlamlı azalma elde edildi. Grupların başlangıç ve 3. ay değerleri karşılaştırıldığında ise periodontal parametreler ile serum CRP ve IL-6 seviyelerinde herhangi bir fark tespit edilmedi. Sonuç: Kötü ve iyi kontrollü tip 2 diabetik hastalardaki periodontal iyileşme, serum CRP ve IL-6 konsantrasyonlarında azalmaya neden olarak sistemik infeksiyonun kontrol altına alınmasında etkilidir. Cerrahi olmayan periodontal tedavinin etkisinin diabetik durumun derecesinden bağımsız olduğu görülmektedir.

Keywords

CRP, IL-6, periodontal tedavi, periodontitis, tip 2 diabetes mellitus.

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