Clinical resolution of periodontitis among diabetic patients with chronic periodontitis co-morbidity under medical-dental coordinated care: a preliminary study in Kuantan
Clinical resolution of periodontitis (CRP) of type-2 diabetic patients with chronic periodontitis (T2DM-PD) after receiving non-surgical periodontal treatment (NSPT) has been reported in the previous studies. This study aimed to evaluate CRP of T2DM-PD under medicaldental coordinated care (M-DCC)...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia
2017
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/60160/ http://irep.iium.edu.my/60160/ http://irep.iium.edu.my/60160/23/59790-Clinical%20Resolution%20Of%20Periodontitis%20Among%20Diabetic%20Patients.pdf |
| Summary: | Clinical resolution of periodontitis (CRP) of type-2 diabetic patients with chronic
periodontitis (T2DM-PD) after receiving non-surgical periodontal treatment (NSPT) has been
reported in the previous studies. This study aimed to evaluate CRP of T2DM-PD under medicaldental
coordinated care (M-DCC). Materials and Methods: A 6-months follow-up quasi-experimental
study was conducted among 20 subjects who received M-DCC in 2016. M-DCC included standard
diabetic care provided by medical professional from 3 health clinics and NSPT provided by
periodontal specialists from two periodontal specialist clinics. Target glycemic control achievement
(TGCA) HbA1c 6.5% was assessed at baseline and 6 months after NSPT. Clinical resolution of PD was
measured in terms of BPE, BOP %, CAL(mm), PPD(mm), PPD 4mm, PPD =4 mm and PPD 6mm at
baseline, 3 and 6 months. Paired simple t test and ANOVA F test were applied to infer clinical
resolution of periodontitis and its relation to TGCA. Results: Mean (SD) of average BPE at baseline,
3- and 6-months were 3.52(0.34), 3.12(0.33) and 3(0.45) with (p<0.05); average PPD(mm) were
3.33(0.5), 3.23(0.75) and 2.73(0.57) with (p<0.05); PPD(%) 4mm were 71.03(12.33), 82.77(9.9) and
85.85 (8.9) with (p<0.05); PPD(%) =4 mm were 27.94(11.9), 16.97(10.01) and 13.71(9.1) with
(p<0.05) ; PPD(%) 6mm were 8.04(4.32), 2.66(2.3) and 1.87(2.32) with (p<0.05). Significant
resolution of BPE, CAL(mm) and PPD(mm) was noticed among two subjects who has changed from
uncontrolled TGCA to controlled TGCA. Conclusion(s): CRP and TGCA results have verified the
effectiveness of M-DCC. A further clinical control trial with adequate sample size needs to confirm
the results of the present study. |
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