Journal of Education and Health Promotion 2277-9531 8 12 2018 12 01 Periodontal therapy as an adjunctive modality for HbA1c reduction in type‑2 diabetic patients 1 7 27984 EN . Chalini Sundar Department of Dental Public Health, Identiti Dental Centre Departments of 2 Research Support . Sundar Ramalingam Departments of Oral and Maxillofacial Surgery, College of Dentistry, King Saud University, Riyadh, Saudi Arabia . Viswanathan Mohan Departments of Diabetes Research . Rajendra Pradeepa Departments of Diabetes Research . M. J. Ramakrishnan Departments of Dental, Dr. Mohan’s Diabetes Specialities Centre, “WHO Collaborating Centre for Non-communicable Diseases Prevention and Control, and ICMR Centre for Advanced Research on Diabetes”, Chennai, Tamil Nadu, India Journal Article 2023 02 16 OBJECTIVES: This study aimed to evaluate the role of nonsurgical periodontal therapy in improving<br />glycemic control among type 2 diabetes mellitus (T2DM) patients.<br />MATERIALS AND METHODS: Adult T2DM patients with mild‑to‑moderate periodontal disease,<br />reporting to a tertiary care diabetes center in South India, from January to June 2014, were enrolled<br />in the study. Medical management of T2DM along with diet and physical exercise was an inclusion<br />criterion. Patients with factors affecting periodontal health and an inability to follow‑up were excluded<br />from the study. All patients underwent nonsurgical periodontal therapy (scaling, root planing, and<br />irrigation of chlorhexidine [0.12%]). Periodontal status and glycated hemoglobin A1c (HbA1c) were<br />assessed preoperatively and 6 months posttreatment. Dental status, diabetic history, and demographic<br />characteristics were recorded to evaluate confounding roles.<br />RESULTS: A total of 266 T2DM patients (91 females/175 males; mean age<br />47.65  ±  5.93  years/range 25–55  years), fulfilling the inclusion criteria, were enrolled. The mean<br />pre‑ and post‑treatment HbA1c levels were respectively, 8.44 ± 1.87 and 7.98 ± 1.81, with a mean<br />reduction of 0.46 ± 0.26 (P < 0.001). Significant HbA1c reduction (P < 0.001) was observed in patients<br />with good pretreatment glycemic control (0.54 ± 0.26; 7.9%), regular follow‑up (0.51 ± 0.28; 6.2%),<br />and good oral hygiene (0.60 ± 0.49; 8.0%).<br />CONCLUSION: Nonsurgical periodontal therapy is associated with significant HbA1c reduction<br />among T2DM patients with mild‑to‑moderate periodontitis after a 6‑month follow‑up period.<br /><br /> https://jehp.mui.ac.ir/article_27984_b76f966aceb7f0ff4e1e86f4c58b0393.pdf