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

机译:二极管激光应用在牙周治疗慢性牙周炎患者的牙周治疗中的长期效应评价

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Abstract 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.
机译:摘要目的本研究旨在探讨二极管激光(DL)的影响外,除了牙周参数,全身炎症反应和血清血红蛋白A 1C(HBA 1C)水平患者中患者患者患者,患者患者患者,患者2型糖尿病患者( T2DM)和慢性牙周炎。方法治疗T2DM控制不良,慢性牙周炎的37例患者完成了这项研究。患者分为两组。对照组中的个体除了缩放和根刨外,还接受了安慰剂激光治疗(SRP)。除了SRP之外,研究组中的个人收到了DL(1?WATT)。在治疗前进行临床指标测量,治疗后3?治疗后的30个月(T1)和6个月(T2)。测量斑块指数,牙龈指数,出血,临床附着水平和探测深度测量以确定牙周地位。还使用血样分析HBA1 C和C-反应蛋白(CRP)水平。与基线相比,在T1和T2中导致临床和实验室参数显着改善(p≤≤0.05)。在SRP + DL组处理后,在SRP + DL组中探测和探测深度的出血比在SRP组中更显着降低(P≤0.05)。血清CRP和HBA 1C水平在基团之间相似(P?& 0.05)。结论DL除了T2DM个体牙周治疗中的SRP除了SRP之外,对局部炎症的减少和牙周愈合的持续贡献。另一方面,它对全身炎症反应和血糖控制没有有益的影响。

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