This update of a 2010 Cochrane review found low quality evidence that periodontal treatment involving scaling and root planing does improve glycaemic control in people with diabetes, with a mean percentage reduction in HbA1c of 0.29% at 3-4 months, but there is insufficient evidence to demonstrate that this is maintained after 4 months.
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This is the most recent review of the link between periodontal treatment and glycaemic control in diabetic. In included 10 trials involving 1135 patients and found and improvement in Hb1Ac levels at 3 months but not at 6 months.
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The link between depression and diabetes mellitus (DM) is well established. Around 20% of patients with DM meet diagnostic criteria for depression. The National Institute for Health and Care Excellence (NICE) issued guidance impressing the importance of diagnosing and treating depression in long-term conditions such as DM (NICE, 2009). However, depression in the presence of [read the full story…]
Many have suggested a two-way relationship between periodontitis and diabetes mellitus. Poor glycaemic control is associated with an increase risk of periodontal disease and in 2010 a Cochrane review (Simpson et al) estimated a 0.4% reduction of HbA1c associated with periodontal treatment. At that time Simpson et al noted that there were only a small [read the full story…]
There have been a number of studies including a recent Cochrane review which have looked at the impact of periodontal treatment on glycaemic control in diabetics. The aim of this study was to investigate the effects of nonsurgical periodontal therapy on metabolic control in Type 2 diabetes mellitus (DM2) Forty patients with DM2 and chronic [read the full story…]
