Clinical efficacy of scaling and root planing with and witho
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Treating periodontitis through non-surgical periodontal therapy (NSPT) may improve glycemic control in type-2 Diabetes Mellitus (T2DM) patients.

This trial was conducted to assess the clinical efficacy of NSPT on glycemic control in T2DM patients. It was published by BMC Oral Health.

This three-arm randomized controlled trial recruited 150 known T2DM participants, suffering from moderate to severe periodontitis, having HbA1c level???6.5% at baseline. Participants were followed up at 3 and 6 months. Intervention for test group-1 included scaling and root planing (SRP) with metronidazole (MET) and oral hygiene instructions (OHI). Test group-2 was intervened with SRP?+?OHI and control group with OHI only. Stata v. 14 was used to observe inter and intragroup mean changes in glycemic and periodontal variables. The proportion of change in the outcome variable (HbA1c) was assessed between treatment groups.

A significant reduction was observed in bleeding on probing (BOP), periodontal pocket depth (PPD), clinical attachment loss (CAL), HbA1c, and FBG over time. Significant reductions were observed in the same variables in both test groups in comparison to the control arm. No change between the two test groups was observed.

In summary, scaling and root planing improves glycemic control of T2DM patients independently of the use of MET. Therefore, SRP after every 6 months may be suggested and included as a part of overall diabetes management for patients suffering from T2DM.

Source: https://doi.org/10.1186/s12903-021-01620-1
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