Aim: Periodontitis is often associated with diabetes mellitus and may be considered one of the chronic complications of this disease. Increasing evidence indicates that periodontal disease (gingivitis and periodontitis) has an adverse effect on glycemic control and participates in the pathophysiology of complications related to type 2 diabetes mellitus. Thus, this study aimed to evaluate the influence of obesity on clinical periodontal parameters of patients with type 2 diabetes mellitus with stage II or III periodontitis grade C after conventional periodontal treatment. Methods: For this study, 36 patients, aged 25 to 65 years, were evaluated; 20 patients with type 2 diabetes mellitus and moderate to severe periodontitis (Non-Obese Group) and 16 patients with type 2 diabetes mellitus with obesity and moderate to severe periodontitis (Obese Group). These patients underwent conventional periodontal treatment and were evaluated using plaque index, probing depth, clinical attachment level, bleeding on probing and gingival crevicular fluid analysis, as well as laboratory tests of glycated hemoglobin, fasting glycemia, total cholesterol, and fractions of triglycerides. Periodontal and laboratory parameters were evaluated at baseline and six months. Results: The results showed improvements in periodontal and clinical laboratory parameters (p <0.05) in the evaluated periods; however, the non-obese group presented significantly better results when compared to the obese group. Conclusion: It can be concluded that the presence of obesity may hinder the improvement of periodontal clinical parameters after conventional periodontal treatment in patients with diabetes mellitus and periodontitis.
|Clinical Evaluation of Obesity In Patients with Type 2 Diabetes Mellitus after Periodontal Treatment: A Comparative Study Muriel Machado MarquezZampiva, ThaynáNáthallyPetry de Paula, Tito Peres Terres Neto, Karine Kiyumi Nakamura, JulioKatuhide Ueda, Patricia Oehlmeyer Nassar, Carlos Augusto Nassar||Download|
|Effect of red wine and its major components on periodontitis and systemic inflammation in rats Marcius C Wagner, Juliano Cavagni, Eduardo J Gaio, Vanessa S Brum, Luciano H Jesus, Manoel Sant’Ana Filho, Vinicius C Carrard, Gilson P Dorneles, Alessandra Peres and Cassiano K Rösing||Download|
|Association between traumatic occlusal forces and periodontitis: A systematic review Jorge Iván Campiño, Cristian Camilo Ríos, Carolina Rodríguez Medina, Javier Enrique Botero||Download|
|Clinical outcomes of root coverage with subepithelial connective tissue graft according to site specific factors – longitudinal retrospective clinical study Mariana Schutzer Ragghianti Zangrando; Luisa Andrade Valle; Vitor de Toledo Stuani; Marian Ralston Costa; Stephanie Karoline Shibuya; Carla Andreotti Damante||Download|