Effects of nonsurgical periodontal treatment on glycated haemoglobin on type 2 diabetes patients (PARODIA 1 study): a randomized controlled trial in a sub-Saharan Africa population
Abstract Background There is a burglar association between diabetes and periodontitis. Many studies has shown that periodontitis treatment can help improving glycemic control in diabetes patients but little evidence of non-surgical treatment benefit is available in sub Saharan african diabetes patie...
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doaj-4682251fd570417480d49f091ab87e2a2020-11-24T23:47:27ZengBMCBMC Oral Health1472-68312018-02-011811810.1186/s12903-018-0479-5Effects of nonsurgical periodontal treatment on glycated haemoglobin on type 2 diabetes patients (PARODIA 1 study): a randomized controlled trial in a sub-Saharan Africa populationNadia-Flore Tsobgny-Tsague0Eric Lontchi-Yimagou1Arnel Redon Nana Nana2Aurel T. Tankeu3Jean Claude Katte4Mesmin Y. Dehayem5Charles Messanga Bengondo6Eugene Sobngwi7Department of periodontology, oral and maxillofacial surgery, Faculty of Medicine and Biomedical Sciences of The University of Yaoundé 1Diabetes Research and Training Center, Division of Endocrinology, Department of Medicine, Albert Einstein College of MedicineDepartment of periodontology, oral and maxillofacial surgery, Faculty of Medicine and Biomedical Sciences of The University of Yaoundé 1National Obesity Center, Yaoundé Central HospitalLaboratory of Molecular Medicine and Metabolism, Biotechnology Center, University of Yaoundé 1National Obesity Center, Yaoundé Central HospitalDepartment of periodontology, oral and maxillofacial surgery, Faculty of Medicine and Biomedical Sciences of The University of Yaoundé 1National Obesity Center, Yaoundé Central HospitalAbstract Background There is a burglar association between diabetes and periodontitis. Many studies has shown that periodontitis treatment can help improving glycemic control in diabetes patients but little evidence of non-surgical treatment benefit is available in sub Saharan african diabetes patients. We aimed to assess the effects of non-surgical periodontal treatment (NSPT) of chronic periodontitis on glycaemic control in poorly controlled type 2 diabetes patients (T2D) in a sub-Saharan Africa urban setting. Methods A total of 34 poorly controlled T2D patients with chronic periodontitis aged 51.4 ± 8.8 years (mean ± SD), with known duration of diabetes of 55.5 ± 42.6 months, and HbA1c of 9.3 ± 1.3% were randomly assigned to two groups. The treatment group (Group 1, n = 17) received immediate ultrasonic scaling, scaling and root planning along with subgingival 10% povidone iodine irrigation, whereas the control group (Group 2, n = 17) was assigned to receive delayed periodontal treatment 3 months later. Pharmacological treatment was unchanged and all participants received the same standardized education session on diabetes management and dental hygiene. The primary outcome was the 3-month change in HbA1c from baseline. Plaque index (PI), gingival bleeding index (GBI), pocket depth (PD), clinical attachment loss (CAL) were also assessed prior to, at 6 and 12 weeks after enrolment. Results Two subjects in each group were excluded from the study. Data were analyzed on thirty patients (15 per group). Non-surgical periodontal treatment with education for better dental hygiene (group 1) significantly improved all periodontal parameters whereas education only (group 2) improved only the plaque index among all periodontal parameters. Immediate non-surgical periodontal treatment induced a reduction of HbA1c levels by 3.0 ± 2.4 points from 9.7 ± 1.6% at baseline to 6.7 ± 2.0% 3 months after NSPT, (p ˂ 0.001) but the change was not significant in group 2, from mean 8.9 ± 0.9% at baseline vs 8.1 ± 2.6% after 3 months (p = 0.24). Conclusion Non-surgical periodontal treatment markedly improved glycaemic control with an attributable reduction of 2.2 points of HbA1c in poorly controlled T2D patients in a sub Saharan setting. Trial registration ClinicalTrials.gov Identifier: NCT02745015 Date of registration: July 17, 2016 ‘Retrospectively registered’.http://link.springer.com/article/10.1186/s12903-018-0479-5PeriodontitisDiabetesNon-surgical periodontal treatmentHbA1cInflammationGlycemic control |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nadia-Flore Tsobgny-Tsague Eric Lontchi-Yimagou Arnel Redon Nana Nana Aurel T. Tankeu Jean Claude Katte Mesmin Y. Dehayem Charles Messanga Bengondo Eugene Sobngwi |
spellingShingle |
Nadia-Flore Tsobgny-Tsague Eric Lontchi-Yimagou Arnel Redon Nana Nana Aurel T. Tankeu Jean Claude Katte Mesmin Y. Dehayem Charles Messanga Bengondo Eugene Sobngwi Effects of nonsurgical periodontal treatment on glycated haemoglobin on type 2 diabetes patients (PARODIA 1 study): a randomized controlled trial in a sub-Saharan Africa population BMC Oral Health Periodontitis Diabetes Non-surgical periodontal treatment HbA1c Inflammation Glycemic control |
author_facet |
Nadia-Flore Tsobgny-Tsague Eric Lontchi-Yimagou Arnel Redon Nana Nana Aurel T. Tankeu Jean Claude Katte Mesmin Y. Dehayem Charles Messanga Bengondo Eugene Sobngwi |
author_sort |
Nadia-Flore Tsobgny-Tsague |
title |
Effects of nonsurgical periodontal treatment on glycated haemoglobin on type 2 diabetes patients (PARODIA 1 study): a randomized controlled trial in a sub-Saharan Africa population |
title_short |
Effects of nonsurgical periodontal treatment on glycated haemoglobin on type 2 diabetes patients (PARODIA 1 study): a randomized controlled trial in a sub-Saharan Africa population |
title_full |
Effects of nonsurgical periodontal treatment on glycated haemoglobin on type 2 diabetes patients (PARODIA 1 study): a randomized controlled trial in a sub-Saharan Africa population |
title_fullStr |
Effects of nonsurgical periodontal treatment on glycated haemoglobin on type 2 diabetes patients (PARODIA 1 study): a randomized controlled trial in a sub-Saharan Africa population |
title_full_unstemmed |
Effects of nonsurgical periodontal treatment on glycated haemoglobin on type 2 diabetes patients (PARODIA 1 study): a randomized controlled trial in a sub-Saharan Africa population |
title_sort |
effects of nonsurgical periodontal treatment on glycated haemoglobin on type 2 diabetes patients (parodia 1 study): a randomized controlled trial in a sub-saharan africa population |
publisher |
BMC |
series |
BMC Oral Health |
issn |
1472-6831 |
publishDate |
2018-02-01 |
description |
Abstract Background There is a burglar association between diabetes and periodontitis. Many studies has shown that periodontitis treatment can help improving glycemic control in diabetes patients but little evidence of non-surgical treatment benefit is available in sub Saharan african diabetes patients. We aimed to assess the effects of non-surgical periodontal treatment (NSPT) of chronic periodontitis on glycaemic control in poorly controlled type 2 diabetes patients (T2D) in a sub-Saharan Africa urban setting. Methods A total of 34 poorly controlled T2D patients with chronic periodontitis aged 51.4 ± 8.8 years (mean ± SD), with known duration of diabetes of 55.5 ± 42.6 months, and HbA1c of 9.3 ± 1.3% were randomly assigned to two groups. The treatment group (Group 1, n = 17) received immediate ultrasonic scaling, scaling and root planning along with subgingival 10% povidone iodine irrigation, whereas the control group (Group 2, n = 17) was assigned to receive delayed periodontal treatment 3 months later. Pharmacological treatment was unchanged and all participants received the same standardized education session on diabetes management and dental hygiene. The primary outcome was the 3-month change in HbA1c from baseline. Plaque index (PI), gingival bleeding index (GBI), pocket depth (PD), clinical attachment loss (CAL) were also assessed prior to, at 6 and 12 weeks after enrolment. Results Two subjects in each group were excluded from the study. Data were analyzed on thirty patients (15 per group). Non-surgical periodontal treatment with education for better dental hygiene (group 1) significantly improved all periodontal parameters whereas education only (group 2) improved only the plaque index among all periodontal parameters. Immediate non-surgical periodontal treatment induced a reduction of HbA1c levels by 3.0 ± 2.4 points from 9.7 ± 1.6% at baseline to 6.7 ± 2.0% 3 months after NSPT, (p ˂ 0.001) but the change was not significant in group 2, from mean 8.9 ± 0.9% at baseline vs 8.1 ± 2.6% after 3 months (p = 0.24). Conclusion Non-surgical periodontal treatment markedly improved glycaemic control with an attributable reduction of 2.2 points of HbA1c in poorly controlled T2D patients in a sub Saharan setting. Trial registration ClinicalTrials.gov Identifier: NCT02745015 Date of registration: July 17, 2016 ‘Retrospectively registered’. |
topic |
Periodontitis Diabetes Non-surgical periodontal treatment HbA1c Inflammation Glycemic control |
url |
http://link.springer.com/article/10.1186/s12903-018-0479-5 |
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