| Summary: | 碩士 === 東海大學 === 工業工程與經營資訊學系 === 105 === The prevalence of diabetes is about 10% in Taiwan. There are seven complications derivatived from diabetes mellitus that have had causing the raise of the health insurance costs. Periodontal disease is one of the common diseases of the oral environment. According to recent studies, non-surgical periodontal treatment can help stabilize glycated hemoglobin (HbA1c)；however, there are rare related researches in Taiwan. The study data of this article was obtained from a medical center in central Taiwan. Of total 267 patients who has diabetes were asked to participate in the study, 89 patients receive full mouth non-surgical periodontal treatment as the experimental group, and the other 178 patients, not receiving periodontal treatment, were as the control group. The data of HbA1c was collected before and after periodontal treatment interval for six months in the experimental group, and for the control group, two data of HbA1c were recorded interval for six months. Patients were divided into four groups according to their age with the method of Mann-Whitney U test, which were 50 years old and under, 50-59 years old, 60-69 years old, and 70 years old and over, then separated with gender. We discovered that the data of male age under 50 experiment group had declined (P=0.013) after treatment with statistically significance. Other male groups, age 50-59 (P=0.340), age 60-69 (P=0.419), age 70 and above (P=0.226), and all the female groups, age 50 and under (P=0.434), age 50-59 (P=0.335), age 60-69 (P=0.308), age 70 and over (P=0.480), failed to show any statistically significance. According to the research, we recommend National Health Insurance Administration, Ministry of Health and Welfare promotes screening and treatment of periodontitis of male aging 50 and under. For other patients, we still need large-scale randomized clinical trials (RCTs) to ensure the effect of periodontal treatment on diabetic patients’ glycated hemoglobin.
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