Effect of two periodontal treatment modalities in patients with uncontrolled type 2 diabetes mellitus: A randomized clinical trial.
(Journal of Clinical Periodontology; doi: 10.1111/jcpe.12991)
Antonio J Quintero, Alejandra Chaparro, Marc Quiryne, Valeria Ramirez, Diego Prieto, Helia Morales, Pamela Prada, Macarena Hernández, Antonio Sanz
Periodontal treatment can be delivered over a short period or spread across several visits. This trial asked whether either schedule produced better blood glucose or gum outcomes in type 2 diabetes.
Ninety-three people were allocated to full-mouth treatment within twenty-four hours or treatment of different sections at separate appointments. Seventy-four completed the study. Both groups received oral care advice and follow-up support over six months.
Both schedules improved gum health. Average HbA1c changes differed numerically, but there was no statistically clear difference between the treatment schedules. Some participants with higher starting glucose had larger reductions, yet there was no untreated comparison group to separate treatment effects from other changes in diabetes care.
This study does not identify one schedule as better for blood sugar management. Practical needs, comfort, medical circumstances and the extent of dental treatment can all be part of choosing an approach. Results from participants with higher starting HbA1c do not mean everyone in that range will respond similarly. The study also cannot establish that either schedule is superior for long-term medical outcomes, because it was small and followed participants for only six months.
The most useful comparison is the difference between the treatment groups, rather than improvement within just one group. Results also depend on who took part, the comparison care and how long people were followed. A statistically uncertain difference does not prove two approaches are identical. Equally, a clear difference in a measurement may not show a lasting benefit for tooth retention or general health. These findings need to be considered alongside other trials and your individual clinical needs when discussing treatment choices.
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Periodontitis is the 6th most prevalent condition globally
Periodontitis and diabetes are bidirectionally linked
Diabetic complications are increased if you have both diseases
Successful periodontal treatment can improve blood glucose control
Periodontitis is the 6th most prevalent condition globally
Periodontitis and diabetes are bidirectionally linked
Diabetic complications are increased if you have both diseases
Successful periodontal treatment can improve blood glucose control
