Objectives: To evaluate the decrease of Glycated Hemoglobin (HbA1c), patients affected by Type 1 Diabetes Mellitus were treated by non-surgical periodontal therapy, involving professional dental hygiene every three months and monthly checks to apply ozonated water; furthermore, to patients, were given domiciliary supply, such as “Biorepair Plus” mouthwash and “Biorepair Plus Parodontgel” paste to use daily. Materials and Methods: 36 Type 1 diabetic subjects were enlisted and randomly allocated in 2 several groups following different therapies: Group 1 followed the main therapy above mentioned; Group 2 followed only professional dental hygiene every three months and monthly checks to apply ozonated water. In each group were taken the periodontal indices (PPD, BOP and PI) monthly and, furthermore were asked to patients, to bring in vision the lasts Glycated Hemoglobin tests to evaluate the decrease of that. Both groups were followed for six months and, at the end of every operative season, the periodontal indices were prepared and summarized. Results: At the begin of the study there was initial difference between the groups in every index examined particularly the Trial Group’s HbA1c average value was 6,9% vs an initial average value equal to 7,4% of Control Group; Trial Group’s PPD average value was 2,3mm vs 2,8mm of Control Group, for BOP the average value was equal to 8,7% in Trial Group vs 6,2% of Control Group; finally the Trial Group’s IP average value was equal to 64,9% vs 54% of Control Group. In both groups we have seen a decrease of periodontal indices: the PPD passed to a value equal to 1,9mm in Trial Group, while in control group passed to a value equal to 2,5 mm; the BOP passed to a value of 3%, while passed to 1,6% in Control Group; the PI passed to 17,5% in Trial Group, while in Control Group the value passed to 39,1%; however the most important result is the decrease of Glycate Hemoglobin that has been noticed in Trial Group, indeed the average value passed to 6,4% vs the same index the remained unchanged in Control group. Conclusion: Frequent recalls of oral hygiene, associated with the use of ozonated water and home therapy with “Biorepair Plus” mouthwash and “Biorepair Plus Parodontgel” paste, it would seem to reduce the periodontal indices, which lead to reduce the Glycated Hemoglobin index.

Professional and home-management in non-surgical periodontal therapy to evaluate the percentage of glycated hemoglobin in type 1 diabetes patients

Butera A.;Lovati E.;Scribante A.;Chiesa A.;
2021

Abstract

Objectives: To evaluate the decrease of Glycated Hemoglobin (HbA1c), patients affected by Type 1 Diabetes Mellitus were treated by non-surgical periodontal therapy, involving professional dental hygiene every three months and monthly checks to apply ozonated water; furthermore, to patients, were given domiciliary supply, such as “Biorepair Plus” mouthwash and “Biorepair Plus Parodontgel” paste to use daily. Materials and Methods: 36 Type 1 diabetic subjects were enlisted and randomly allocated in 2 several groups following different therapies: Group 1 followed the main therapy above mentioned; Group 2 followed only professional dental hygiene every three months and monthly checks to apply ozonated water. In each group were taken the periodontal indices (PPD, BOP and PI) monthly and, furthermore were asked to patients, to bring in vision the lasts Glycated Hemoglobin tests to evaluate the decrease of that. Both groups were followed for six months and, at the end of every operative season, the periodontal indices were prepared and summarized. Results: At the begin of the study there was initial difference between the groups in every index examined particularly the Trial Group’s HbA1c average value was 6,9% vs an initial average value equal to 7,4% of Control Group; Trial Group’s PPD average value was 2,3mm vs 2,8mm of Control Group, for BOP the average value was equal to 8,7% in Trial Group vs 6,2% of Control Group; finally the Trial Group’s IP average value was equal to 64,9% vs 54% of Control Group. In both groups we have seen a decrease of periodontal indices: the PPD passed to a value equal to 1,9mm in Trial Group, while in control group passed to a value equal to 2,5 mm; the BOP passed to a value of 3%, while passed to 1,6% in Control Group; the PI passed to 17,5% in Trial Group, while in Control Group the value passed to 39,1%; however the most important result is the decrease of Glycate Hemoglobin that has been noticed in Trial Group, indeed the average value passed to 6,4% vs the same index the remained unchanged in Control group. Conclusion: Frequent recalls of oral hygiene, associated with the use of ozonated water and home therapy with “Biorepair Plus” mouthwash and “Biorepair Plus Parodontgel” paste, it would seem to reduce the periodontal indices, which lead to reduce the Glycated Hemoglobin index.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11571/1439256
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