The effect of non-surgical phase therapy on fasting sugar level in Type II Diabetic patients with Generalized chronic periodontitis

Rafiya Nazir khan; Abhima kumar; Suhail Majid Jan

Volume : VIII, Issue : IV, April - 2019

The effect of non-surgical phase therapy on fasting sugar level in Type II Diabetic patients with Generalized chronic periodontitis

Rafiya Nazir Khan, Abhima Kumar, Suhail Majid Jan

Abstract :

Diabetes mellitus (DM) refers to a group of common metabolic disorders that share the phenotype of hyperglycemia.(Harrison’s).Clinically and genetically heterogeneous group of metabolic disorders manifested by abnormally high levels of glucose in the blood. (Periodontology 2000 vol.44,2007). Acute complications of Diabetes Mellitus are Hypoglycemia, Diabetic ketoacidosis (DKA) and its Chronic Complications are Microvascular (Retinopathy, Neuropathy, Nephropathy), Macrovascular (Cardiovascular disease, Cereovascular disease) and Other (Impaired wound healing, Periodontal disease).Periodontitis, now recognized as the 6th complication of diabetes mellitus acts as a risk factor for diabetic decompensation ( J Clin Periodontol 2007). The association between diabetes and periodontitis is widely accepted and is bi–directional in interaction, and the mechanism of this two way relationship is the large secretion of inflammatory mediators, among which cytokines play an important role in this shared susceptibility between the two diseases, which have shown to influence glucose and lipid metabolism and a positive relationship between poor glycaemic control in diabetics and increased periodontitis has been proven. Treatment of periodontal disease takes on added importance in the setting of diabetes for its possible effect on improving glycaemic control. Clinical treatment outcomes for non–surgical periodontal management include reduction in probing depths, gain in clinical attachment and reduction in bleeding on probing. With this background this clinical study was sought to compare the changes in fasting blood sugar of a group of patients with type II diabetes mellitus having generalized chronic periodontitis following scaling and root planing to a control group with type II diabetes mellitus having generalized chronic periodontitis not receiving periodontal therapy..