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DOI

10.1016/j.jds.2019.01.009

First Page

171

Last Page

177

Abstract

Backgound / Purpose: Diabetes Mellitus (DM) is a group of metabolic diseases and many studies have reported a relationship between DM and periodontitis. However, only few studies report that oral hygiene instructions (OHIs) improve glycemic control in type 2 diabetes mellitus (T2DM). This study aims to investigate the OHIs effects of on glycemic control and oral malodor in patients with T2DM patients.Materials and methods: Twenty-one patients with T2DM were examined for probing pocket depth (PPD), bleeding on probing (BOP), and plaque control record (PCR) and lactoferrin (Lf), alpha 1-antitrypsin (AT), and aspartate aminotransferase (AST) levels in the gingival crevicular fluid. Volatile sulfur compounds (VSCs), organoleptic scoring (OLS), breath acetone concentration, fasting plasma glucose (FPG) level, and glycated hemoglobin (HbA1c) level were determined. All measurements were assessed at baseline (BL), 1, 3, and 6 months. Results: Twenty patients completed the study. PPD% at 4–5 mm significantly decreased at 6 months after BL. Moreover, PCR was significantly improved at 1, 3, and 6 months. Lf and AST levels were significantly reduced at 3 and 6 months. AT was significantly reduced at 6 months. OLS and breath acetone concentration and FPG levels did not significantly decrease, but VSCs significantly improved at 6 months. Mean HbA1c level decreased by 0.2% at 6 months, but the statistically significant difference was not detected.Conclusion: OHIs in patients with T2DM potentially improved HbA1c level and oral malodor by control of periodontal inflammation.

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