牙周炎伴糖尿病患者对牙周非手术治疗的疗效观察

Observations of the non-surgical treatment response on diabetic patients with chronic periodontitis

目的:观察慢性牙周炎伴糖尿病患者对牙周非手术治疗的疗效。方法:观察36例中、重度牙周炎伴糖尿病患者(DM组),其中20例血糖较高或高低波动(DM-H组),16例血糖相对较低或较稳定(DM-L组)。以28例非糖尿病慢性牙周炎患者作为对照(Non-DM组)。所有患者每个牙分6个位点,分别观察牙周治疗前及治疗后(口腔卫生指导、洁治、根面平整)1、3、6个月的菌斑指数(PlI)、牙龈指数(GI)、探针出血(BOP)、探针深度(PD)和临床附着丧失(AL)的变化。结果:牙周非手术治疗后,所有患者的牙龈炎症显著改善,牙周袋深度显著下降且牙周附着再获得。伴糖尿病及非糖尿病牙周炎患者对牙周非手术治疗的反应类似。结论:牙周炎伴糖尿病患者对牙周非手术治疗具有良好的治疗反应,糖尿病患者血糖的不同水平并不影响短期治疗反应。

PURPOSE: To observe the non-surgical treatment response on diabetic patients with chronic periodontitis. METHODS: Moderate to advanced chronic periodontitis was studied in 36 Diabetes Mellitus (DM) patients classified as 20 cases with high and fluctuating blood glucose level (DM-H) and 16 cases with relatively low and stable blood glucose level (DM-L). 28 non-DM patients with chronic periodontitis served as control (Non-DM). Plaque Index (PlI), Gingival Index (GI), Bleeding on Probing (BOP), Probing Depth (PD) and Clinical Attachment Loss (AL) of all patients were recorded at 6 sites on each tooth at the baseline and in the first, the third, the sixth month after oral hygiene instrument (OHI), scaling and root planing. RESULTS: It was found that the short-term effect of non-surgical periodontal procedure had resulted in significant resolution of gingival inflammation and pronounced reduction in pocket depth and gain of attachment loss in all patients. The treatment response was similar in both DM and Non-DM patients with chronic periodontitis. CONCLUSIONS: Non-surgical periodontal treatment allowed for favorable treatment responses in a group of diabetic patients with chronic periodontitis and that their various profiles of blood glucose did not influence the short-term healing response to the treatment.