Clinical observation of different methods in the treatment of elderly patients with periodontal disease with type 2 diabetes / 中国基层医药

ABSTRACT

Objective To explore the clinical effects of different methods in the treatment of elderly patients with periodontal disease complicated with type 2 diabetes.Methods 60 elderly patients with periodontal disease complicated with type 2 diabetes were divided into 3 groups according to random number table method,each group in 20cases.Group A was treated periodontal disease and diabetes at the same time;Group B was given education work of periodontal disease,diabetes and oral health on the basis of group A;Group C received the laser adjuvant therapy on the basis of group A.The therapeutic effect,periodontal probing depth (PPD) and clinical attachment level (CAL) were observed.Results The effective rates of group A,group B,group C were 70％,80％,95％.Compared with group A,the effective rate of group B and group C increased significantly,the differences were statistically significant (x2 =6.458,P =0.004,x2 =5.361,P =0.001).The effective rate of group C was significantly higher compared with group B,the difference was statistically significant(x2 =8.264,P =0.000).3 months after treatment,the PPD and CAL of group A were (5.98 ± 0.36) mm,(1.46 ± 0.41) mm,respectively,which of group B were (3.01 ± 0.12) mm,(0.61 ± 0.16) mm,respectively,which of group C were (4.98 ± 0.45) mm,(0.93 ± 0.13) mm,respectively.Three months after treatment,the PPD and CAL of group B and group C were significantly reduced.Compared with group B after treatment,the PPD and CAL of group C significantly improved,the differences were statistically significant (t =3.689,P=0.005,t =6.358,P =0.000).Conclusion Education work of periodontal disease,diabetes and oral health and laser in the treatment of type 2 diabetes in elderly patients with periodontitis has obvious therapeutic effect,which is worthy of clinical application.