Role Of Periodontal Therapy On Glycemic Control-A Systematic Review

ABSTRACT

Background:Periodontitis is a term used to describe an inflammatory process ,which is initiated by the plaque biofilm that leads to the loss of periodontal attachment from adjacent alveolar bone and surface of root ultimately results in tooth loss. Although, periodontitis is bacterial infection associated with gram negative anaerobes, in recent years,a two-way correlation has been postulated between periodontitis and diabetes mellitus. It has been found that periodontal diseases may increase the severity in subjects exhibiting diabetes mellitus. Aim:The aim of the present study was role of periodontal therapy on glycemiccontrol-a systematic review. Material And Methods:A Systematic review of clinical trials assessing the relationship between DM and chronic periodontitis. Electronic search based on internet sites (From2009-2019) by MEDLINE,PubMed,Google Scholar and SCOPUSwere used.Result:On basis of this systemic review it can be concluded that non-surgical periodontal therapy is advantageous in clinical parameters and serum HbA1c levels in chronic periodontitis patients suffering from diabetes mellitus. Conclusion:Recent evidence and literature suggests that there exists a strong interconnection between DM and chronic periodontitis.Diabetic patients with periodontal disease have two chronic conditions, of which may affect each other, and require regular professionalevaluations, patient education and consistent educational reinforcement by health care providers both medical and dental.