Clinical Resolution Of Periodontitis Among Diabetic Patients With Chronic Periodontitis CoMorbidity Under Medical-Dental Coordinated Care: A Preliminary Study In Kuantan

Authors

  • Munirah Yaacob
  • Tin Myo Han
  • Razida Ismail
  • Sorayah Sidek
  • Padmini Hari
  • Mohd Aznan Md Aris
  • Iskandar Firzada Osman
  • Mahendran Thuraiappah
  • Fa'iza Abdulla
  • Than Tun Sein
  • Roslan Bin Saub

DOI:

https://doi.org/10.31436/imjm.v16i2.1062

Abstract

Introduction: Clinical resolution of periodontitis (CRP) of type-2 diabetic patients with chronic periodontitis (T2DM-PD) after receiving non-surgical periodontal treatment (NSPT) has been reported in the previous studies. This study aimed to evaluate CRP of T2DM-PD under medicaldental coordinated care (M-DCC). Materials and Methods: A 6-months follow-up quasi-experimental study was conducted among 20 subjects who received M-DCC in 2016. M-DCC included standard diabetic care provided by medical professional from 3 health clinics and NSPT provided by periodontal specialists from two periodontal specialist clinics. Target glycemic control achievement (TGCA) HbA1c 6.5% was assessed at baseline and 6 months after NSPT. Clinical resolution of PD was measured in terms of BPE, BOP %, CAL(mm), PPD(mm), PPD 4mm, PPD =4 mm and PPD 6mm at baseline, 3 and 6 months. Paired simple t test and ANOVA F test were applied to infer clinical resolution of periodontitis and its relation to TGCA. Results:  Mean (SD) of average BPE at baseline, 3- and 6-months were 3.52(0.34), 3.12(0.33) and 3(0.45) with (p<0.05); average PPD(mm) were 3.33(0.5), 3.23(0.75) and 2.73(0.57) with (p<0.05); PPD(%) 4mm were 71.03(12.33), 82.77(9.9) and 85.85 (8.9) with (p<0.05); PPD(%) =4 mm were 27.94(11.9), 16.97(10.01) and 13.71(9.1) with (p<0.05) ; PPD(%) 6mm were 8.04(4.32), 2.66(2.3) and 1.87(2.32) with (p<0.05). Significant resolution of BPE, CAL(mm) and PPD(mm) was noticed among two subjects who has changed from uncontrolled TGCA to controlled TGCA. Conclusion(s):  CRP and TGCA results have verified the effectiveness of M-DCC. A further clinical control trial with adequate sample size needs to confirm the results of the present study.

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Published

2017-12-01

How to Cite

Yaacob, M. ., Han, T. M. ., Ismail, R., Sidek, S. ., Hari, P. ., Md Aris, M. A. ., Osman, I. F., Thuraiappah, M. ., Abdulla, F. ., Sein, T. T. ., & Saub, R. B. . (2017). Clinical Resolution Of Periodontitis Among Diabetic Patients With Chronic Periodontitis CoMorbidity Under Medical-Dental Coordinated Care: A Preliminary Study In Kuantan. IIUM Medical Journal Malaysia, 16(2). https://doi.org/10.31436/imjm.v16i2.1062

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