Type II Diabetes. Does nonsurgical periodontal therapy improve glycemic control in patientes?

Introduction: Periodontal disease is a condition in which protective or supportive tissues of the tooth are affected by chronic inflammation caused by pathogens. This condition may be modified or associated with systemic diseases such as type 2 diabetes mellitus (T2DM). Objective: To evaluate the ef...

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Principais autores: Teixeira, Alessandra, Maciel, Euler
Formato: Online
Idioma:por
Publicado em: Portal de Periódicos Eletrônicos da UFRN
Endereço do item:https://periodicos.ufrn.br/rcp/article/view/33234
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id oai:periodicos.ufrn.br:article-33234
record_format ojs
institution Periódicos UFRN
collection Portal de Pediódicos Eletrônicos da UFRN
language por
format Online
author Teixeira, Alessandra
Maciel, Euler
spellingShingle Teixeira, Alessandra
Maciel, Euler
Type II Diabetes. Does nonsurgical periodontal therapy improve glycemic control in patientes?
author_facet Teixeira, Alessandra
Maciel, Euler
author_sort Teixeira, Alessandra
title Type II Diabetes. Does nonsurgical periodontal therapy improve glycemic control in patientes?
title_short Type II Diabetes. Does nonsurgical periodontal therapy improve glycemic control in patientes?
title_full Type II Diabetes. Does nonsurgical periodontal therapy improve glycemic control in patientes?
title_fullStr Type II Diabetes. Does nonsurgical periodontal therapy improve glycemic control in patientes?
title_full_unstemmed Type II Diabetes. Does nonsurgical periodontal therapy improve glycemic control in patientes?
title_sort type ii diabetes. does nonsurgical periodontal therapy improve glycemic control in patientes?
description Introduction: Periodontal disease is a condition in which protective or supportive tissues of the tooth are affected by chronic inflammation caused by pathogens. This condition may be modified or associated with systemic diseases such as type 2 diabetes mellitus (T2DM). Objective: To evaluate the effects of nonsurgical periodontal therapy on glycemic control in patients diagnosed with T2DM. Methodology: An integrative review was performed using randomized clinical trials indexed in PubMed, Embase, Cochrane, Web of Science, and BVS databases. The descriptors “periodontal disease treatment,” “glycemic control,” and “metabolic control” were used. Results: From the reviewed studies, six were selected for the review considering the established inclusion and exclusion criteria. Basic periodontal therapy improves glycemic control in patients with T2DM, as evidenced by analysis of glycated hemoglobin (HbA1c) and polymerase chain reaction (PCR). Therefore, based on the results of this research, nonsurgical periodontal treatment contributes to metabolic control. However, some studies contradict the effect of glycemic control in these patients, reinforcing the presence of variables that interfere with research results, such as hemoglobin levels, stage of periodontal disease, sample, diet and physical activity of patients. Conclusions: The results should be evaluated with more caution considering the potential variables present in this type of research. Finally, controlled trials should be conducted to understand better the effects of nonsurgical periodontal therapy on glycemic control in patients with T2DM. Keywords: Periodontal diseases; glycemic index; glycated hemoglobin.
publisher Portal de Periódicos Eletrônicos da UFRN
publishDate 2023
url https://periodicos.ufrn.br/rcp/article/view/33234
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AT teixeiraalessandra diabetestipoiiaterapiaperiodontalnaocirurgicapodefavorecerocontroleglicemicodopaciente
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spelling oai:periodicos.ufrn.br:article-332342023-12-27T02:49:58Z Type II Diabetes. Does nonsurgical periodontal therapy improve glycemic control in patientes? Diabetes tipo II. ¿ Puede la terapia periodontal no quirúrgica mejorar el control glicémico del paciente? DIABETES TIPO II. A TERAPIA PERIODONTAL NÃO CIRÚRGICA PODE FAVORECER O CONTROLE GLICÊMICO DO PACIENTE? Teixeira, Alessandra Maciel, Euler Introduction: Periodontal disease is a condition in which protective or supportive tissues of the tooth are affected by chronic inflammation caused by pathogens. This condition may be modified or associated with systemic diseases such as type 2 diabetes mellitus (T2DM). Objective: To evaluate the effects of nonsurgical periodontal therapy on glycemic control in patients diagnosed with T2DM. Methodology: An integrative review was performed using randomized clinical trials indexed in PubMed, Embase, Cochrane, Web of Science, and BVS databases. The descriptors “periodontal disease treatment,” “glycemic control,” and “metabolic control” were used. Results: From the reviewed studies, six were selected for the review considering the established inclusion and exclusion criteria. Basic periodontal therapy improves glycemic control in patients with T2DM, as evidenced by analysis of glycated hemoglobin (HbA1c) and polymerase chain reaction (PCR). Therefore, based on the results of this research, nonsurgical periodontal treatment contributes to metabolic control. However, some studies contradict the effect of glycemic control in these patients, reinforcing the presence of variables that interfere with research results, such as hemoglobin levels, stage of periodontal disease, sample, diet and physical activity of patients. Conclusions: The results should be evaluated with more caution considering the potential variables present in this type of research. Finally, controlled trials should be conducted to understand better the effects of nonsurgical periodontal therapy on glycemic control in patients with T2DM. Keywords: Periodontal diseases; glycemic index; glycated hemoglobin. Introducción: La enfermedad periodontal es una condición en la cual los tejidos protectores o de soporte del diente se ven afectados por una inflamación crónica causada por patógenos. Esta condición puede modificarse o asociarse a enfermedades sistémicas como la diabetes mellitus tipo 2 (DM2). Objetivo: Evaluar los efectos de la terapia periodontal no quirúrgica en el control glucémico en pacientes diagnosticados con DM2.  Metodología: Se realizó una revisión integradora utilizando ensayos clínicos aleatorizados indexados en las bases de datos de PubMed, Embase, Cochrane, Web of Science y BVS. Se utilizaron los descriptores “tratamiento de enfermedades periodontales”, “control glucémico” y “control metabólico”. Resultados: De los estudios revisados, se seleccionaron seis para la revisión, considerando los criterios de inclusión y exclusión establecidos. La terapia periodontal básica mejora el control glucémico en pacientes con DM2, como se evidencia en el análisis de la hemoglobina glicosilada (HbA1c) y la reacción en cadena de la polimerasa (PCR). Por lo tanto, basándose en los resultados de esta investigación, el tratamiento periodontal no quirúrgico contribuye al control metabólico. Sin embargo, algunos estudios contradicen el efecto del control glucémico en estos pacientes, lo que refuerza la presencia de variables que interfieren en los resultados de la investigación, como los niveles de hemoglobina, el estadio de la enfermedad periodontal, la muestra, la dieta y la actividad física de los pacientes. Conclusiones: Los resultados deben evaluarse con mayor precaución, considerando las posibles variables presentes en este tipo de investigación. Por último, se deben realizar ensayos controlados para comprender mejor los efectos de la terapia periodontal no quirúrgica en el control glucémico en pacientes con DM2. Palabras clave: Enfermedades periodontales; índice glucémico; hemoglobina glucada. Introdução: A doença periodontal corresponde à condição que acomete os tecidos de proteção e/ou suporte do dente através de uma inflamação crônica causada por patógenos. Esta condição pode ser modificada ou associada às doenças sistêmicas, como por exemplo, o diabetes mellitus tipo II (DM2). Objetivo: Avaliar quais os efeitos da terapia periodontal não cirúrgica sobre o controle glicêmico de pacientes diagnosticados com DM2. Metodologia: Revisão integrativa elaborada a partir de pesquisas clínicas randomizadas indexadas nas bases de dados Pubmed, Embase, Cochrane, Web of Science e BVS, na qual foram utilizados os descritores “periodontal diseases treatment”, “glycemic control” e “metabolic control”. Resultados: Dos trabalhos avaliados, seis foram selecionados para compor a revisão, tendo em vista os critérios de inclusão e exclusão estabelecidos. Logo, é notório que a terapia periodontal básica indica melhora no controle glicêmico dos pacientes com DM2, de acordo com análise da HbA1c e PCR, portanto, com base nos resultados dessa pesquisa, o tratamento periodontal não cirúrgico parece contribuir para o controle metabólico. Apesar disso, alguns estudos se opõem ao resultado do controle glicêmico desses pacientes, reforçando a existência de variáveis que interferem nos resultados da pesquisa, como os níveis de hemoglobina, estágio da doença periodontal, amostra, dieta e atividade física dos pacientes. Conclusões: O resultado deverá ser avaliado com maior cautela, tendo em vista as possibilidades de variáveis presentes nesse tipo de pesquisa. Por fim, ensaios controlados devem ser realizados para alcançar um maior esclarecimento a respeito dos efeitos da terapia periodontal não cirúrgica no controle glicêmico de pacientes com DM2. Palavras-Chave: Doenças periodontais; índice glicêmico; hemoglobina A glicada. Portal de Periódicos Eletrônicos da UFRN 2023-12-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://periodicos.ufrn.br/rcp/article/view/33234 Revista Ciência Plural; v. 9 n. 3 (2023): Revista Ciência Plural; 1-11 2446-7286 10.21680/2446-7286.2023v9n3 por https://periodicos.ufrn.br/rcp/article/view/33234/18041 Copyright (c) 2023 Revista Ciência Plural https://creativecommons.org/licenses/by-nc-sa/4.0

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