Does Periodontal Treatment in Patients with Diabetes Lower Blood Sugar Levels?

The Cochrane Oral Health Group recently published Treatment of periodontal disease for glycaemic control in people with diabetes, a systematic review examining the relationship  between periodontal treatment and glycaemic control in diabetics.

The review, which included 7 Randomized Controlled Trials concluded there is evidence of improvement in metabolic control in people with diabetes, after treating periodontal disease.

For more detail, read the full review or listen to the podcast.

More resources may be found by browsing Bibby library’s selected  list of websites on diabetes and oral health.

A bibliography of meta-analysis, RCT’s and reviews follows:

Effect of periodontal treatment on glycemic control of diabetic patients: a systematic review and meta-analysis. Diabetes Care. 2010 Feb;33(2):421-7. Teeuw WJ, Gerdes VE, Loos BG.

Short-term effects of photodynamic therapy on periodontal status and glycemic control of patients with diabetes. J Periodontol. 2009 Oct;80(10):1568-73. Al-Zahrani MS, Bamshmous SO, Alhassani AA, Al-Sherbini MM.

Periodontal treatment to improve glycaemic control in diabetic patients: study protocol of the randomized, controlled DIAPERIO trial. Trials. 2009 Aug 2;10:65. Vergnes JN, Arrivé E, Gourdy P, Hanaire H, Rigalleau V, Gin H, Sédarat C, Dorignac G, Bou C, Sixou M, Nabet C.

Effectiveness of full-mouth and partial-mouth scaling and root planing in treating chronic periodontitis in subjects with type 2 diabetes. J Periodontol. 2009 Aug;80(8):1237-45. Santos VR, Lima JA, De Mendonça AC, Braz Maximo MB, Faveri M, Duarte PM.

The effect of periodontal therapy on serum TNF-alpha and HbA1c levels in type 2 diabetic patients. Dağ A, Firat ET, Arikan S, Kadiroğlu AK, Kaplan A.Aust Dent J. 2009 Mar;54(1):17-22.

Effect of antimicrobial periodontal treatment and maintenance on serum adiponectin in type 2 diabetes mellitus. Matsumoto S, Ogawa H, Soda S, Hirayama S, Amarasena N, Aizawa Y, Miyazaki H.J Clin Periodontol. 2009 Feb;36(2):142-8.

Relationship of Porphyromonas gingivalis with glycemic level in patients with type 2 diabetes following periodontal treatment. Oral Microbiol Immunol. 2008 Aug;23(4):348-51. Makiura N, Ojima M, Kou Y, Furuta N, Okahashi N, Shizukuishi S, Amano A.

Does periodontal care improve glycemic control? The Department of Veterans Affairs Dental Diabetes Study. J Clin Periodontol. 2007 Jan;34(1):46-52. Epub 2006 Nov 24. Jones JA, Miller DR, Wehler CJ, Rich SE, Krall-Kaye EA, McCoy LC, Christiansen CL, Rothendler JA, Garcia RI.

Does periodontal treatment improve glycemic control in diabetic patients? A meta-analysis of intervention studies. J Dent Res. 2005 Dec;84(12):1154-9. Janket SJ, Wightman A, Baird AE, Van Dyke TE, Jones JA.

Effect of non-surgical periodontal treatment with or without doxycycline on the periodontium of type 1 diabetic patients. Llambés F, Silvestre FJ, Hernández-Mijares A, Guiha R, Caffesse R.J Clin Periodontol. 2005 Aug;32(8):915-20.

The effect of improved periodontal health on metabolic control in type 2 diabetes mellitus. Kiran M, Arpak N, Unsal E, Erdoğan MF.J Clin Periodontol. 2005 Mar;32(3):266-72.

Therapy with adjunctive doxycycline local delivery in patients with type 1 diabetes mellitus and periodontitis. Martorelli de Lima AF, Cury CC, Palioto DB, Duro AM, da Silva RC, Wolff LF.J Clin Periodontol. 2004 Aug;31(8):648-53.

The effects of periodontal treatment on diabetes. J Am Dent Assoc. 2003 Oct;134 Spec No:41S-48S.  Taylor GW.

Effect of non-surgical periodontal therapy on glycemic control in patients with type 2 diabetes mellitus. J Periodontol. 2003 Sep;74(9):1361-7. Rodrigues DC, Taba MJ, Novaes AB, Souza SL, Grisi MF.

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