Clinical resolution of periodontitis among diabetic patients under medical-dental coordinated care: a preliminary study in Kuantan
The literature had reported the clinical resolution of periodontitis (CRP) in type-2 diabetic patients (T2DM-P) following non-surgical periodontal treatment (NSPT). However, the changes in glycemic control status during NSPT have not been presented clearly. Hence, this study was aimed to evaluate th...
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| Format: | Article |
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University of Dicle
2020
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| Online Access: | http://irep.iium.edu.my/81780/ http://irep.iium.edu.my/81780/1/48.D19_998_Munirah_Yaacob_Malaysia25.pdf http://irep.iium.edu.my/81780/7/Scopus%20-%20clinical%20resolution%20of%20periodontitis.pdf |
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| author | Yaacob, Munirah Tin, Myo Han Ismail, Razida Sidek, Sorayah Hari, Padmini Md Aris, Mohd Aznan Osman, Iskandar Firzada Thuraiappah, Mahendran Abdullah, Fa’iza Than, Tun Sein Saub, Roslan |
| author_facet | Yaacob, Munirah Tin, Myo Han Ismail, Razida Sidek, Sorayah Hari, Padmini Md Aris, Mohd Aznan Osman, Iskandar Firzada Thuraiappah, Mahendran Abdullah, Fa’iza Than, Tun Sein Saub, Roslan |
| author_sort | Yaacob, Munirah |
| building | IIUM Repository |
| collection | Online Access |
| description | The literature had reported the clinical resolution of periodontitis (CRP) in type-2 diabetic patients (T2DM-P) following non-surgical periodontal treatment (NSPT). However, the changes in glycemic control status during NSPT have not been presented clearly. Hence, this study was aimed to evaluate the CRP of T2DM-P under medical- and dental-coordinated care (M-DCC). A 6-month follow-up quasi-experimental study was conducted on 20 T2DM-P patients who underwent M-DCC in Kuantan. M-DCC, which included the standard diabetic care was administered by medical professionals at three health clinics, while NSPT by two periodontal specialists at their respective clinics. The target glycemic control achievement (TGCA), HbA1c ≤ 6.5% – was assessed at 0 and 6 months post-NSPT. Clinical resolution of PD was measured in terms of the following parameters: (1) full mouth bleeding score (FMBS); (2) clinical attachment level (CAL) (mm); (3) probing pocket depth (PPD) (mm); as well as (4) PPDs of < 4 mm, ≥ 4 mm, and ≥ 6 mm at 0, 3, and 6 months post-NSPT respectively. Paired simple t-tests and ANOVA “F” tests were performed to interpret the clinical resolution of periodontitis as well as its relationship with TGCA. Of fifteen (25%) uncontrolled T2DM-P patients, two (10%) patients achieved the TGCA (HbA1c ≤ 6.5%) at 6 months after the completion of NSPT and M-DCC. However, no significant reductions in the overall mean HbA1c values were noted. In spite of that, there were significant differences in the CRP and all periodontal parameters at baseline and 6-month follow-up. Nevertheless, there were no significant changes in the mean CAL (p > 0.05). NSPT, under M-DCC, gave rise to significant changes in the periodontal health of diabetic patients 6 months post-treatment. The effects of NSPT on HbA1c level were inconclusive. (WC:251). |
| first_indexed | 2025-11-14T17:52:42Z |
| format | Article |
| id | iium-81780 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English English |
| last_indexed | 2025-11-14T17:52:42Z |
| publishDate | 2020 |
| publisher | University of Dicle |
| recordtype | eprints |
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| spelling | iium-817802020-11-25T02:28:31Z http://irep.iium.edu.my/81780/ Clinical resolution of periodontitis among diabetic patients under medical-dental coordinated care: a preliminary study in Kuantan Yaacob, Munirah Tin, Myo Han Ismail, Razida Sidek, Sorayah Hari, Padmini Md Aris, Mohd Aznan Osman, Iskandar Firzada Thuraiappah, Mahendran Abdullah, Fa’iza Than, Tun Sein Saub, Roslan R Medicine (General) RA Public aspects of medicine RK Dentistry The literature had reported the clinical resolution of periodontitis (CRP) in type-2 diabetic patients (T2DM-P) following non-surgical periodontal treatment (NSPT). However, the changes in glycemic control status during NSPT have not been presented clearly. Hence, this study was aimed to evaluate the CRP of T2DM-P under medical- and dental-coordinated care (M-DCC). A 6-month follow-up quasi-experimental study was conducted on 20 T2DM-P patients who underwent M-DCC in Kuantan. M-DCC, which included the standard diabetic care was administered by medical professionals at three health clinics, while NSPT by two periodontal specialists at their respective clinics. The target glycemic control achievement (TGCA), HbA1c ≤ 6.5% – was assessed at 0 and 6 months post-NSPT. Clinical resolution of PD was measured in terms of the following parameters: (1) full mouth bleeding score (FMBS); (2) clinical attachment level (CAL) (mm); (3) probing pocket depth (PPD) (mm); as well as (4) PPDs of < 4 mm, ≥ 4 mm, and ≥ 6 mm at 0, 3, and 6 months post-NSPT respectively. Paired simple t-tests and ANOVA “F” tests were performed to interpret the clinical resolution of periodontitis as well as its relationship with TGCA. Of fifteen (25%) uncontrolled T2DM-P patients, two (10%) patients achieved the TGCA (HbA1c ≤ 6.5%) at 6 months after the completion of NSPT and M-DCC. However, no significant reductions in the overall mean HbA1c values were noted. In spite of that, there were significant differences in the CRP and all periodontal parameters at baseline and 6-month follow-up. Nevertheless, there were no significant changes in the mean CAL (p > 0.05). NSPT, under M-DCC, gave rise to significant changes in the periodontal health of diabetic patients 6 months post-treatment. The effects of NSPT on HbA1c level were inconclusive. (WC:251). University of Dicle 2020-04-04 Article PeerReviewed application/pdf en http://irep.iium.edu.my/81780/1/48.D19_998_Munirah_Yaacob_Malaysia25.pdf application/pdf en http://irep.iium.edu.my/81780/7/Scopus%20-%20clinical%20resolution%20of%20periodontitis.pdf Yaacob, Munirah and Tin, Myo Han and Ismail, Razida and Sidek, Sorayah and Hari, Padmini and Md Aris, Mohd Aznan and Osman, Iskandar Firzada and Thuraiappah, Mahendran and Abdullah, Fa’iza and Than, Tun Sein and Saub, Roslan (2020) Clinical resolution of periodontitis among diabetic patients under medical-dental coordinated care: a preliminary study in Kuantan. Journal of International Dental and Medical Research, 13 (1). pp. 283-289. ISSN 1309-100X http://www.jidmr.com/journal/wp-content/uploads/2020/04/48.D19_998_Munirah_Yaacob_Malaysia25.pdf |
| spellingShingle | R Medicine (General) RA Public aspects of medicine RK Dentistry Yaacob, Munirah Tin, Myo Han Ismail, Razida Sidek, Sorayah Hari, Padmini Md Aris, Mohd Aznan Osman, Iskandar Firzada Thuraiappah, Mahendran Abdullah, Fa’iza Than, Tun Sein Saub, Roslan Clinical resolution of periodontitis among diabetic patients under medical-dental coordinated care: a preliminary study in Kuantan |
| title | Clinical resolution of periodontitis among diabetic patients under medical-dental coordinated care: a preliminary study in Kuantan |
| title_full | Clinical resolution of periodontitis among diabetic patients under medical-dental coordinated care: a preliminary study in Kuantan |
| title_fullStr | Clinical resolution of periodontitis among diabetic patients under medical-dental coordinated care: a preliminary study in Kuantan |
| title_full_unstemmed | Clinical resolution of periodontitis among diabetic patients under medical-dental coordinated care: a preliminary study in Kuantan |
| title_short | Clinical resolution of periodontitis among diabetic patients under medical-dental coordinated care: a preliminary study in Kuantan |
| title_sort | clinical resolution of periodontitis among diabetic patients under medical-dental coordinated care: a preliminary study in kuantan |
| topic | R Medicine (General) RA Public aspects of medicine RK Dentistry |
| url | http://irep.iium.edu.my/81780/ http://irep.iium.edu.my/81780/ http://irep.iium.edu.my/81780/1/48.D19_998_Munirah_Yaacob_Malaysia25.pdf http://irep.iium.edu.my/81780/7/Scopus%20-%20clinical%20resolution%20of%20periodontitis.pdf |