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THERAPEUTIC EFFECT OF NON-SURGICAL TREATMENT OF CHRONIC PERIODONTITIS IN DIABETIC CHINESE
作者姓名:杨芸珠  孙喆  胡纯贞  杨裕国  金力坚  梁惠强  EsmondFCorbet
作者单位:[1]SchoolofStomatology,SSMU,Shanghai200011,China [2]ThePrincePhilipDentalHospital,UniversityofHongKong,HongKong,China
基金项目:Supported by Foundation of Major Subjects of Advanced Medical Specialities in Shanghai, China (983010)
摘    要:Objective To observe the therapeutic effect of non-surgical treatment on diabetic Chinese with chronic periodontitis. Methods Moderate to advanced chronic periodontitis (CP) was studied in 36 diabetes mellitus (DM) patients ctassified as 20 with hihg and fluctuating blood glucose level (DM-H) and 16 with relatively low and stable blood glucose level (DM-L). 28 non-DM CP patients acted as controls (Non-DM). Plaque index (PII), gingival index (GI), bleeding on probing (BOP), probing depth (PD) and clinical attachment loss ( AL ) of all patients were recorded at 6 sites on each tooth at the baseline and 1,3 and 6 months after oral hygiene instruction ( OHI) , scaling and root planing. Results It was found that the short-term effect of non-surgical periodontal procedure had resulted in significant resolution of gingival inflammation and pronounced reduction in pocket depth and gain of attachment loss in both DM and Non-DM CP patients. Conclusion The pilot study suggested that non-surgical periodontal treatment allowed for favorable treatment responses in a group of Chinese diabetic subjects with chronic periodontitis and that their various profiles of blood glucose did not influence the short-term healing response to OHI, scaling and root planning.

关 键 词:慢性牙周炎  糖尿病  非手术疗法  合并症  血糖控制

THERAPEUTIC EFFECT OF NON-SURGICAL TREATMENT OF CHRONIC PERIODONTITIS IN DIABETIC CHINESE
YANG Yun-zhu,SUN Zhe,HU Chun-zhen YANG Yu-guo School of Stomatology,SSMU,Shanghai ,China JIN Li-jian,LEUNG Hui-qiang Esmond F Corbet The Prince Philip Dental Hospital,University of Hong Kong,Hong Kong,China.THERAPEUTIC EFFECT OF NON-SURGICAL TREATMENT OF CHRONIC PERIODONTITIS IN DIABETIC CHINESE[J].Journal of Shanghai Second Medical University(Foreign Language Edition),2004,16(1):22-26.
Authors:YANG Yun-zhu  SUN Zhe  HU Chun-zhen YANG Yu-guo School of Stomatology  SSMU  Shanghai  China JIN Li-jian  LEUNG Hui-qiang Esmond F Corbet The Prince Philip Dental Hospital  University of Hong Kong  Hong Kong  China
Institution:YANG Yun-zhu,SUN Zhe,HU Chun-zhen YANG Yu-guo School of Stomatology,SSMU,Shanghai 200011,China JIN Li-jian,LEUNG Hui-qiang Esmond F Corbet The Prince Philip Dental Hospital,University of Hong Kong,Hong Kong,China
Abstract:Objective To observe the therapeutic effect of non-surgical treatment on diabetic Chinese with chronic periodontitis. Methods Moderate to advanced chronic periodontitis ( CP) was studied in 36 diabetes mellitus (DM) patients classified as 20 with high and fluctuating blood glucose level (DM-H) and 16 with relatively low and stable blood glucose level (DM-L). 28 non-DM CP patients acted as controls (Non-DM). Plaque index (PlI) , gingival index (GI) , bleeding on probing (BOP) , probing depth (PD) and clinical attachment loss (AL) of all patients were recorded at 6 sites on each tooth at the baseline and 1, 3 and 6 months after oral hygiene instruction (OHI), scaling and root planing. Results It was found that the short-term effect of non-surgical periodon-tal procedure had resulted in significant resolution of gingival inflammation and pronounced reduction in pocket depth and gain of attachment loss in both DM and Non-DM CP patients. Conclusion The pilot study suggested that non-surgical periodontal treatment allowed for favorable treatment responses in a group of Chinese diabetic subjects with chronic periodontitis and that their various profiles of blood glucose did not influence the short-term healing response to OHI, scaling and root planning.
Keywords:treatment response diabetes mellitus chronic periodontitis clinical periodontal variables
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