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Quintessence Publishing: Journals: AJED

 

The American Journal of Esthetic Dentistry

Edited by Richard J. Simonsen, DDS, MS

ISSN 2162-2833 (print) • ISSN 2162-2841 (online)

Publication:
The American Journal of Esthetic Dentistry
SPRING 2013
Volume 3 , Issue 1

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Nonsurgical Periodontal Therapy in Diabetic Patients

Purushottam S. Rakhewar, MDS/Ruby Syed, BDS, MDS/Satish S. Doiphode, MDS

Pages: 60–65
DOI: 10.11607/ajed.0051

Recently, clinicians have begun to recognize the threats posed by periodontal diseases to individuals with chronic diseases such as diabetes. While some early studies have indicated potential associations between oral and systemic health, they also support the hypothesis that periodontitis triggers both local and systemic host inflammatory responses. Diabetic patients with periodontal infections are at greater risk of worsening glycemic control over time compared to diabetic subjects without periodontitis. Further, research has shown a positive effect of periodontal treatment on the glycemia levels of diabetic patients with periodontitis. Numerous treatment modalities exist for the treatment of periodontitis. Nonsurgical/nonintrusive mechanical periodontal treatment is the corner­stone of periodontal therapy and the first recommended approach for the control of periodontal infections. There are great risks involved in the surgical treatment of periodontal infections in systemically unhealthy patients; therefore, sincere efforts should be made to offer a nonsurgical approach. This article aims to reestablish the importance of nonsurgical periodontal therapy by presenting two case reports in which nonsurgical treatment provided remarkable results in terms of blood sugar levels and profuse gingival enlargement in patients with diabetes. Am J Esthet Dent 2013;3:60–65. doi: 10.11607/ajed.0051

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