HIỆU QUẢ ĐIỀU TRỊ VIÊM NHA CHU Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG LOẠI 2 BẰNG LASER DIODE

Abstract

Background: To describe clinical and subclinical characteristics of periodontitis in patients with type 2 diabetes. To evaluate the effectiveness of diode laser treatment of periodontitis in patients with type 2 diabetes. Materials and methods: Study single-blind randomized clinical intervention (half-mouth design) on patients diagnosed with periodontitis, having type 2 diabetes, coming to China for examination and treatment. Chau Thanh district Health Center, Hau Giang province. Results: Time to detect diabetes: < 5 years: 36.4%; 5 – 10 years: 50%; > 10 years: 13.6%. HbA1c: Well controlled (< 6.5%): 9.5%, Well controlled (6.5% - 7.5%): 47.6%, Poorly controlled (> 7.5%): 27 ,0% (p<0.05). The proportion of patients with periodontitis was found mainly in the poor glucose control group: 72.7% (HbA1c > 7.5%) (p<0.05). Gum bleeding index: Medium (PBI: 1.0 - 3.0): 77.8%; Severe (PBI: > 3.0): 22.2% (p < 0.05). Plaque index (PlI): Mild (PlI < 1.0): 12.7%; Moderate (PlI :1.0 – 1.9): 14.3%, Severe (PlI ≥ 2.0): 73.0%. The average index of periodontitis at 1 months, and 3 months after treatment was lower than before treatment in both groups (p<0.05). The increase in periodontitis index was higher in the control group than in the experimental group (p<0.05). After treatment, over time, the proportion of patients with moderate GI decreased sharply in both groups and changed to mild (p<0.05). The proportion of patients with GI from moderate to mild in the experimental group was higher than in the control group (p < 0.05). Conclusion: Research has demonstrated that the dental diode laser, when used as an adjunct to pocket curettage and root surfacing in the treatment of chronic periodontitis, results in markedly improved clinical numbers (PLI, GI, BOP, PD, and CAL) in the experimental group compared with the control group.