EFFECTIVENESS OF ENHANCED ORAL HEALTH EDUCATION ON PERIODONTAL DISEASE IN TYPE 2 DIABETES PATIENTS AT KIEN GIANG PROVINCIAL HOSPITAL

Kim Minh Tâm Huỳnh1,, Kim Hồng Tăng 2
1 Kien Giang Provincial General Hospital
2 Pham Ngoc Thach University of Medicine

Main Article Content

Abstract

Objectives: To evaluate the effectiveness of oral health education interventions to improve periodontal indicators after 3 months of non-surgical treatment in diabetic patients at Kien Giang Provincial Hospital. Methods: A randomized controlled trial from April 2022 to January 2023, with the intervention group being patients receiving non-surgical periodontal treatment combined with enhanced oral health education and the control group received nonsurgical periodontal treatment combined with routine oral health education. Results: After the intervention, all periodontal indicators improved compared to before the intervention in both groups. The plaque index (PI) in the intervention group had a median of 2 (1.9 - 2) decreased to 1.2 (1.1 - 1.4) and the control group was 2 (2 - 2.1) decreased to 1.6 (1.5 – 1.7). The gingival index (GI) in both groups was from 2.2 (1.8 - 2.3) to 1.2 (1 - 1.5) in the intervention group and 1.5 (1.4 - 1.6) in the control group. The bleeding on probing (BOP) examination in the intervention group was 1 (0.7 - 1) reduced to 0.4 (0.2 - 0.5) and the control group 0.9 (0.6 - 1) decreased to 0.9 (0.6 - 1). 0.5 (0.4 – 0.6). And the probing pocket depth (PPD) had a decrease in both groups of 0.7. When comparing the PI, GI and BOP indexes after the intervention, there was a statistically significant difference between the intervention group and the control group. There was no difference in PPD index between the two groups. Conclusions: Nonsurgical periodontal treatment combined with oral health education is effective in improving periodontal disease in patients with diabetes.

Article Details

References

Nguyễn Bích Vân, Huỳnh Anh Lan. Cập nhật về mối liên quan giữa bệnh nha chu và bệnh toàn thân. Thời sự Y học. 2019;9/2019:tr.3-10.
2. Shamala A, Al-Hajri M, Al-wesabi M. Risk factors for periodontal diseases among Yemeni type II diabetic patients. A case-control study. Journal of Oral Research. 2017; In Press. doi:10.17126/joralres.2017.055
3. Hasan SMM, Rahman M, Nakamura K, Tashiro Y, Miyashita A, Seino K. Relationship between diabetes self-care practices and control of periodontal disease among type2 diabetes patients in Bangladesh. PLoS One. 2021;16(4):e0249011. doi:10.1371/journal.pone.0249011
4. Pham TAV, Tran TTP. The interaction among obesity, Type 2 diabetes mellitus, and periodontitis in Vietnamese patients. Clin Exp Dent Res. Jun 2018;4(3):63- 71. doi:10.1002/cre2.106
5. Jonsson B, Ohrn K. Evaluation of the effect of non-surgical periodontal treatment on oral health-related quality of life: estimation of minimal important differences 1 year after treatment. J Clin Periodontol. Mar 2014;41(3):275-82. doi:10.1111/jcpe.12202
6. Goel K, Pradhan S, Bhattarai MD. Effects of nonsurgical periodontal therapy in patients with moderately controlled type 2 diabetes mellitus and chronic periodontitis in Nepalese population. Clin Cosmet Investig Dent. 2017;9:73-80. doi:10.2147/CCIDE.S138338
7. Jonsson B, Ohrn K, Oscarson N, Lindberg P. The Effectiveness Of An Individually Tailored Oral Health Educational Programme On Oral Hygiene Behaviour In Patients With Periodontal Disease: A Blinded Randomized- controlled Clinical Trial (one-year Follow-up). Journal of clinical periodontology. 2009;36(12):1025-34.
8. Trần Thảo Quyên. Hiệu quả hỗ trợ điều trị vêm nha chu mạn của dung dịch Acid Boric 0,75%. Luận văn Thạc sĩ Răng – Hàm – Mặt. Đại học Y Dược Thành Phố Hô Chí Minh; 2018.
9. Saengtipbovorn S, Taneepanichskul S. Effectiveness of lifestyle change plus dental care program in improving glycemic and periodontal status in aging patients with diabetes: a cluster, randomized, controlled trial. J Periodontol. 2015;86(4):507-15. doi:10.1902/jop.2015.140563