EFFECTIVENESS OF ENHANCED ORAL HEALTH EDUCATION ON PERIODONTAL DISEASE IN TYPE 2 DIABETES PATIENTS AT KIEN GIANG PROVINCIAL HOSPITAL
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
Keywords
periodontitis, diabetes, non-surgical treatment, enhanced oral health education
References
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