Influence of periodontal treatment on the glucose and lipid metabolism in Korean type 2 diabetic patients

Kim,  Sung-Heub; Hong,  Ji-Youn; Kim,  Chang-Sung; Choi,  Seong-Ho; Cho,  Kyoo-Sung; Chae,  Jung-Kiu; Kim,  Chong-Kwan

J Korean Dent Assoc > Volume 47(2); 2009 > Article

The Journal of The Korean Dental Association 2009;47(2):90-101.
Published online February 28, 2009.

한국인 제2형 당뇨병환자에서 치주치료가 당질 및 지질대사에 미치는 영향

김성흡¹, 홍지연², 김창성³, 최성호⁴, 조규성⁵, 채중규⁶, 김종관⁷

^¹연세대학교 치과대학 치주과학교실, 치주조직 재생연구소
^²연세대학교 치과대학 치주과학교실, 치주조직 재생연구소
^³연세대학교 치과대학 치주과학교실, 치주조직 재생연구소
^⁴연세대학교 치과대학 치주과학교실, 치주조직 재생연구소
^⁵연세대학교 치과대학 치주과학교실, 치주조직 재생연구소
^⁶연세대학교 치과대학 치주과학교실, 치주조직 재생연구소
^⁷연세대학교 치과대학 치주과학교실, 치주조직 재생연구소

Influence of periodontal treatment on the glucose and lipid metabolism in Korean type 2 diabetic patients

Sung-Heub Kim¹, Ji-Youn Hong², Chang-Sung Kim³, Seong-Ho Choi⁴, Kyoo-Sung Cho⁵, Jung-Kiu Chae⁶, Chong-Kwan Kim⁷

¹Depeatment of Perideontology, Reseearch Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
²Depeatment of Perideontology, Reseearch Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
³Depeatment of Perideontology, Reseearch Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
⁴Depeatment of Perideontology, Reseearch Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
⁵Depeatment of Perideontology, Reseearch Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
⁶Depeatment of Perideontology, Reseearch Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
⁷Depeatment of Perideontology, Reseearch Institute for Periodontal Regeneration, College of Dentistry, Yonsei University

Abstract

The aim of this study was to appraise the influence of conventional periodontal treatment on metabolic control in Korean type 2 diabetic patients. In addition, their periodontal change was compared with non-diabetic patients. Before and after treatment, it was performed to measure periodontal and metabolic indices in thirteen type 2 diabetic patients. Periodontal indices included plaque index, gingival index, bleeding on probing, probing pocket depth, gingival recession, and clinical attachment level. Metabolic indices included glycated hemoglobin(HbA1c), fasting plasma glucose, fasting plasma insulin, total cholesterol, triglyceride, and HDL-cholesterol. Plaque index, gingival index, bleeding on probing, probing pocket depth, and gingival recession showed significant improvements in the statistics. Diabetic patients showed no statistically significant differences in the changes of periodontal indices compared with non-diabetic patients. HbA1c values decreased in five of the thirteen subjects and fasting plasma glucose levels were reduced in four of the seven subjects after periodontal treatment. All five subjects whom HOMA values were calculated in showed the increases of insulin secretions. The results of this study ascertained the possibility of the better glycemic contol after conventional periodontal treatment in Korean type 2 diabetic patients and diabetes were well healed of their periodontal diseases after the treatment.

Key Words: Type 2 diabetic patients;periodontal treatment;HbA1c values;HOMA values;