Adjuvant Therapies to Scaling and Root Planing in People with Diabetes: A Systematic Review
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Abstract
Introduction: Type 2 diabetes mellitus (t2dm) and periodontitis are diseases with high morbidity rates and a bidirectional relationship that makes their management more complicated. Objective: To determine whether there are additional benefits in the percentage reduction of glycated haemoglobin (HbA1c) and in the reduction of the values of the periodontal clinical parameters in people with t2dm and periodontitis when applying adjuvant therapies as a complement to Scaling and Root Planing (srp). Materials and methods: The databases reviewed were PubMed®, Cochrane Library®, ScienceDirect® and Virtual Health Library. The systematic review focused on randomised clinical trials from 2016 to 2021. The risk of bias was measured using the Risk of Bias tool. Results: For this review, 11 relevant studies with 625 participants aged 35 to 63 years were identified. It was demonstrated that srp with adjuvant therapies has additional benefits in the reduction of HbA1c and periodontal clinical parameters. Conclusions: To promote glycaemic control and periodontal status, it is initially necessary to standardise the dental care process with srp and, if financial possibilities permit, add adjuvant therapies.
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References
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