Effect of non-surgical periodontal therapy on hemoglobin A1c in periodontitis patients without diabetes mellitus: A systematic review and meta-analysis

被引：3

作者：

Sun, Yangyang ^{[1
]}

Zhang, Weijia ^{[1
]}

Lu, Lijie ^{[1
]}

Zhao, Dan ^{[3
,4
]}

Wang, Songlin ^{[3
,4
]}

Pan, Yaping ^{[1
,2
]}

Li, Chen ^{[1
,2
]}

机构：

[1] China Med Univ, Sch & Hosp Stomatol, Dept Periodontol, 117 Nanjing North St, Shenyang 110002, Liaoning, Peoples R China

[2] Liaoning Prov Key Lab Oral Dis, Shenyang, Peoples R China

[3] Capital Med Univ, Beijing Stomatol Hosp, Dept Implant Dent, Sch Stomatol, Beijing, Peoples R China

[4] Capital Med Univ, Beijing Lab Oral Hlth, Beijing, Peoples R China

来源：

JOURNAL OF DENTISTRY | 2024年 / 145卷

关键词：

Periodontitis; Diabetes mellitus; Hemoglobin A1C; Nonsurgical periodontal therapy; GLYCEMIC CONTROL; CONSENSUS REPORT; HEALTHY CONTROLS; INFLAMMATION; DISEASES; EPIDEMIOLOGY; WORKSHOP; EFFICACY; UPDATE; TYPE-1;

D O I：

10.1016/j.jdent.2024.104974

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Objectives: This systematic review was aimed to evaluate the effect of non-surgical periodontal therapy (NSPT) on hemoglobin A1c (HbA1c) in periodontitis patients without diabetes mellitus (DM). Data/Sources: The present systematic review and meta-analysis were performed through searching the following electronic databases: EMBASE, MEDLINE, Web of Science, Cochrane Library and Open GREY. Interventional studies of periodontitis patients without DM were investigated. HbA1c changes in these patients before and after NSPT were analyzed. Subgroup analysis and sensitivity analysis were employed to identify sources of heterogeneity. Study Selection: Three reviewers independently selected the eligible studies by screening the titles and abstract. Then, a full-text analysis was performed. The reasons for excluding studies were recorded. Any disagreements were settled by discussion with a fourth reviewer. All the four reviewers extracted and crosschecked the data, and disagreements were resolved by discussion. There are 21 case-series studies (self-controlled studies) and 1 non-randomized interventional studies (NRIs) were included. Results: For periodontitis patients without DM, a total of 469 individuals from 22 studies were enrolled. The pooled analysis demonstrated that it was significantly changed in HbA1c levels at 3-month follow-up (0.16 with 95 % CI 0.04, 0.27; P = 0.008), and 6-month follow-up (0.17 % with 95 % CI 0.08, 0.27; P < 0.001) compared with baseline. Smoking, gender, experience of periodontal therapy and HbA1c value at baseline could be the sources of heterogeneity. Conclusions: NSPT is potentially beneficial for the management of HbA1c in periodontitis patients with high risks of DM. However, high-quality randomized controlled trials are still necessary to confirm these conclusions. Clinical Significance: The systemic review evaluated the effect of NSPT on HbA1c in periodontitis patients without DM. The analysis may be beneficial to the management and control of the high risks of DM in periodontitis patients.

引用

页数：14

共 57 条

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