Nonsurgical periodontal treatment: adjunctive antibiotic use in diabetics

Participants ranked the clinical instruments most highly

This review of adjunctive use of systemic antibiotics in nonsurgical periodontal treatment of diabetics identified 12 small RCTs. No additional benefit was seen with antibiotic use

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CBT may help reduce anxiety and depression in people with diabetes, but standardised approach needed


Ben Perry explores the findings of a recent systematic review looking at the effectiveness of cognitive-behavioural therapy on glycaemic control and psychological outcomes in adults with diabetes.

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In search of the sweet spot: the links between dysglycaemia and first episode psychosis


Ben Perry publishes his debut blog on a recent systematic review of impaired glucose homeostasis in first-episode schizophrenia.

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Periodontal disease and glycaemic control in diabetics


This review of the impact of periodontal treatment in diabetics in this latest in a long list of publications on this topic . This review only includes 7 trials and supports the effectiveness of periodontal therapy in glycemic control in type 2 diabetic patients and periodontitis. Other more detailed reviews are available.

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Periodontal disease and glycaemic control in diabetics


11 systematic reviews were included in this overview of review of periodontal disease and glycaemic control in diabetics. The primary studies that underlying these systematic reviews have important limitations. Therefore larger higher quality studies are needed.

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Low quality evidence that periodontal treatment improves glycaemic control in diabetics


This update of a 2010 Cochrane review found low quality evidence that periodontal treatment involving scaling and root planing does improve glycaemic control in people with diabetes, with a mean percentage reduction in HbA1c of 0.29% at 3-4 months, but there is insufficient evidence to demonstrate that this is maintained after 4 months.

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Periodontal treatment: another review finds that it has short term benefits for glycaemic control


This is the most recent review of the link between periodontal treatment and glycaemic control in diabetic. In included 10 trials involving 1135 patients and found and improvement in Hb1Ac levels at 3 months but not at 6 months.

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Better together: how collaborative working can improve outcomes for patients with depression and diabetes

shutterstock_putting puzzle together

The link between depression and diabetes mellitus (DM) is well established. Around 20% of patients with DM meet diagnostic criteria for depression. The National Institute for Health and Care Excellence (NICE) issued guidance impressing the importance of diagnosing and treating depression in long-term conditions such as DM (NICE, 2009). However, depression in the presence of [read the full story…]

Some evidence of improvement in metabolic control in diabetics, after treating periodontal disease


Many have suggested a two-way relationship between periodontitis and  diabetes mellitus. Poor glycaemic control is associated with an increase risk of periodontal disease and in 2010 a Cochrane review  (Simpson et al) estimated a 0.4% reduction of HbA1c associated with periodontal treatment.  At that time Simpson et al noted that there were only a small [read the full story…]

Periodontal treatment may improve metabolic control in diabetic patients.

shutterstock_14465950 dentist and assistant

There have been a number of studies including a recent Cochrane review which have looked at the impact of periodontal treatment on glycaemic control in diabetics. The aim of this study was to investigate the effects of nonsurgical periodontal therapy on metabolic control in Type 2 diabetes mellitus (DM2) Forty patients with DM2 and chronic [read the full story…]