bannerHON
img
HONnews
HONnews
img PATIENT / PARTICULIER img PROFESSIONNEL DE SANTE img WEBMESTRE img
img
 
img
HONcode sites
All Web sites
HONselect
News
Conferences
Images

Themes:
A B C D E F G H I
J K L M N O P Q
R S T U V W X Y Z
Browse archive:
2014: A M F J
2013: D N O S A J J M A

 
  Other news for:
Tooth Diseases
Diabetes Mellitus
 Resources from HONselect
Typical Gum Disease Treatments Won't Help Ease Diabetes, Study Finds
Despite ties between the two illnesses, gum therapies didn't help with blood-sugar control

By Robert Preidt

TUESDAY, Dec. 17, 2013 (HealthDay News) -- Typical, nonsurgical treatment of gum disease in people with type 2 diabetes will not improve their blood-sugar control, a new study suggests.

There's long been a connection between gum disease and wider health issues, and experts say a prior study had offered some evidence that treatment of gum disease might enhance blood-sugar control in patients with diabetes.

Nearly half of Americans over age 30 are believed to have gum disease, and people with diabetes are at greater risk for the problem, the researchers said. Well-controlled diabetes is associated with less severe gum disease and a lower risk for progression of gum disease, according to background information in the study.

But would an easing of gum disease help control patients' diabetes? To find out, the researchers, led by Steven Engebretson of New York University, tracked outcomes for more than 500 diabetes patients with gum disease who were divided into two groups.

One group's gum disease was treated using scaling, root planing and an oral rinse, followed by further gum disease treatment after three and six months. The other group received no treatment for their gum disease.

Scaling and root planing involves scraping away the tartar from above and below the gum line, and smoothing out rough spots on the tooth's root, where germs can collect, according to the U.S. National Institutes of Health.

After six months, people in the treatment group showed improvement in their gum disease. There was no difference, however, in blood-sugar control between the two groups, according to the findings, which were published in the Dec. 18 issue of the Journal of the American Medical Association.

These findings do not support the use of nonsurgical gum disease treatment to improve blood-sugar control in people with diabetes, the researchers said.

Experts said the finding was in line with what is known on the subject.

"The results don't surprise me," said Dr. Gerald Bernstein, director of the Diabetes Education Program at Beth Israel Medical Center in New York City. "[Gum disease] requires physical intervention to remove offending plaques and microinfection that does not easily clear with brushing and rinsing."

What is really important is how inflammation linked to gum disease is related to wider cardiac inflammation, Bernstein said. That relationship might influence the rate at which artery-hardening plaques are deposited in blood vessels.

Dr. Spyros Mezitis, an endocrinologist at Lenox Hill Hospital in New York City, said it's well known that gum disease is "associated with worsening of [blood-sugar] control in diabetics."

But the current study suggests that "[gum] treatment improves the common disease and preserves teeth but should not be used to control diabetes," he said.

"Larger studies are needed to confirm these findings," Mezitis added.

More information

The U.S. National Institute of Dental and Craniofacial Research has more about gum disease's causes, symptoms and treatments.

SOURCES: Gerald Bernstein, M.D., director, Diabetes Education Program, Gerald J. Friedman Diabetes Institute, Beth Israel Medical Center, New York City; Spyros Mezitis, M.D., endocrinologist, Lenox Hill Hospital, New York CIty; Journal of the American Medical Association, news release, Dec. 17, 2013

Copyright © 2013 HealthDay. All rights reserved. URL:http://consumer.healthday.com/Article.asp?AID=683053

Resources from HONselect: HONselect is the HON's medical search engine. It retrieves scientific articles, images, conferences and web sites on the selected subject.
Therapeutics
Research Personnel
Association
Root Planing
Risk
Inflammation
The list of medical terms above are retrieved automatically from the article.

Disclaimer: The text presented on this page is not a substitute for professional medical advice. It is for your information only and may not represent your true individual medical situation. Do not hesitate to consult your healthcare provider if you have any questions or concerns. Do not use this information to diagnose or treat a health problem or disease without consulting a qualified healthcare professional.
Be advised that HealthDay articles are derived from various sources and may not reflect your own country regulations. The Health On the Net Foundation does not endorse opinions, products, or services that may appear in HealthDay articles.


Home img About us img MediaCorner img HON newsletter img Site map img Ethical policies img Contact