Efeito do tratamento periodontal não cirúrgico no nível de hemoglobina glicosilada em pacientes portadores de diabetes mellitus com periodontite: uma revisão sistemática de literatura.

Abstract

This systematic review aimed to evaluate the effect of periodontal treatment on glycosylated hemoglobin levels in patients with Diabetes mellitus and chronic periodontitis through analysis of randomized controlled trials published in electronic databases, Bireme, SciELO, BBO, Lilacs, Medline and PubMed until June 2014. Before obtaining the full articles, the titles and abstracts were consecutively analyzed, which were selected according to the inclusion and exclusion criteria by two independent researchers, who subsequently entered a consensus. The search strategy resulted in 397 titles and 142 abstracts. From the obtained abstracts, only 32 were randomized clinical trials, but only 10 articles had control group without periodontal treatment and were analyzed for the methodology and results. After application of strict exclusion criteria, strong evidence was found, at least to the level of randomized clinical study, which can confirm the hypothesis that the glycosylated hemoglobin levels in patients with Type 2 Diabetes mellitus and chronic periodontitis may be reduced after nonsurgical periodontal treatment.