Acute-phase Response & Periodontal Treatment in Diabetes Affected Patients

Acute-phase Response Following Full-mouth Versus Quadrant Non-surgical Periodontal Treatment in Diabetes-affected Subjects: A Randomized Clinical Trial

Thirty-eight periodontitis- and diabetes-affected subjects will be randomly allocated to non surgical periodontal treatment with either Full-Mouth Approach (FM-SRP) or Quadrant approach (Q-SRP).

Patients will be seen one day and three months (study completion) after treatment. The 24 hours appointment will be occurring after the entire completion of the FM-SRP or the first quadrant of the Q-SRP. In the latter group other sessions of treatment will be performed within the following 3 weeks.

At baseline, 24 hours and three months, anthropometric, inflammatory and endothelial parameters will be collected. Periodontal parameters will be checked at baseline and at three months.

Main outcome of the study is the level of C-reactive protein 24 hours after treatment.

Inclusion Criteria:

• Patients affected by Periodontal disease
• 20% of periodontal pockets of the entire dentition
• 20% bleeding on probing of the entire dentition
• documented radiographic bone loss
• Diagnosis of Diabetes Type 2 as measured through international standards

Exclusion Criteria:

• age younger than 18 years and older than 80 years
• pregnant or lactating females
• females using contraceptive methods
• need of antibiotic coverage for periodontal treatment
• previous periodontal treatment in the last 6 months.