Application of Hyaluronic Acid in Diabetes

Evaluation of The Clinical & Radiographic Parameters in Controlled Type 2 Diabetic Patients Treated With Non-Surgical Periodontal Therapy With & Without Using Hyaluronic Acid Gel

sub gingival application of hyaluronic acid create great clinical improvement of periodontal pocket treatment.

To clinically and radiographically evaluate the adjunctive effect of the local application of a 0.8% hyaluronan gel in addition to scaling and root planing in treatment of controlled diabetic patients with stage II periodontitis.

Inclusion Criteria:

• Age ≥ 18 years.
• Patient with controlled diabetic type 2 (HgA1C <7) (Mori et al., 2021).
• Periodontitis stage II.
• Periodontitis grade B.
• Pocket depth > 4 mm.
• Smoking ≤ 10 cigarettes/day.
• Cooperative patients able and accept to come for follow up appointments

Exclusion Criteria:

• • The use of antibiotics or anti-inflammatory drugs 1 month prior to the procedure and till the end of 6 months of follow-up.

  • Having surgical therapy or undergoing orthodontic treatment.
  • Ongoing drug therapy that might have an impact on the clinical signs and symptoms of periodontitis.
  • Pregnant and lactation females.
  • Smoking ˃ 10 cigarettes/day.
  • Patients with poor oral hygiene.
  • Any known allergies