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Effekten av icke-kirurgisk parodontal behandling på blodsockernivån vid diabetes mellitus: En litteraturöversikt
Jönköping University, School of Health and Welfare, HHJ, Department of Odontology and Oral Health Science.
2025 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
The effect of non-surgical periodontal treatment on blood glucose levels in diabetes mellitus (English)
Abstract [sv]

Inledning: Diabetes mellitus är en växande global folksjukdom. Sambandet mellandiabetes och parodontit är väldokumenterat, där forskning tyder på att parodontalsjukdom kan ha en negativ inverkan på blodsockernivån. Däremot är kunskapen omhur icke-kirurgisk parodontal behandling påverkar blodsockernivån fortfarandebegränsad. Syfte: Syftet med studien var att undersöka hur icke-kirurgiskparodontal behandling påverkar blodsockernivån hos individer med diabetesmellitus. Metod: En systematisk litteraturöversikt genomfördes enligt PRISMAriktlinjer. Totalt inkluderades 21 originalartiklar publicerade mellan 2005 och 2025,valda via databaserna MEDLINE, CINAHL och DOSS. Resultat: Majoriteten avde inkluderade artiklarna visade att icke-kirurgisk parodontal behandling bidrog tillen statistisk signifikant sänkning av blodsockernivån specifikt hos personer meddiabetes typ 2. Effekten var mest uttalad vid uppföljningstider på tre till sexmånader. Tillägg av systemiska antibiotika eller lokal antiseptika uppvisade i vissafall förstärkt glykemisk effekt. Slutsatser: Icke-kirurgisk parodontal behandlingkan bidra till förbättrad blodsockernivå hos individer med diabetes typ 2. Resultatentyder på att behandlingen kan ses som ett komplement i diabetesvården. Betydelse:Dessa resultat betonar vikten av ett närmare samarbete mellan tandvård och hälsooch sjukvård för att förbättra den glykemiska kontrollen hos personer med diabetes.

Abstract [en]

Introduction: Diabetes mellitus is a growing global public health issue. The linkbetween diabetes and periodontitis is well documented with research suggestingthat periodontal disease may negatively affect blood glucose levels. However,knowledge regarding the effects of non-surgical periodontal treatment on bloodglucose levels remains limited. Aim: To investigate how non-surgical periodontaltreatment affects blood glucose levels in individuals with diabetes mellitus.Method: A systematic literature review was conducted in accordance withPRISMA guidelines. Twenty-one original articles published between 2005 and2025 were included, selected through the databases MEDLINE, CINAHL andDOSS. Results: Most articles showed that non-surgical periodontal treatmentcontributed to a statistically significant reduction in blood glucose levels,particularly in individuals with type 2 diabetes. The effect was most pronounced atfollow-ups of three to six months. In some cases, the addition of systemic antibioticsor local antiseptics further enhanced the glycemic effect. Conclusions: Nonsurgical periodontal treatment may help improve blood glucose levelsin individualswith type 2 diabetes. The results suggest that the treatment can be a complement todiabetes care. Significance: These results emphasize the importance of closercollaboration between dental care and healthcare in order to improve glycemicoutcomes in individuals with type 2 diabetes. 

Place, publisher, year, edition, pages
2025. , p. 30
Keywords [en]
diabetes mellitus, glycosylated hemoglobin A, non-surgical periodontal therapy, oral health, periodontitis
Keywords [sv]
diabetes mellitus, glykosylerad hemoglobin A, mekanisk infektionsbehandling, oral hälsa, parodontit
National Category
Oral Health Odontology Endocrinology and Diabetes Other Medical Sciences not elsewhere specified
Identifiers
URN: urn:nbn:se:hj:diva-68981OAI: oai:DiVA.org:hj-68981DiVA, id: diva2:1976376
Subject / course
HHJ, Oral Health Science
Supervisors
Examiners
Available from: 2025-06-26 Created: 2025-06-24 Last updated: 2025-10-13Bibliographically approved

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