Effect of scaling and root planing with and without adjunctive use of an essential-oil-based oral rinse in the treatment of periodontal inflammation in type-2 diabetic patients.
OBJECTIVE
The aim was to assess the effect of scaling and root planing (SRP) with and without adjunctive use of an essential-oil (EO)-based oral rinse in the treatment of periodontal inflammation in type-2 diabetic (T2D) patients.


METHODS
Sixty T2D patients were included. In Group 1 (n = 30), SRP was performed and patients were instructed to rinse twice daily with EO-based oral rinse for 30 days. In Group 2 (n = 30), SRP was performed and participants were instructed to rinse twice daily with water for 30 days. Periodontal parameters (plaque index (PI), bleeding on probing (BOP), and probing pocket depth (PPD) ≥ 4 mm) and hemoglobin A1c (HbA1c) levels were assessed at baseline and after 90 days.


RESULTS
In both groups, periodontal parameters were similar at baseline. After 90 days of follow-up, there was a significant reduction in the severity of periodontal parameters in patients in Group 1 compared with Group 2. After 90 days of follow-up, there was also a significant reduction in HbA1c among patients in Group 1 compared with Group 2.


CONCLUSIONS
Scaling and root planing with adjunct use of an EO-based oral rinse is more effective in the treatment of periodontal inflammation in T2D patients than SRP alone. This approach also helps reduce hyperglycemia in T2D patients as compared with when SRP is performed alone.
Dental Department, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Mohammed
M
Alshehri
Department of Dentistry, Prince Faisal Bin Fahad Bin Abdulaziz-Sports Medicine Hospital, Riyadh, Saudi Arabia.
Faisal
F
Alshail
Department of Periodontics and Community Dentistry, King Saud University, Riyadh, Saudi Arabia.
Fahad Ali
FA
Alshehri
D003131:Combined Modality Therapy; D003774:Dental Plaque Index; D012534:Dental Scaling / Q000379:methods*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009067:Mouthwashes / Q000627:therapeutic use*; D009822:Oils, Volatile / Q000627:therapeutic use; D010512:Periodontal Index; D010514:Periodontal Pocket / Q000628:therapy; D010518:Periodontitis / Q000150:complications / Q000628:therapy*; D016745:Root Planing / Q000379:methods*
D006442:Glycated Hemoglobin; D009067:Mouthwashes; D009822:Oils, Volatile; C517652:hemoglobin A1c protein, human
chlorhexidine; essential oil; oral rinse; periodontal; scaling and root planing