The influence of non-surgical periodontal treatment over the elements of the blood, lipidic profile and glycemia of patients suffering from chronic periodontitis

Abstract

Epidemiologic studies suggest that periodontal diseases are able to influence the occurrence and the severity of some systemic diseases. Hematological changes from periodontal infection have also been presented. The aim of this study was to check if the non-surgical periodontal treatment influenced the cell elements of the blood, lipidic profile and glucose of patients suffering from chronic periodontitis. 10 patients (49,7 ± 8,8 years) were submitted, before the periodontal treatment and thirty days after it, to the collect of 10ml of peripheric blood, through which cell elements of white and red series, number of platelets, ESR, lipidogram and glucose were assessed. The used clinical parameters were Plaque Index (PI) by Silness and Löe (1964), Gingival Index (GI) by Löe (1967), Bleeding on Probing (BOP), Pocket Probing Depth (PPD) and Attachment Level (AL). Thirty days after the end of the non-surgical periodontal treatment an assessment was done and a striking improvement was noticed (P<0,001) of all of the above clinical parameters. The hemoglobin (P=0,03) and the glucose (P=0,02) showed statistic reduction while the number of erythrocytes (P=0,06) and the hematocrit (P=0,08) suffered reduction but without significance. The total cholesterol and the LDL increased after the treatment (P=0,09 and P=0,06, respectively), but without significance, while the other parameters didn't experience important changes (P>0,1). Through these results we come to the conclusion that the non-surgical basic therapeutics was effective in controlling chronic periodontitis and after it the hemoglobin and the glucose suffered significant reduction while the erythrocytes and the hematocrit showed a trend to reduction and the total cholesterol and the LDL displayed a tendency to increase.