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ORIGINAL ARTICLE
Year : 2021  |  Volume : 10  |  Issue : 1  |  Page : 7-13

The impact of chronic periodontitis on serum tumor necrosis factor-α and HbA1c levels in type 2 diabetic patients


1 Periodontic Department, Khartoum Teaching Dental Hospital, Khartoum, Sudan
2 Department of Oral Rehabilitation, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan

Correspondence Address:
Rehab Abdallah Abdalrahman
Khartoum Teaching Dental Hospital, Khartoum
Sudan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sjhs.sjhs_224_20

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Background: Diabetic patients are subject to chronic periodontitis which could adversely affect glycemic control. Aim: This study determined the impact of chronic periodontitis in patients with diabetes mellitus type 2 (DM 2). Materials and Methods: We compared the levels of serum tumor necrosis factor-alpha (TNF-α) and HbA1c% between DM 2 patients with chronic periodontitis (study group) and DM 2 patients without chronic periodontitis (control group). Results: Statistically significant differences in fasting blood glucose (FBS), HbA1c, and gingival index (GI) were observed between the study and control group. No differences were found in TNF-α between the patients of both the groups. However, higher levels of TNF-α and FBS were shown in diabetic patients with mild periodontitis group than in those with moderate or severe periodontitis. Conclusion: Chronic periodontitis could affect HbA1c levels in DM 2 patients. In addition, HbA1c was positively correlated with FBS and GI, while negatively correlated with TNF-α, which exhibited a higher level in mild periodontitis compared with severe and moderate periodontitis.


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