Akademik Veri Yönetim Sistemi
Europerio11, Vienna, Avusturya, 14 - 17 Mayıs 2025, cilt.52, sa.28, ss.156, (Özet Bildiri)
Background & Aim: Diabetes mellitus (DM) is a significantrisk factor for periodontitis, and studies have shown that DM pa-tients with poor glycemic control experience an 86% higher inci-dence or risk of periodontitis progression compared to non-DMor well-controlled DM patients. Following periodontal treat-ment for periodontitis, achieving pocket closure (PC) has beenassociated with the highest likelihood of periodontal stabilityand the lowest risk of tooth loss. This study aims to evaluate theimpact of type 2 DM and tooth-related factors on PC followingnon-surgical periodontal treatment (NSPT).Methods: The analysis included 71 non-smoker periodontitispatients, comprising 25 systemically healthy patients, 23 well-controlled DM patients, and 23 poorly controlled DM patients,with a total of 1,671 teeth. All sites with baseline pocket depth(PD) ≥ 5 mm were considered diseased. At 3 months after NSPT,PD ≤ 4 mm without bleeding on probing was regarded as PC.Logistic multilevel regression was used to explore factors asso-ciated with diseased sites and the likelihood of PC, consideringvariables at the patient, tooth, and site levels.Results: Poorly controlled DM, multirooted teeth, and inter-dental periodontal pockets (mesial and distal sites of the teeth)were associated with diseased sites. NSPT significantly reducedPD (1.05 ± 1.12 mm, p < 0.001). PC was achieved in 67% of thediseased sites following NSPT. However, poorly controlled DM,multirooted teeth, interdental periodontal pocket, and higherbaseline PD were significant predictors of incomplete PC at dis-eased sites.Conclusions: The control of DM, the number of roots, and thesite of the periodontal pocket were found to significantly affectNSPT outcomes. Considering these factors beforehand couldhelp identify sites that may require additional treatments to ulti-mately achieve the treatment endpoint.