Terapias adyuvantes al raspado y alisado radicular en personas con diabetes: revisión sistemática

Introducción: La diabetes mellitus tipo 2 (dm2) y la periodontitis son enfermedades con altas tasas de morbilidad y con una relación bidireccional que hace más complicado su manejo. Objetivo: Determinar si existen beneficios adicionales en la reducción porcentual de la hemoglobina glucosilada (HbA1c) y en la reducción de los valores de los parámetros clínicos periodontales en personas con dm2 y periodontitis al aplicar terapias adyuvantes como complemento del Raspado y Alisado Radicular (rar). Materiales y métodos: Las bases de datos revisadas fueron PubMed, Cochrane Library, ScienceDirect y Biblioteca Virtual en Salud. La revisión sistemática se centró en ensayos clínicos aleatorizados del 2016 a 2021. El riesgo de sesgo se midió a través de la herramienta Risk of Bias. Resultados: Para esta revisión se identificaron 11 estudios relevantes con 625 participantes entre 35-63 años. Se demostró que con las terapias adyuvantes al rar existen beneficios adicionales en la reducción de la HbA1c y en los parámetros clínicos periodontales. Conclusiones: Para favorecer el control glucémico y el estado periodontal es necesario inicialmente homologar el proceso de la atención odontológica con rar y en caso de posibilidades económicas, sumar terapias adyuvantes.

• Publication year

  2025

• Venue

  Revista Odontológica Mexicana Órgano Oficial de la Facultad de Odontología UNAM

• Publication date

  2025-06-11

• Fields of study

  Not labeled

• Identifiers
  DOI 10.22201/fo.1870199xp.2025.29.1.83764
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

• The bidirectional relationship between periodontitis and diabetes: New prospects for stem cell-derived exosomes.

  2023cited by this paper
• Periodontitis as a promoting factor of T2D: current evidence and mechanisms

  2023cited by this paper
• Effect of adjunctive diode laser in the non-surgical periodontal treatment in patients with diabetes mellitus: a systematic review and meta-analysis

  2021cited by this paper
• Comparative evaluation of improvement in periodontal and glycemic health status of type 2 diabetes mellitus patients after scaling and root planing with or without adjunctive use of diode laser

  2021cited by this paper
• Effects of multiple sessions of antimicrobial photodynamic therapy (aPDT) in the treatment of periodontitis in patients with uncompensated type 2 diabetes: a randomized controlled clinical study.

  2021cited by this paper
• Global Prevalence of Periodontal Disease and Lack of Its Surveillance

  2020cited by this paper
• The Effect of Gaseous Ozone Therapy in Conjunction with Periodontal Treatment on Glycated Hemoglobin Level in Subjects with Type 2 Diabetes Mellitus: An Unmasked Randomized Controlled Trial

  2020cited by this paper
• Omega-3 PUFA and aspirin as adjuncts to periodontal debridement in patients with periodontitis and type 2 diabetes mellitus. Randomized clinical trial.

  2020cited by this paper
• Evaluation of long-term effects of diode laser application in periodontal treatment of poorly controlled type 2 diabetic patients with chronic periodontitis.

  2019cited by this paper
• Novel 20% doxycycline-loaded PLGA nanospheres as adjunctive therapy in chronic periodontitis in type-2 diabetics: randomized clinical, immune and microbiological trial

  2019cited by this paper
• Homeopathy and Periodontal Treatment in Type II Diabetic Patients: a 1-Year Randomized Clinical Trial.

  2019cited by this paper
• A comparative clinical, microbiological and glycemic analysis of photodynamic therapy and Lactobacillus reuteri in the treatment of chronic periodontitis in type-2 diabetes mellitus patients.

  2019cited by this paper
• Impact of Treating Oral Disease on Preventing Vascular Diseases: A Model-Based Cost-effectiveness Analysis of Periodontal Treatment Among Patients With Type 2 Diabetes

  2019cited by this paper
• Effect of photodynamic therapy as an adjuvant to non-surgical periodontal therapy: Periodontal and metabolic evaluation in patients with type 2 diabetes mellitus.

  2018cited by this paper
• 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

  2017cited by this paper
• Local adjunct effect of antimicrobial photodynamic therapy for the treatment of chronic periodontitis in type 2 diabetics: split-mouth double-blind randomized controlled clinical trial

  2016cited by this paper
• Nonsurgical periodontal therapy with/without diode laser modulates metabolic control of type 2 diabetics with periodontitis: a randomized clinical trial

  2016cited by this paper
• Propolis Improves Periodontal Status and Glycemic Control in Patients With Type 2 Diabetes Mellitus and Chronic Periodontitis: A Randomized Clinical Trial.

  2016cited by this paper
• Adjunctive use of essential oils following scaling and root planing –a randomized clinical trial

  2016cited by this paper
• The effect of the thermal diode laser (wavelength 808-980 nm) in non-surgical periodontal therapy: a systematic review and meta-analysis.

  2014cited by this paper
• Glucohemoglobina HbA1c. Primera parte: conocerla

  2010cited by this paper
• Raspado y alisado radicular en áreas de difícil acceso

  2003cited by this paper

• No citing papers are available for this paper.