Evidence map›Paper›PMID 37300844›Full record

ArticleThe Libyan journal of medicine2023

Adjunctive systemic antibiotic effect on periodontal state, salivary enzyme activity, and glycemia imbalance in type-2 diabetics after non-surgical periodontal management.

Marwa Mrag, Yassine Khalji, Aishah Alhodhodi, Shadia A Elsayed, Yosra Ayed, Asma Kassab

Open access · goldAbstract read
In one paragraph

Article in The Libyan journal of medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Marwa MragFaculty of Dental Medicine, Oral Health and Oro-Facial Rehabilitation Research Laboratory LR12ES11, University of Monastir, Monastir, Tunisia.
Yassine KhaljiBiochemistry Department LR12SP11, Sahlol University Hospital, Soussa, Tunisia.
Aishah AlhodhodiDental College and Hospital, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.
Shadia A ElsayedDental College and Hospital, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.ORCID 0000-0002-3348-3382
Yosra AyedFaculty of Dental Medicine, Oral Health and Oro-Facial Rehabilitation Research Laboratory LR12ES11, University of Monastir, Monastir, Tunisia.
Asma KassabFaculty of Dental Medicine, Oral Health and Oro-Facial Rehabilitation Research Laboratory LR12ES11, University of Monastir, Monastir, Tunisia.
University of Monastir · TNAl-Azhar University · EGHôpital Sahloul · TNTaibah University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe current study aimed at analyzing the effect of non-surgical periodontal treatment accompanied by systemic antibiotics on salivary enzyme activities, periodontal parameters, and glycemic control in type-2 diabetic (T2D) patients with chronic periodontitis.

methodsThe study included 125 type-2 diabetic patients with chronic periodontitis who had good glycemic control (T2Dc), 125 type-2 diabetics who had bad glycemic control (T2Dpc). The 125 T2Dpc were divided randomly into two groups. The first one enrolled 63 T2Dpc and received a non-surgical periodontal treatment (T2Dpc + NST). The second group enrolled 62 T2Dpc and received the non-surgical treatment accompanied by systemic antibiotics (T2Dpc+NST+A). HbA1c, periodontal indices, and salivary enzyme activities were assessed for all groups. The Glycated hemoglobin (HbA1c) was assessed. The Salivary alkaline phosphatase (ALP), aspartate aminotransferase (AST), alanine aminotransaminase (ALT), lactate dehydrogenase (LDH), and creatine kinase (CK) activities were measured.

resultsThe T2Dpc were characterized by the highest probing depth (PPD) and clinical attachment loss (CAL) periodontal scores, as well as ALP, AST, and ALT enzymatic activities. However, BOP did not differ significantly between T2Dc and T2Dpc. Whereas the rest of clinical parameters PI, GI, and OHI-S did not significantly differ between groups. The Pearson's analysis revealed three correlations between ALP-PPD, ALP-CAL, and ALP-BOP (bleeding on probing) in both T2Dc and T2Dpc (

conclusionThe increase in ALP, AST, and ALT activities reflects the impact of uncontrolled T2D on periodontal tissue alteration. The ALP activity increase was associated with the severity of periodontal status in diabetic patients. In comparison to non-surgical treatment alone, the adjunct use of systemic antibiotics improves periodontal state, enzyme activity, and glycemic control.

Indexed as

Chronic PeriodontitisDiabetes Mellitus, Type 2Glycated HemoglobinHumansGlycated Hemoglobinantibioticsglycemic controlnon-surgical treatmentperiodontitissalivary enzyme activities

Identifiers

PMID37300844
PMCPMC10259292
OpenAlexW4380202773

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.