Objective to investigate the influence of Traumeel drug as adjunctive to non surgical periodontal intervention in patients with poorly controlled type 2 diabetes associated with chronic periodontitis on both periodontal parameters and metabolic findings, and to correlate the levels of fasting blood glucose (FBG) , and fasting blood insulin (FBI) to the clinical periodontal parameters in those patients after treatment.
Methods and Patients A total of 20 patients having moderately poorly controlled (HbA1c between 8%-10%) type 2 diabetes mellitus associated with moderate to severe chronic periodontitis were selected and randomly divided into two groups according to whether they underwent periodontal intervention alone (control group) or periodontal intervention adjunctive to traumeel tablets with a dose of of 1 tablet 3 times daily for 1 week. The levels of serum tumor necrosis factor á (TNF-α), FBG,FBI and glycosylated hemoglobin(HbC1) were measured at baseline and after 3 months. The periodontal parameters including Probing pocket depth(PPD), Clinical attachment loss (CAL) and Modified Gingival index (MGI) were also measured at baseline and after 3 months
Results The levels of both metabolic parameters and clinical periodontal parameters were improved significantly in both test and control groups after 3 months but on comparing percent of change D at p ≤0.05between control and tablet groups after 3 months ,test group showed more reduction in all parameters except Hbc1compared to control group .There were also a statistically significant correlation between periodontal parameters and FBG and FBI in the test group only.
Conclusion The adjunctive use of homeopathic Traumeel tablets with periodontal intervention offered better results concerning periodontal and metabolic state .