Prevention protocols for diabetic patients [Protocolli preventodontici per pazienti diabetici]

Objectives: To suggest a treatment protocol for diabetic patients with periodontal disease, and to assess the effectiveness of probiotic bacteria in controlling periodontal pathogens. Material and methods: Ten patients affected by diabetes and periodontal disease were selected. PCR real time was used for bacterial count in samples collected from periodontal pockets before and after the maintenance therapy, including the administration of probiotic bacteria. Results: A greater reduction of the bacterial count was observed in patient taking probiotic bacteria comparing the bacterial count before and after the experimental protocol. Conclusions: The administration of probiotic bacteria, together with the use of toothbrush, dental floss, and specific oral care products, may help to balance bacterial flora. At the end of an active therapy, an appropriate maintenance protocol allows excellent results in diabetic patients as well. © 2009 Elsevier Srl. All rights reserved.