Abstract

The aim of this study implied comparing the morphology of periodontal tissues in patients with diabetes mellitus following the results of surgical intervention due to inflammatory and destructive periodontal diseases. We used an erbium laser and a standard surgical method. For this, histological samples obtained from 34 patients were examined. The biopsy samples in Group 1 were studied prior to the surgical treatment of inflammatory and destructive periodontal diseases. Group 2 included histological samples of patients following surgeries employing conventional surgical techniques. Group 3 included gum biopsies obtained after surgical interventions performed with the erbium laser. The research outcomes revealed that when performed in patients with diabetes mellitus complicated with diabetic microangiopathy of the gingival mucosa, surgical curettage or a standard surgical operation with a scalpel did not lead to any significant decrease in the chronic inflammatory process. The morphological picture of the gum soft tissues in patients with Type I and II diabetes mellitus, 3 months after the treatment with the erbium laser as a cutting tool, matched the usual structure of the mucous membrane with no obvious signs of inflammation.

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