Search

Background: Long-term insertion of the tracheostomy tube may lead patients to have complications such as tracheal stenosis, leakage, sepsis or aspiration. Aim of the work: Our study aimed at applying standards for decannulation of the tracheostomy tube depending on the expertise from prior studies. Methods: The study included 102 patients who underwent tracheostomy during the study period. Results: Surgical tracheostomy was done in operating room in 67% of patients and in intensive care unit by percutaneous dilatational technique in 33% of patients. Decannulation was successful in 97.7% of patients and discharged from the hospital within 24-48 hours. Decannulation failed in 2.3% of patients. Conclusion: The decision to perform elective decannulation of the tracheostomy tube can be challenging. However, we have demonstrated that decannulation based on objective criteria is effective in improving clinical judgment and weaning safety, with a low failure rate. We did not encounter any mortality or significant adverse events.

COVID-19 is a profoundly contagious pandemic that has taken the world by storm and has afflicted different fields of life with negative effects. It has had a substantial impact on education which is evident from the transition from Face-to-Face (F2F) teaching to online mode of education and the rigid implementation of lockdown across the globe. This study examines the factors impacting the performance of teachers during the lockdown period of COVID-19 using various feature selection algorithms and Artificial Intelligence techniques. In this paper, we have proposed a novel multilevel feature selection for the prediction of the factors affecting the teachers’ satisfaction with online teaching and learning in COVID-19. The proposed multilevel feature selection is composed of the Fast Correlation Based Filter (FCBF), Mutual Information (MI), Relieff, and Particle Swarm Optimization (PSO) feature selection. The performance of the proposed feature selection approach is evaluated through the teachers’ benchmark dataset. We used a range of measures like accuracy, precision, f-measure, and recall to evaluate the performance of the proposed approach. We applied different machine learning approaches (SVM, LGBM, and ANN) with the proposed multilevel feature selection technique. The performance of the proposed approach is also compared with existing feature selection algorithms, and the results show the improvement in the performance of feature selection in terms of accuracy, precision, recall, and F-Measure. Proposed feature selection provides more than 80% accuracy with Light Weight Gradient Boosting Machine (LGBM).

The Coronavirus disease 2019 (COVID-19) is an infectious disease spreading rapidly and uncontrollably throughout the world. The critical challenge is the rapid detection of Coronavirus infected people. The available techniques being utilized are body-temperature measurement, along with anterior nasal swab analysis. However, taking nasal swabs and lab testing are complex, intrusive, and require many resources. Furthermore, the lack of test kits to meet the exceeding cases is also a major limitation. The current challenge is to develop some technology to non-intrusively detect the suspected Coronavirus patients through Artificial Intelligence (AI) techniques such as deep learning (DL). Another challenge to conduct the research on this area is the difficulty of obtaining the dataset due to a limited number of patients giving their consent to participate in the research study. Looking at the efficacy of AI in healthcare systems, it is a great challenge for the researchers to develop an AI algorithm that can help health professionals and government officials automatically identify and isolate people with Coronavirus symptoms. Hence, this paper proposes a novel method CoVIRNet (COVID Inception-ResNet model), which utilizes the chest X-rays to diagnose the COVID-19 patients automatically. The proposed algorithm has different inception residual blocks that cater to information by using different depths feature maps at different scales, with the various layers. The features are concatenated at each proposed classification block, using the average-pooling layer, and concatenated features are passed to the fully connected layer. The efficient proposed deep-learning blocks used different regularization techniques to minimize the overfitting due to the small COVID-19 dataset. The multiscale features are extracted at different levels of the proposed deep-learning model and then embedded into various machine-learning models to validate the combination of deep-learning and machine-learning models. The proposed CoVIR-Net model achieved 95.7% accuracy, and the CoVIR-Net feature extractor with random-forest classifier produced 97.29% accuracy, which is the highest, as compared to existing state-of-the-art deep-learning methods. The proposed model would be an automatic solution for the assessment and classification of COVID-19. We predict that the proposed method will demonstrate an outstanding performance as compared to the state-of-the-art techniques being used currently.

Objective: Visual snow (VS) is a distressing, life-impacting condition with persistent visual phenomena. VS patients show cerebral hypermetabolism within the visual cortex, resulting in altered neuronal excitability. We hypothesized to see disease-dependent alterations in functional connectivity and gray matter volume (GMV) in regions associated with visual perception. Methods: Nineteen patients with VS and 16 sex- and age-matched controls were recruited. Functional magnetic resonance imaging (fMRI) was applied to examine resting-state functional connectivity (rsFC). Volume changes were assessed by means of voxel-based morphometry (VBM). Finally, we assessed associations between MRI indices and clinical parameters. Results: Patients with VS showed hyperconnectivity between extrastriate visual and inferior temporal brain regions and also between prefrontal and parietal (angular cortex) brain regions (p < 0.05, corrected for age and migraine occurrence). In addition, patients showed increased GMV in the right lingual gyrus (p < 0.05 corrected). Symptom duration positively correlated with GMV in both lingual gyri (p < 0.01 corrected). Conclusion: This study found VS to be associated with both functional and structural changes in the early and higher visual cortex, as well as the temporal cortex. These brain regions are involved in visual processing, memory, spatial attention, and cognitive control. We conclude that VS is not just confined to the visual system and that both functional and structural changes arise in VS patients, be it as an epiphenomenon or a direct contributor to the pathomechanism of VS. These in vivo neuroimaging biomarkers may hold potential as objective outcome measures of this so far purely subjective condition., Frontiers in Human Neuroscience, 14, ISSN:1662-5161

The aim of the study was to investigate the relationship between [18F]fluoromethyl-dimethyl-2-hydroxyethylammonium ([18F]FCh) positron emission tomography (PET) parameters, laboratory parameters, and postoperative histopathological results in patients with primary hyperparathyroidism (pHPT) due to parathyroid adenomas. This retrospective study was conducted in 52 patients with biochemically proven pHPT. [18F]FCh-PET parameters (maximum standardized uptake value: SUVmax) in early phase (after 2 min) and late phase (after 50 min), metabolic volume, and adenoma-to-background ratio (ABR), preoperative laboratory results (PTH and serum calcium concentration), and postoperative histopathology (location, size, volume, and weight of adenoma) were assessed. Relationship of PET parameters, laboratory parameters, and histopathological parameters was assessed using the Mann-Whitney U test and Spearman correlation coefficient. MRI characteristics of parathyroid adenomas were also analyzed. The majority of patients underwent a PET/MR scan, 42 patients (80.7 %); 10 patients (19.3 %) underwent PET/CT. We found a strong positive correlation between late-phase SUVmax and preoperative PTH level (r = 0.768, p

Background: Standard recommendations to maintain daily oral hygiene include tooth brushing and interdental cleaning. Evidence from literature indicates that using a mouthrinse as an adjunct provides benefit beyond mechanical methods. The objective of this article was to evaluate the short- and long-term effect of a mouthwash containing essential oils (LISTERINE®) in improving oral health. Methods: PubMed (MEDLINE) and bibliographies from the relevant retrieved reviews were searched to identify clinical studies involving the use of LISTERINE mouthrinse. The primary outcome measure was short- and long-term efficacy of mouthrinse containing essential oil (LISTERINE®) in improving oral health. Results: Based on our search, 26 studies supported the use of essential-oil-containing mouthrinse (LISTERINE®) as an adjunct to daily oral health regimen. Most studies were conducted in healthy subjects, 2 studies in orthodontic patients, 1 each in xerostomia patients and mentally disabled patients. Of these, 13 studies supported the short-term (

Purpose To compare changes in clinical (bleeding on probing [BOP] and probing pocket depth [PPD]), radiographic (crestal bone loss [CBL]), and immunologic inflammatory (interleukin-1beta [IL-1β] and matrix metalloproteinase-9 [MMP-9]) parameters around crestally and subcrestally placed dental implants 5 years after implant placement. Materials and Methods Fifty-two patients were divided into 2 groups: group 1 (n = 27): patients with single implants placed approximately 2 mm below the alveolar crest; group 2 (n = 25): patients with single implants placed at bone level. In both groups, peri-implant BOP, PPD, and CBL were measured, and levels of IL-1β and MMP-9 were determined in duplicates using enzyme-linked immunosorbent assay. Full-mouth debridement was performed biannually in both groups. Statistical analysis was performed using the Mann-Whitney U test (significance set at p < 0.05). Results All measurements in groups 1 and 2 were performed 5.3 ± 0.2 and 5.2 ± 0.1 years after implant placement, respectively. The mean CBL was 1.2 ± 0.2 mm and 1.4 ± 0.2 mm in groups 1 and 2, respectively. There was no significant difference in mean BOP, PPD, CBL and in levels of IL-1β, and MMP-9 among implants in both groups. Conclusion Clinical, radiographic, and immunologic inflammatory parameters are comparable around crestally and subcrestally placed single dental implants up to 5 years after placement. The depth of implant placement appears to have no effect on clinical status and performance of single dental implants.

Dental implants with surface-porous designs have been recently developed. Clinically, peri-implant bone grafting is expected to promote early osseointegration and bone ingrowth when applied with surface-porous dental implants in challenging conditions. The aim of this study was to comparatively analyze peri-implant bone healing around solid implants and surface-porous implants with and without peri-implant bone grafting, using biomechanical and histomorphometrical assessment in a goat iliac bone model. A total of 36 implants (4.1 mm wide, 11.5 mm long) divided into three groups, solid titanium implant (STI, n = 12), porous titanium implants (PTI, n = 12) and PTI with peri-implant bone grafting using biphasic calcium phosphate granules (PTI + BCP, n = 12), were placed bilaterally in the iliac crests of six goats. The goats were sacrificed seven weeks post-operatively and then subjected to biomechanical (n = 6 per group) and histomorphometrical (n = 6 per group) assessment. The biomechanical assessment revealed no significant differences between the three types of implants. Although the peri-implant bone-area (PIBA%) measured by histomorphometry (STI: 8.63 &plusmn, 3.93%, PTI: 9.89 &plusmn, 3.69%, PTI + BCP: 9.28 &plusmn, 2.61%) was similar for the three experimental groups, the percentage of new bone growth area (BGA%) inside the porous implant portion was significantly higher (p &lt, 0.05) in the PTI group (10.67 &plusmn, 4.61%) compared to the PTI + BCP group (6.50 &plusmn, 6.53%). These data demonstrate that peri-implant bone grafting around surface-porous dental implants does not significantly accelerate early osseointegration and bone ingrowth.

PURPOSE The aim of this study was to assess the esthetic outcome of maxillary anterior single implants by comparing the esthetic perception of dental professionals and patients. MATERIALS AND METHODS Twenty-three patients with single implants in the esthetic zone were enrolled in this study. Dentists of four different dental specialties (Three orthodontists, three oral surgeons, three prosthodontists, and three periodontists) evaluated the pink esthetic score (PES)/white esthetic score (WES) for 23 implant-supported single restorations. The satisfactions of the patients on the esthetic outcome of the treatment have been evaluated according to the visual analog scale (VAS). RESULTS The mean total PES/WES was 12.26 ± 4.76. The mean PES was 6.45 ± 2.78 and mean WES was 5.80 ± 2.82. There was a statistically significant difference among the different specialties for WES (P

We reviewed the indexed literature regarding the efficacy of laser therapy in the treatment of peri-implantitis (PI). Databases were searched using combinations of the following keywords: peri-implantitis, bone loss, photodynamic therapy, laser, and light-activated disinfection. Titles and abstracts of publications from these search results were screened to determine which studies fulfilled the eligibility criteria. Full texts of relevant studies were read and independently assessed against the eligibility criteria. The resulting 28 studies described the role of lasers in the treatment of PI. The erbium:yttrium–aluminum-garnet laser can be used to sterilize implant surfaces without damaging them. Likewise, the carbon dioxide laser can disinfect implant surfaces and enhance the bone-to-implant contact around previously infected sites. Photodynamic therapy exhibits high target specificity and can destroy pathogens associated with the etiology of PI. Laser therapy can significantly reduce levels of clinical markers of peri-implant tissue inflammation (i.e., bleeding upon probing and clinical attachment loss) without jeopardizing the integrity of the implant or alveolar bone. In conclusion, laser therapy as an adjunct to conventional mechanical debridement therapy can be used effectively for the treatment of PI. Keywords: Peri-implant bone loss, Dental lasers, Peri-implantitis, Photodynamic therapy, Decontamination, Review

Objectives: The aim of this convenient sample study was to assess the knowledge and attitude of Saudi individuals toward self-perceived halitosis. Materials and methods: A cross-sectional survey of Saudi adults using an 18-point self-administered questionnaire on self-perception of halitosis was performed. The questionnaire assesses subjects’ awareness and knowledge about possible causes and available treatments of oral malodor. In addition, the influence of halitosis on social relations and level of confidence was also evaluated through this questionnaire. Significant associations between self-perceived oral malodor and various variables using Chi-square test were evaluated. Results: A total of 130 subjects participated (response rate = 72%). The prevalence of self-perceived halitosis was 68.5%. There was a significant association between knowledge about treatment and self-perceived malodor ( p = 0.025), among oral hygiene measures teeth brushing was the only measure to show significant association with self-perceived halitosis ( p = 0.042). There were significant associations between self-perceived halitosis and subject’s hesitation to talk to other people ( p = 0.018), their “uneasy feeling” when someone is nearby ( p = 0.002), their avoidance to meet other people ( p = 0.032), or their feeling that other people might avoid socializing with them because of their oral malodor ( p = 0.01). Conclusions: Improving the patients’ knowledge about causes of oral malodor might reduce their complaints of halitosis. Patients’ complaint from oral malodor can significantly affect their self-confidence and social interaction with others.

The aim was to assess the effect of scaling and root planing (SRP) on clinical periodontal parameters and glycemic levels in prediabetic patients.Fifty prediabetic patients with periodontal disease were included. Demographic data (age, gender, education status, duration of prediabetes, type of treatment adopted for prediabetes management, and oral hygiene maintenance protocols) were recorded using a questionnaire. Patients were randomly divided into two groups (25 patients/group). In Group 1, SRP alone was performed, in Group 2, SRP + oral doxycycline (100 mg) administration. In both groups, fasting blood glucose (FBG) levels and periodontal parameters (plaque index [PI], bleeding on probing [BOP], and probing depth [PD]) were assessed at baseline and after 6 months. Statistical analysis was performed using one-way analysis of variance.Age, gender, and duration and treatment of prediabetes were comparable among patients in Groups 1 and 2. PI, BOP, and PD significantly reduced in both groups than baseline values. Reduction in periodontal parameters among Groups 1 and 2 were comparable. There was no significant reduction in FBG levels among patients in Groups 1 and 2 after 6 months of SRP.SRP was effective in reducing periodontal inflammation in prediabetic patients. FBG levels did not show any significant difference after SRP in both groups.

Purpose The aim of this review was to assess the effect of implant shape (tapered vs cylindrical) on the survival of dental implants placed in the posterior maxilla. Methods Databases were searched from 1977 up to and including February 2015 using various key words. Only original clinical studies were included. Experimental studies, letters to the editor, review articles, case reports, and unpublished literature were excluded. The pattern of the present review was customized to mainly summarize the relevant information. Results Five studies were included. The number of patients included ranged between 4 and 29 participants. In total, 7 to 72 implants were placed in the posterior maxilla. Tapered and cylindrical shaped implants were placed in 1 and 1 study, respectively. In 1 study, both 41 tapered and cylindrical implant were placed. In all studies, rough-surfaced and threaded implants were used. Three studies reported the diameter and lengths of implants placed, which ranged between 3.75 to 4 mm and 10 to 20 mm, respectively. The mean follow-up period and survival rate of implants ranged between 19 and 96 months and 84.2% to 100%, respectively. In 1 study, implants were placed subcrestally in the posterior maxilla. Guided bone regeneration was performed in none of the studies. In all studies, participants were nonsmokers and were systemically healthy. Conclusions There is no influence of implant shape on the survival of implants placed in the posterior maxilla.

Introduction: Atrial fibrillation (AF) is associated with atrial thrombus formation and peripheral embolization, which leads to ischemic stroke or systemic thromboembolism. The CHADS2 score is tool for estimating risk of stroke in nonvalvular atrial fibrillation (NVAF) patients. Obesity and Low density lipoprotein (LDL) are modifiable risk factors pose a great risk for stroke and venous thromboembolism. However, data on their implication in identify thromboembolic events in patients with NVAF are quite limited. Objective: To determine whether body mass index (BMI) and Serum LDL would be give incremental information with CHADS2 scheme in predicting thromboembolic event in NVAF Saudi patients. Methodology: The study consisted of 541 patients with AF seen in our institution from 2008 to 2013 were identified in database, 175 were NVAF. Thromboembolic end points were defined as ischemic stroke and systemic embolism. During follow- up period of 730 days. BMI, LDL and CHADS2 components associated with thromboembolic end points identified by Cox regression analysis. Results: Of 175 patients with NVAF, 26 (14.9 %) patients were identified to have thromboembolic events. Majority of them had stroke. Age (>or =75 years) and Peripheral vascular disease were significant factors for thromboembolic events. Thromboembolic risk in patients had previous stroke or TIA was 38.5% (P value = .000). Events rate of thromboembolic increased when CHADS2 score increased. No statistically significant associations were observed with BMI and thromboembolic risk. Study showed LDL associated with an increased risk of thromboembolic events (P value = .009) despite 61.5% of patients were in desirable level of LDL. Using a Combination of serum LDL and CHADS 2 score give additional implication on thromboembolism risk assessment (p value =.005) of NVAF patient. Conclusion: Study demonstrated LDL associated with thromboembolic risk among NVAF Saudi patients. So keeping this association in consideration during thromboembolism risk assessment In addition to the conventional CHADS2 scheme is recommended. Further study is needed to search for modifiable risk factors that are associated with increased risk thromboembolism in NVAF patient.

Objective The aim of the present short-term follow-up study was to assess the effect of scaling and root planing (SRP) with and without adjunct use of an essential-oil-based mouthwash (EOBM) on whole salivary interleukin (IL)-1beta (β) levels in patients with periodontal disease. Methods Ninety individuals with periodontal disease were divided into two groups. Patients in group 1 underwent SRP and were instructed to rinse with 10 mL of an EOBM twice daily for 30 days. Patients in group 2 underwent SRP and were instructed to rinse with 10 mL of water twice daily for 30 days. Whole saliva samples were collected, and IL-1β levels were measured at baseline and after 60 days of treatment. P-values < 0.05 were considered statistically significant. Results At baseline, whole salivary IL-1β levels were comparable among patients in groups 1 (135.6 ± 13.5 μg/mL) and 2 (141.2 ± 5.4 μg/mL). After 60 days of follow-up, there is a significant decrease in whole salivary IL-1β levels among patients in group 1 (10.2 ± 6.4 μg/mL) as compared to those in group 2 (56.6 ± 10.2 μg/mL) (P < 0.01). Conclusion SRP, when performed with adjunct use of an EOBM, is more effective in reducing whole salivary IL-1β levels as compared to when SRP is performed without the use of an EOBM.

Background and aim of the work: Recent studies have shown that video-assisted thoracoscopy (VATS) is safe and beneficial as first time treatment for patients presenting with primary spontaneous pneumothorax (PSP). In this study we will compare the outcome of patients presenting with first time PSP treated by VATS with those treated conservatively. Material and methods: This was a prospective double-blind, randomized clinical trial conducted at our hospital, Forty one patients, presented to the hospital with first attack PSP from January 2010 to January 2013, were randomized to be treated by chest tube drainage (conservative group, group 1) or by primary video-assisted thoracoscopy (VATS group, group 2). Outcomes were; duration of intercostal tube drainage, mean hospital stay, and recurrence rates of pneumothorax during the period of follow up. Results: There was no significant difference in both groups regarding demographic data. The mean durations of removal of intercostal tube and hospital stay were significantly higher in conservative group than in VATS group. The recurrence rate in conservative group was 40.9% versus 0% in VATS group (highly significant). Conclusions: Initial VATS is considered an efficient treatment modality for PSP as it has a shorter hospital stay and lower recurrence than conservative treatment, which if occurs, requires re-hospitalization with needs for VATS or surgery. Â

Schwannoma is a slow growing painless, benign neoplasm originating from schwanian cells of peripheral nerve sheath. A 67 years old female patient was admitted to Taif armed forces hospital complaining of left lower limb pain and swelling. The patient was provisionally diagnosed to have left lower limb deep venous thrombosis. Doppler lower limb ultrasound revealed an intra-abdominal mass of ovarian origin. Magnetic Resonant Image (MRI) of the pelvis was performed and showed a retroperitoneal large pelvic mass measuring 17 × 13 cm in the largest diameter which was well marginated.

Inferior epigastric vessel (IEV) bleeding usually results in a localised rectus sheath haematoma. This condition was thought to be uncommon and sometimes overlooked or misdiagnosed. Lately the condition has become more prevalent with life threatening bleeding which may need emergency intervention to save life. A case report of IEV bleeding following trauma in a 17-year-old male is reported. A CT scan enabled localisation of the injury site and showed signs of active bleeding. Facilities for embolization didn't exist in the hospital at the time. The bleeding was life threatening which required an emergency laparotomy.The laparotomy confirmed the source of the bleeding as the left IEV. The offending vessel was ligated and the haematoma was evacuated. The patient recovered well and his life was saved. Bleeding from the IEV is thought to be rare and the result is usually a haematoma which can be treated conservatively. The presentation is changing and there is an increase in severity and frequency of the bleeding which can endanger life. If facilities for embolization do exist, a minimally invasive procedure is the method of choice. If on the other hand they don't exist, which is the case in many hospitals; laparotomy should be performed where there is a threat to life.

Amyloid arthropathy is a recognized complication of chronic renal failure with long term dialysis. The amyloid, a beta 2microglobulin is not filtered by dialysis membrane and remains in the circulation, gets deposited over the synovium, articular bones and cartilage. As a result the large joints like shoulder, hips and knees show cystic bone lesions. The radiological features precede the clinical symptoms. The majority of the patients remain asymptomatic till the advanced stage or may present with pathological fracture. The patient in this case report had a long history of dialysis due to renal failure and presented with pain, limping and difficult to walk after the history of fall in bathroom. The radiological investigations, particularly MRI hip had typical signs of amyloid arthropathy; later on confirmed by biopsy. This case report is presented to call attention of clinicians and radiologists for the early and prompt diagnosis of amyloid arthropathy, avoiding false/delayed diagnosis which can increase morbidity and mortality.

Objectives: The aim of this study was to compare the image quality of magnetic resonance Cholangiopancreatography (MRCP) using Pineapple Juice (PJ) or ranitidine as negative oral contrast agents and no agent. Materials and Methods: MRCP images of patients administered PJ (n = 117) or Ranitidine (n = 110) at random, and patients without an agent (n = 50) were evaluated. The subjective image quality of the overall, extra hepatic bile duct and pancreatic duct and the degree of elimination of gastrointestinal fluid were scored by two blinded radiologists. Results were compared using Mann-Whitney’s U-test. Results: The degrees of elimination of gastro duodenal fluid of PJ and ranitidine were significantly better than those without an agent (p < 0.01 and p < 0.01, respectively). The subjective image quality of PJ of the overall and extra hepatic bile duct were significantly better, although no significant differences for ranitidine were observed compared with those without an agent (p < 0.01 and p =0.23, p = 0.025 and p = 0.18). There were no significant differences for the pancreatic duct (p = 0.13 and p = 0.20), nor were there any significant differences in the evaluations between PJ and ranitidine (p = 0.21 and p = 0.96). Conclusion: PJ showed better performance compared to that of conventional ranitidine in terms of pancreatic and biliary depiction and safety.

Objective: To assess self‑perceived oral health and whole salivary immunoglobulin G (IgG) levels among habitual gutka‑chewers and nonchewers (controls).Materials and Methods: Fifty gutka‑chewers and fifty controls were included. Demographic data and self‑perceived oral health status (pain in teeth, pain on chewing, bleeding gums (BG), bad breath, loose teeth and daily oral hygiene protocols) were collected using a questionnaire. Unstimulated whole saliva (UWS) was collected and unstimulated whole salivary flow rate (UWSFR) was determined. Whole salivary IgG levels were determined using standard techniques. Odds ratios were calculated for oral symptoms and group differences in protein levels were compared using one‑way analysis of variance (α

Aim The aim was to assess the effect of scaling and root planing (SRP) with and without adjunctive use of an essential-oil (EO)-based oral rinse in the treatment of periodontal inflammation in type-2 diabetic (T2D) patients. Methods Sixty T2D patients were included. In Group 1 (n = 30), SRP was performed and patients were instructed to rinse twice daily with EO-based oral rinse for 30 days. In Group 2 (n = 30), SRP was performed and participants were instructed to rinse twice daily with water for 30 days. Periodontal parameters (plaque index (PI), bleeding on probing (BOP), and probing pocket depth (PPD) ≥ 4 mm) and hemoglobin A1c (HbA1c) levels were assessed at baseline and after 90 days. Results In both groups, periodontal parameters were similar at baseline. After 90 days of follow-up, there was a significant reduction in the severity of periodontal parameters in patients in Group 1 compared with Group 2. After 90 days of follow-up, there was also a significant reduction in HbA1c among patients in Group 1 compared with Group 2. Conclusions Scaling and root planing with adjunct use of an EO-based oral rinse is more effective in the treatment of periodontal inflammation in T2D patients than SRP alone. This approach also helps reduce hyperglycemia in T2D patients as compared with when SRP is performed alone.