Interplay between Periodontal Disease and Diabetes Mellitus

Progress in the management of diabetes mellitus is turning attention toward comorbidities and conditions such as periodontal diseases. This article aims to present the evidence linking diabetes and periodontal disease. The potential effects of modifying factors of inflammatory origin on diabetic con...

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Bibliographic Details
Main Authors: Garima Asthana, Shivjot Chhina
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-07-01
Series:Indian Journal of Medical Specialities
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Online Access:https://journals.lww.com/10.4103/injms.injms_132_20
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Summary:Progress in the management of diabetes mellitus is turning attention toward comorbidities and conditions such as periodontal diseases. This article aims to present the evidence linking diabetes and periodontal disease. The potential effects of modifying factors of inflammatory origin on diabetic control are also discussed. Increased prevalence, extent, and severity of gingivitis and periodontitis are correlated with diabetes. Moreover, many plausible mechanisms have been exemplified to explain the effect of diabetes on the periodontium. While inflammation plays an important role in periodontal diseases, evidence in the medical literature also supports the role of inflammation as an important component in the pathogenesis of diabetes and its complications. Research suggests that periodontal disease has a large amount of inflammatory components that can negatively affect the metabolic control of diabetes. Conversely, treatment of periodontal disease and decrease in oral inflammation have a positive effect on the diabetic control. Diabetic patients who have periodontal disease have two chronic conditions - diabetes and periodontal disease, each of which can impact the other and require regular professional evaluations, patient education, and consistent educational reinforcement by healthcare providers both medical and dental.
ISSN:0976-2884
0976-2892