Relationship between diabetes mellitus and periodontal disease

Written by: Daniel Jiménez Cabeza
Edited by: Top Doctors®

A risk factor to suffer gingivitis and periodontitis is diabetes mellitus. Several studies conclude that glycemic control in diabetes disease is a variable in the initiation and progression of periodontal disease. The patient SRIS influences the prevalence and severity of periodontitis, rather than pathogenic bacteria.

Diabetic patients have altered function of some immune cells, which increases the production of inflammatory mediators. These meters are also present in the gums, which can increase inflammation and attachment loss and bone. Also, changes also occur in the synthesis and maturation of collagen, which degrades and affects periodontal healing, contributing to their destruction.


Symptoms of periodontitis in patients with diabetes mellitus

Patients diagnosed with diabetes mellitus have therefore increased risk for periodontal disease. This has two major consequences: the possibility of tooth loss and worse diabetes control.

Symptoms that warn of the possibility of having periodontitis if you are diabetic are:

  • Redness, bleeding and / or inflamed gums
  • Suppuration
  • Bad taste
  • Longer teeth, apparently
  • Mobility or tooth spaces
  • Accumulation of tartar or calculus
  • dry mouth
  • Burning sensation
  • Fungal infection
  • Worst wound healing

diabetes and periodontitis

Association between periodontal disease and diabetes

Furthermore, chronic inflammation due to periodontal disease has, in turn, impact:

  • The glycemic control
  • Complications of diabetes (cardiovascular, cerebrovascular or peripheral vascular)
  • The role of beta cells of the pancreas
  • The insulin resistance
  • The future development of type 2 diabetes

Also, although the association for both diseases is emerging for type 1 diabetes and low for gestational diabetes, yes there is evidence of an association between periodontitis and type 2 diabetes. This means that patients with advanced periodontitis suffer an increase in glycosylated hemoglobin (HbA1C) in patients with type 2 diabetes and even in those without diabetes. In addition, periodontitis may start or increase insulin resistance in the same way as obesity, which is worse blood glucose control.


Treatment of periodontitis in patients with diabetes mellitus

Regular dental checkups by the expert recommended Dentistry as part of diabetes management, as well as making a careful dental and gums at home hygiene, for good maintenance of oral and systemic health.

It has been shown that after 3 months of treatment scaling and root planing, an average reduction of HbA1C is given of 0.36%. These reduction levels glycosylated hemoglobin short term equivalent to add a second drug to treat diabetes, making the mechanical treatment in a treatment of choice. Type 2 diabetic patients follow, in these cases, mechanical treatment and good oral hygiene monitoring. Patients with poor glycemic control could present, however, increased disease recurrence and response to treatment less favorable long term.

*Translated with Google translator. We apologize for any imperfection

By Daniel Jiménez Cabeza

Recognized dentist in periodontics, Mr. Jimenez Head is part of the Dental Clinic Den. He combines his professional activity with teaching, effectively fulfilling the master professor of Periodontology and Implants at the International University of Catalonia (UIC). He has been awarded several times, including the P "regenerative therapy in aggressive periodontitis: a review of literature on the subject of a case" Award & O stands by the Spanish Society of Periodontology and Osseointegration (SEPA), awarded in 2014. an MA in Clinical Research and Materials in Dentistry and one in Periodontology and Implants, both by the International University of Catalonia. Author of several publications, is a member of the Spanish Society of Periodontology and Osseointegration (SEPA).

*Translated with Google translator. We apologize for any imperfection

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