Relationship Between Periodontitis and Diabetes Introduction Periodontitis is a serious gum disease that can cause adverse effects on daily life. From moderate to severe cases it affects 13 to 15 percent of Americans between the ages of eighteen and sixty-five. (Page, 1998) If not routinely monitored, it is common for this disease to advance until symptoms become severely noticeable. Research confirms that periodontal disease is also linked to several other diseases, and most commonly found in people with diabetes. Diabetes affects over 18 million individuals in the United States alone. (Southerland, 2005) The bidirectional mechanism of these two diseases can exacerbate both etiologies and further …show more content…
One of the sixth most common complication of diabetes is periodontitis. (Loe 1993). Study have found that there is a higher prevalence of periodontal disease among diabetic patients compared to healthy individuals (Firatli 1997). AGE-enriched gingival tissue has greater vascular permeability, facilitates greater breakdown of collagen fibers and accelerated destruction of both non-mineralized connective tissue and bone (Lalla …show more content…
The American Dental Association, American Academy of Periodontology and in dental hygiene schools teach the importance of the association between diabetes and periodontal disease, treatment guidelines. As dental professionals, it is clinically important to assess a patient with known diabetes; a clinical evaluation should include, exam for oral mucosal lesions, evaluation of salivary flow, any taste disturbances, burning mouth syndrome, dental caries, whole mouth probing depth, attachment loss, plaque level, and gingival inflammation. Patient education is crucial for patient with diabetes and periodontitis, recommendations for proper home care are very important. They must include an oral hygiene regimen of over-the-counter toothpaste, mouth rinse with antibacterial properties to help manage supragingival plaque and gingival inflammation. Patients are also encouraged to brush and floss after each meal, conduct self-examinations regularly, and contact the dentist or hygienist if they see any signs of infection, bleeding or other oral changes, such as ulcers, burning mouth, or reduced salivary flow. In the end, it does take a interdisciplinary approach of all medical professionals in the primary prevention and management of