Diabetes & Periodontal Disease
Patients with diabetes should be told that periodontal disease risk is increased by diabetes. Inflammation places them at higher risk of complications such as cardiovascular disease and kidney disease. Also they are likely to suffer from Dry Mouth and Burning Mouth. Patients have an increased risk of oral fungal infections and experience poorer wound healing than non-diabetics.
Diabetes and periodontitis are complex chronic diseases with an established bidirectional relationship. There is long-established evidence that hyperglycaemia in diabetes is associated with adverse periodontal outcomes. The complications of which contribute to significant morbidity and premature mortality.*
Bidirectional relationship between diabetes and periodontitis There is robust evidence that severe periodontitis adversely affects glycaemic control in diabetic and non-diabetic subjects. In diabetic subjects there is a direct dose-dependent relationship between severity and diabetes complications.
Emerging evidence supports an increased risk for Type II diabetes onset in patients with severe periodontitis. Systemic inflammation results from the entry of oral microbial agents into the blood circulation.
Diabetes is an emerging global epidemic whose complications impact significantly on quality of life, longevity and healthcare costs. WHO predicts 10% of the population will have diabetes by 2030.
Teeth & Gums affected by diabetes
The onset of diabetes is preceded by inflammation which leads to pancreatic beta-cell dysfunction and apoptosis leading to diabetes. Inflammatory periodontal diseases are the most common chronic inflammatory conditions of humans worldwide.* Severe periodontitis affects up to 15% of the population. Gingivitis is the first stage of Periodontitis.
Guideline to health professionals*
Patients with diabetes should be told that periodontal disease risk is increased by diabetes. Inflammation places them at higher risk of complications such as cardiovascular disease and kidney disease. Also, they are likely to suffer from Dry Mouth and Burning Mouth. Patients have an increased risk of oral fungal infections and experience poorer wound healing than non-diabetics.*
Denta-Med has proved effective in preventing and correcting gingivitis, the first stage of periodontitis. Denta-Med Australia recommends its use for all diabetics and those likely to be at risk of Type II diabetes. Denta-Med Gel is effective for control of harmful microbial infection. Denta-Med is useful in minimising the risk of discomforting oral conditions likely in diabetic patients.
*Diabetes and Periodontal disease: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases – Journal of Periodontology 2013