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HOW DIABETES AFFECTS PERIODONTAL DISEASE

April 30, 2019

Periodontal disease is a bacterial disease caused mainly byplaque and tartar. There is also a genetic component and smoking masks andpotentiates the disease, its prevalence being 80%.

Diabetes is considered a metabolic disorder, caused byabsolute deficiency in the production of insulin in type I diabetes or by aresistance created to insulin or by the reduction of insulin in type IIdiabetes. Its prevalence is close to 15% and has increased in recent years.

The relationship between periodontal disease and diabetes isbidirectional periodontal disease increases blood glucose levels, causing agreater risk of suffering complications associated with diabetes, such asocular, renal, vascular, gastrointestinal, genitourinary, etc., and at the sametime, diabetes causes periodontal disease to appear earlier, be more severe andprogress faster. The diabetic has three times more risk of sufferingperiodontitis, in addition to greater risk of oral infections, dry mouth,enlargement of salivary glands or alterations in the perception of taste amongothers.

Why isperiodontal disease a risk factor in diabetes?

Because inflammation and local infection, caused byperiodontal disease, has systemic effects, increased blood sugar concentration,inhibition of the action of insulin or increased levels of other hormones thatare hyperglycemic.

Whydoes diabetes worsen oral health?

Diabetes generates a greater inflammatory response, causingthe loss of tooth support, altering the ability to heal and repair tissue.

The treatment and control of periodontal disease causesblood glucose levels to decrease, so do the complications of diabetes.

Therefore, the dentist plays a very important role in thedetection of undiagnosed diabetes or prediabetes and in its control. At AsisaDental we can help you manage and treat the difficulties that diabetes cancause for your oral health. Come and visit us!

Articleby Miguel Angel de Mingo