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Diabetes as a risk factor for periodontal disease: current status and future considerations

Wah Ching Tan, +2 more
- 01 Aug 2006 - 
- Vol. 35, Iss: 8, pp 571-581
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TLDR
In light of the increasing evidence of the relationship between diabetes and periodontal disease, management of oral health should form an integral part of diabetes management.
Abstract
Introduction: Over the past decade, there has been an emerging interest in the inter- relationship between systemic conditions and oral health. Diabetes is perhaps one of the best documented conditions that have been closely linked with periodontal disease. This paper reviews the role of diabetes as a risk factor in periodontal disease. The treatment implications in the management of periodontal disease as an integral component of diabetes care is also discussed in light of the current understanding of the pathogenesis of these 2 chronic conditions. Materials and Methods: Epidemiological, clinical and laboratory studies examining the relationship between diabetes and periodontal diseases were selected from both medical and dental journals. Results: The severity of periodontal destruction has been shown to be related to the direct and indirect effects of glycaemic control, with other factors also being implicated. Although some studies have pointed towards a bi-directional relationship between glycaemic control and periodontal health, it is still not clear if improvement in periodontal health could lead to improved metabolic control. Conclusion: Diabetes and periodontal disease are closely related in many ways, though the effect of periodontal disease on diabetes control remain to be determined, with larger intervention studies. In light of the increasing evidence of the relationship between diabetes and periodontal disease, management of oral health should form an integral part of diabetes management. Ann Acad Med Singapore 2006;35:571-81

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Citations
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Periodontal ligament stem cell-mediated treatment for periodontitis in miniature swine.

TL;DR: The feasibility of using stem cell‐mediated tissue engineering to treat periodontal diseases is demonstrated and it is demonstrated that PDLSCs were capable of regeneratingperiodontal tissues, leading to a favorable treatment for periodontitis.
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Interrelationship between diabetes and periodontitis: Role of hyperlipidemia

TL;DR: The effects of hyperlipidemia on insulin secretion and pro-inflammatory cytokines production (TNF-α, IL-1β) play an important role on the pathogenesis of diabetes and periodontitis.
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Periodontal disease status in gullah african americans with type 2 diabetes living in South Carolina.

TL;DR: The authors' sample of Gullah African Americans with type 2 diabetes exhibited a higher prevalence of periodontal disease compared to African Americans, with and without diabetes, as reported in NHANES III andNHANES 1999-2000.
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The oral cavity of elderly patients in diabetes

TL;DR: The relationship between diabetes and oral health, particularly focusing on periodontal diseases, dental caries and xerostomia, is reviewed, with a bidirectional interrelationship between Diabetes and periodontals.
References
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TL;DR: Intensive therapy effectively delays the onset and slows the progression of diabetic retinopathy, nephropathy, and neuropathy in patients with IDDM.
Journal Article

Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33)

R C Turner, +398 more
- 12 Sep 1998 - 
TL;DR: In this article, the effects of intensive blood-glucose control with either sulphonylurea or insulin and conventional treatment on the risk of microvascular and macrovascular complications in patients with type 2 diabetes in a randomised controlled trial were compared.
Journal Article

Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group.

TL;DR: The effects of intensive blood-glucose control with either sulphonylurea or insulin and conventional treatment on the risk of microvascular and macrovascular complications in patients with type 2 diabetes in a randomised controlled trial were compared.
Journal ArticleDOI

Cholesterol Lowering With Simvastatin Improves Prognosis of Diabetic Patients With Coronary Heart Disease: A subgroup analysis of the Scandinavian Simvastatin Survival Study (4S)

TL;DR: It is suggested that cholesterol lowering with simvastatin improves the prognosis of diabetic patients with CHD and the absolute clinical benefit achieved by cholesterol lowering may be greater in diabetic than in nondiabetic patients withCHD because diabetic patients have a higher absolute risk of recurrent CHD events and other atherosclerotic events.
Journal ArticleDOI

Periodontal Disease: The sixth complication of diabetes mellitus

TL;DR: Some level of periodontal disease has been found in most populations studied and is responsible for a substantial portion of the tooth loss in adulthood.
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