Association between type 1 and type 2 diabetes with periodontal disease and tooth loss

Kaur, Gaganpreet; Holtfreter, Birte; Rathmann, W; Schwahn, Christian; Wallaschofski, H.; Schipf, Sabine; Nauck, Matthias; Kocher, Thomas

doi:10.1111/j.1600-051x.2009.01445.x

Cited by 136 publications

(119 citation statements)

References 33 publications

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“…Moreover, AGE have the capacity to increase the endothelium permeability and express high levels of molecular adhesion receptors. These changes could explain the greater susceptibility to infections and the delayed wound healing in diabetic patients (8). This depressed immune response could explain why it may not be possible to eradicate periodontal infection totally in diabetics after conventional periodontal therapy.…”

Section: Resultsmentioning

confidence: 99%

Dental considerations for the patient with diabetes

Alamo¹,

Soriano²,

Perez³

2011

J Clin Exp Dent

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Diabetes mellitus (DM) is one of the most frequent pathologies that dentists encounter, due to its high prevalence worldwide. It is diagnosed by the repeated obtaining of fasting plasma glucose levels of 126 mg/ dl or higher, or glycosylated hemoglobin of 6'5% or higher. Diabetes (especially if it is not well controlled) brings with it a greater risk of periodontal disease, which is the most frequent complication. On the other hand, the possible influence of periodontal disease on glycemic control is still not well established. Other reported manifestations are xerostomia, sialadenosis and burning mouth syndrome. With regard to dental caries, oral lichen planus and candidosis, recent studies have not revealed a significantly higher incidence in these patients. For dental treatment, the type of diabetes suffered, the treatment given for the disease, and the glycemic control status (using the glycosylated hemoglobin test) should be known. Patients should receive short morning appointments to reduce stress. The dentist has to be aware of the possible occurrence of an acute complication (hypoglycemia or hyperglycemia). Furthermore, these patients suffer from delayed wound healing and major susceptibility to infections.

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Section: Resultsmentioning

confidence: 99%

Dental considerations for the patient with diabetes

Alamo¹,

Soriano²,

Perez³

2011

J Clin Exp Dent

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“…17 De entre as complicações fazem parte gengivite, doença periodontal, alteração acídica do pH, alteração degenerativa das glândulas salivares (com acumulação lipídica e consequente aumento da viscosidade e redução do fluxo salivar), xerostomia (resultante da desidratação promovida pela hiperglicemia), alterações da composição salivar (relacionadas com aumento da glicose, IgA, cálcio, α-amilase, lisozima e lactoferrina e diminuição do magné-sio), síndrome de ardor bucal, disgeusia, glossodinia, úlce-ras aftosas recorrentes, queilite actínica e angular, líquen plano, pigmentação melânica, língua fissurada, língua pilosa, infeções por Candida albicans, hipocalcificação do esmalte, erupção dentária precoce, hálito cetónico e lesões de cárie dentária. [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] A associação entre DM1 e lesão de cárie dentária mantém-se controversa, apesar dos estudos realizados até à data.…”

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Prevalência de Lesões de Cárie de Doentes com Diabetes Mellitus Tipo 1 Tratados com Múltiplas Administrações de Insulina e de Indivíduos sem Diabetes

et al. 2017

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In addition to macro and microvascular complications that are associated with the disease, hyperglycaemia is also a risk factor for several oral complications. The aim of this study is to establish a relationship between dental caries in patients with type 1 diabetes mellitus treated with multiple insulin injections and that of individuals without diabetes. It is also an aim to characterize the oral hygiene habits of this population. Material and Methods:An observational clinical study of analytical and cross-sectional nature was conducted. Thirty patients with type 1 diabetes mellitus and 30 individuals without diabetes were observed and questioned about information regarding their medical history. Oral examination was conducted according to the standards of the World Health Organization and ICDAS was used for caries detection. Statistical analysis was performed and the significance level was set at 5%. Results: Patients with diabetes mellitus showed similar caries levels to that of individuals without diabetes. Patients with diabetes mellitus had a higher dental plaque index. Only 10% of the patients having episodes of nocturnal hypoglycaemia brush their teeth after glucose intake. Discussion: Although there's some controversy in the literature regarding the prevalence of caries in patients with diabetes mellitus, the results are in agreement with a great number of studies. However, patients with diabetes mellitus have a higher plaque index which can be associated with a higher risk for developing certain oral pathologies. Conclusion:No statistically significant association was found between type 1 diabetes mellitus and dental caries.

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“…7 Analysis of periodontal status in people with type 1 or type 2 diabetes from a population-based German study has demonstrated an association between both types of diabetes and tooth loss. 8 Attention to oral disease in addition to medical conditions by both medical and dental care providers will improve the ability to identify individuals unaware of their diabetic status. Dentists should establish referral patterns, communicate with physicians, and use dental screening as a tool for referral of patients with severe gingival or periodontal inflammation.…”

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confidence: 99%