Periodontitis and diabetes: A bidirectional, cyclical relationship - A brief review

Agarwal, Rakesh; Baid, Rashmi

doi:10.4103/ami.ami_16_17

Cited by 5 publications

(7 citation statements)

References 1 publication

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“…(7) Chronic periodontitis (CP) was considered as a complication of diabetes infections of tongue, and oral mucosa-like chronic atrophic candidiasis. (8) __________________________________ A bidirectional cyclical relationship has been noticed between diabetes mellitus and periodontitis. (8) Furthermore, in several studies the incidence, prevalence and severity of chronic periodontitis (CP) were found to be higher in the presence of diabetes.…”

Section: Indroductionmentioning

confidence: 99%

“…(8) __________________________________ A bidirectional cyclical relationship has been noticed between diabetes mellitus and periodontitis. (8) Furthermore, in several studies the incidence, prevalence and severity of chronic periodontitis (CP) were found to be higher in the presence of diabetes. (9) Diabetes mellitus manifests in altering the salivary composition and its functions.…”

Section: Indroductionmentioning

confidence: 99%

“…(21) Raising in CAL reported to be associated with high level of glycemic control. (8) The diabetes has been associated with reduction in neutrophils functions (adherence, chemotaxis and phagocytosis) this will lead to more pathogen's proliferation and more periodontal tissue inflammation, so individuals with diabetes have higher incidence, prevalence and severity of periodontitis when compared to non-diabetics. (34) The results of this study showed a significantly reduced salivary flow rates in diabetic patients when compared with non-diabetic individuals.…”

Section: Discusionmentioning

confidence: 99%

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Effect of diabetes mellitus on periodontal health status, salivary flow rate and salivary pH in patients with chronic periodontitis

Ibraheem¹,

Ahmmad²,

Dhafer³

et al. 2020

J Bagh Coll Dent

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Background: Diabetes and periodontitis are considered as chronic diseases with a bidirectional relationship between them. This study aimed to determine and compare the severity of periodontal health status and salivary parameters in diabetic and non-diabetic patients with chronic periodontitis. Materials and Methods: Seventy participants were enrolled in this study. The subjects were divided into three groups: Group I: 25 patients had type 2 diabetes mellitus with chronic periodontitis, Group 2: 25 patients had chronic periodontitis and with no history of any systemic diseases, Group 3: 20 subjects had healthy periodontium and were systemically healthy. Unstimulated whole saliva was collected for measurement of salivary flow rate and pH. All periodontal parameters (plaque index, gingival index, probing pocket depth and clinical attachment level) were recorded for each patient. Results: The results showed that all clinical periodontal parameters were highest in group 1 in comparison with groups 2 and 3. Comparisons between pairs of groups revealed significant differences between groups 1 and 2 for plaque index, gingival index, probing pocket depth and clinical attachment level, and highly significant differences for plaque index, gingival index between groups 2 and 3, and between groups 1 and 3. The salivary flow rate and pH were lower in group 1 compared to groups 2 and 3. Inter-group comparisons of salivary parameters also revealed a significant difference between groups 1 and 2, with a non-significant difference between groups 2 and 3. Conclusion: Type 2 diabetic patients have significantly lower salivary flow rate, pH and present with advanced periodontal destruction compared to healthy patients. Key word: Saliva; periodontitis; diabetes mellitus.

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Section: Indroductionmentioning

confidence: 99%

Section: Indroductionmentioning

confidence: 99%

Section: Discusionmentioning

confidence: 99%

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Effect of diabetes mellitus on periodontal health status, salivary flow rate and salivary pH in patients with chronic periodontitis

Ibraheem¹,

Ahmmad²,

Dhafer³

et al. 2020

J Bagh Coll Dent

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“…This disorder is accompanied by long-term complications such as retinopathy, nephropathy, neuropathy, cardiovascular disorders, and various oral manifestations such as altered salivary flow, mucosal drying and cracking, burning mouth, candidiasis, cheilosis, dental caries, gingivitis, and progressive periodontitis. Periodontitis is known as the sixth complication of diabetes mellitus and it increases the response to bacterial plaque by gingiva, due to increased amount of glucose in gingival crevicular fluid (GCF), deficient neutrophil function, and altered collagen metabolism [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

“…Its incidence and prevalence is rising in both developed as well as in developing nations like India. DM affects more than 415 million people worldwide and 69 million people in India and is predicted to affect 592 million people by 2035 [ 1 ]. It is a common chronic, endocrine and metabolic disorder which is characterized by an abnormal increase in blood glucose levels, insulin resistance, and relative insufficiency of insulin leading to impaired metabolism of carbohydrates, proteins and lipids.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of gingival and periodontal status in obese and non-obese type II diabetic patients – a cross sectional study

SriChinthu

Pavithra

Kumar

et al. 2020

Medicine and Pharmacy Reports

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Objective. The aim of this study was to evaluate gingival and periodontal status in obese and non-obese type II Diabetic Patients. Methods. The study population comprised of 75 subjects visiting the outpatient department of our institution, divided into three different groups, group 1 (obese diabetic), group 2 (non-obese diabetic), and group 3 (obese, non-diabetic). Diabetic status was assessed with HbA1c values and obesity status was assessed by body mass index (BMI) score greater than or equal to 30 kg/m2. Gingival and periodontal status were assessed using the Gingival Index (GI) and Community Periodontal Index (CPI) respectively. Results. The mean gingival index score in group 1, group 2, and group 3 were 1.58, 1.54, and 1.25, respectively. Gingival status was poor among obese and non-obese diabetic subjects [Groups 1 & 2] when compared with obese non-diabetic patients [Group – 3]. The periodontal status showed that periodontal pockets were increased in diabetic obese group (15.4%), followed by diabetic non obese (4.66%), and non-diabetic obese (2%) group respectively and loss of attachment was severe in diabetic obese group (60.7%), followed by diabetic non obese (45.9%) and non-diabetic obese (15.3%) respectively. Conclusion. Gingival and periodontal status was poor in the obese diabetic group compared to non-obese diabetic and obese non diabetic group. Hence, the risk of gingivitis and periodontitis in obese diabetic patients should be addressed earlier to prevent further complications and achieve a good oral health status.

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Porphyromonas gingivalis en fluido gingival de pacientes diabéticos tipo 2, y su relación con el control glucémico.

Britos¹,

Sin²,

Ortega³

2022

Revista De La Asociación Dental Mexicana

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Periodontitis and diabetes: A bidirectional, cyclical relationship - A brief review

Cited by 5 publications

References 1 publication

Effect of diabetes mellitus on periodontal health status, salivary flow rate and salivary pH in patients with chronic periodontitis

Effect of diabetes mellitus on periodontal health status, salivary flow rate and salivary pH in patients with chronic periodontitis

Evaluation of gingival and periodontal status in obese and non-obese type II diabetic patients – a cross sectional study

Porphyromonas gingivalis en fluido gingival de pacientes diabéticos tipo 2, y su relación con el control glucémico.

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