Periodontal Disease And Diabetes

Important factors to consider in assessing the periodontal status of and formulating treatment plans for patients with diabetes include their degree of metabolic control, the duration of their disease, the presence of other long-term complications of diabetes, the presence of concurrent risk factors and their general level of well-being.

Emphasis should be placed on the reduction of the bacteria and elimination of the biofilm, both above and below the gumline. This can be accomplished with traditional scaling and root planing in addition to excellent home care. Treatment should focus on the prevention of periodontal disease and oral inflammation, which is essential in controlling the oral complications associated with diabetes. And, because we know that bacterial challenge is a risk factor for gingivitis among even healthy, well-controlled diabetic patients, patients should be encouraged to floss regularly and brush twice daily with a toothpaste that offers anti-bacterial protection.

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1. American Diabetes Association.
2. J Periodontol Mar; 76(3):418-25.