Periodontal Diseases in Diabetics: Relationship, Prevention, and Treatment
A2, Busse M1
General Outpatient Ambulance1 and Dental Ambulance2
of the Institute of Sports Medicine, University of Leipzig
(1Director: Prof. M.W. Busse, MD, PhD)
(2Head: A. Schulze, DDS)
Schulze A, Busse M. Periodontal Diseases in Diabetics: Relationship, Prevention, and Treatment. Clinical Sports
Medicine International (CSMI) 2008, 2: 1-4.
Diabetes represents a risk factor for periodontitis. Poor glycemic management and prolonged duration of the disease are
associated with severe periodontal disease, commonly called the sixth complication of diabetes. The systemic inflammatory
response generated by inflamed periodontal tissue worsens insulin resistance and promotes diabetes. This evidence points
to a vicious cycle of diabetes and periodontitis exacerbating each other, which ultimately brings the diabetics to the attention
of oral health practitioners. The primary and secondary prevention of periodontal disease is an important diabetic task; an
aggressive management of oral health and regular check-ups in diabetic patients may diminish the inflammatory milieu’s
effects on diabetes control. Diabetics’ therapy of periodontal disease is a long-term venture, requiring a modification of the
customary periodontal treatment applied to non-diabetics. The use of bacterial analysis is an important tool for the extended
management of periodontal disease in diabetics.
Key words: diabetes, periodontal therapy in systemic diseases, periodontitis and diabetes control, insulin resistance.