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Diabetes and periodontal disease: a two-way relationship

Lookup NU author(s): Professor Philip Preshaw


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Periodontitis and diabetes are common, complex, chronic diseases with an established bidirectional relationship. That is, diabetes (particularly if glycaemic control is poor) is associated with an increased prevalence and severity of periodontitis, and, severe periodontitis is associated with compromised glycaemic control. Periodontal treatment (conventional nonsurgical periodontal therapy) has been associated with improvements in glycaemic control in diabetic patients, with reductions in HbA1c of approximately 0.4% following periodontal therapy. For these reasons, management of periodontitis in people with diabetes is particularly important. The dental team therefore has an important role to play in the management of people with diabetes. An emerging role for dental professionals is envisaged, in which diabetes screening tools could be used to identify patients at high risk of diabetes, to enable them to seek further investigation and assessment from medical healthcare providers.

Publication metadata

Author(s): Casanova L, Hughes FJ, Preshaw PM

Publication type: Article

Publication status: Published

Journal: British Dental Journal

Year: 2014

Volume: 217

Issue: 8

Pages: 433-437

Print publication date: 24/10/2014

Online publication date: 24/10/2014

Acceptance date: 23/07/2014

ISSN (print): 0007-0610

ISSN (electronic): 1476-5373

Publisher: Nature Publishing Group


DOI: 10.1038/sj.bdj.2014.907


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