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A Clinician's Guide to Systemic Effects of Periodontal DiseasesPeriodontitis and Diabetes Mellitus: A Complex Relationship

A Clinician's Guide to Systemic Effects of Periodontal Diseases: Periodontitis and Diabetes... [This chapter explores the complex relationship between diabetes mellitus and periodontal diseases. When either disease is undiagnosed or poorly managed, risk for the other disease increases. In addition, the optimal management of both diseases is essential to prevent adverse sequelae that can occur in a bidirectional manner. Studies in this area have been confounded by variability in the type of diabetes studied, diabetes treatment regimens, the level of diabetic control, the presence or absence of diabetic complications, periodontal disease severity, the periodontal therapy used, and the numbers of subjects enrolled with vastly different inclusion and exclusion criteria. Despite these challenges, the preponderance of evidence supports a bidirectional relationship requiring collaboration between medical and dental practitioners for the provision of optimal healthcare services to the growing population of patients with both diabetes and periodontal diseases. A better understanding of the mechanisms involved in these disease processes would enable a multidisciplinary team of healthcare providers including the dentist and hygienist to provide optimal therapy for this complex patient population. In addition, the challenges faced in interprofessional management of patients with diabetes and periodontal diseases will also be addressed.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

A Clinician's Guide to Systemic Effects of Periodontal DiseasesPeriodontitis and Diabetes Mellitus: A Complex Relationship

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Publisher
Springer Berlin Heidelberg
Copyright
© Springer-Verlag Berlin Heidelberg 2016
ISBN
978-3-662-49697-8
Pages
19 –37
DOI
10.1007/978-3-662-49699-2_3
Publisher site
See Chapter on Publisher Site

Abstract

[This chapter explores the complex relationship between diabetes mellitus and periodontal diseases. When either disease is undiagnosed or poorly managed, risk for the other disease increases. In addition, the optimal management of both diseases is essential to prevent adverse sequelae that can occur in a bidirectional manner. Studies in this area have been confounded by variability in the type of diabetes studied, diabetes treatment regimens, the level of diabetic control, the presence or absence of diabetic complications, periodontal disease severity, the periodontal therapy used, and the numbers of subjects enrolled with vastly different inclusion and exclusion criteria. Despite these challenges, the preponderance of evidence supports a bidirectional relationship requiring collaboration between medical and dental practitioners for the provision of optimal healthcare services to the growing population of patients with both diabetes and periodontal diseases. A better understanding of the mechanisms involved in these disease processes would enable a multidisciplinary team of healthcare providers including the dentist and hygienist to provide optimal therapy for this complex patient population. In addition, the challenges faced in interprofessional management of patients with diabetes and periodontal diseases will also be addressed.]

Published: May 18, 2016

Keywords: Glycemic Control; Oral Health; Gestational Diabetes Mellitus; Poor Glycemic Control; Gingival Crevicular Fluid

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