Romanian Journal of Medical and Dental Education (Feb 2023)
DIABETES AND ORAL HEALTH-A BILATERAL RELATIONSHIP THAT REFLECTS ON THE QUALITY OF LIFE
Abstract
Both diabetes mellitus (a series of metabolic illnesses characterised by hyperglycemia) and periodontitis (an inflammatory disorder affecting the supporting tissues of teeth and caused by microorganisms) are widespread and persistent health problems. diabetes mellitus (both type 1 and type 2) has been shown to increase the likelihood of developing periodontitis in a number of studies. mechanistic studies show that diabetes mellitus causes a hyperinflammatory response to the periodontal microbiota, which therefore speeds up the loss of the gums and teeth. Since periodontitis has been shown to negatively impact glycemic control in people with diabetes mellitus and to contribute to the development of diabetic complications, the relationship between the two illnesses is two-way. Meta-analyses have also found that periodontal care for those with diabetes mellitus can lead to a little enhancement of glycemic control. Increased levels of systemic proinflammatory mediators may explain the impact of periodontal infections on diabetes mellitus, which in turn worsens insulin resistance. Increased patient awareness of the connection between diabetes mellitus and oral health and collaboration between medical and dental professionals for the management of affected individuals become increasingly important as our understanding of the relationship between the two conditions grows.