Diabetes‐related parameters and periodontal conditions in children

Abstract

These findings suggest that accelerated periodontal destruction in young people with diabetes is related to the level of metabolic control. Good metabolic control may be important in addressing periodontal complications in young patients with diabetes, similarly to what is well established for other systemic complications of this disease.

Microbiological changes after periodontal therapy in diabetic patients with inadequate metabolic control

“…12,13 Scaling and root planing (SRP) therapy, in combination (or not) with antimicrobial agents, might be effective in reducing periodontal pathogens in persons with DM, 14,15 although others have reported that SRP alone may not be capable of eliminating or reducing Tannerella forsythia and Porphyromonas gingivalis in those individuals. 4,8,16,17,18 In general, a reduced level of those pathogens is crucial for a good response to therapy. 19,20 Analysis of data in the literature shows that it is unclear whether the subgingival microbiota in persons with DM is significantly affected by SRP.…”

“…2,3 Persons with poorly controlled DM also present more severe periodontal disease than do those with well-controlled DM. 4,5 Several mechanisms have been proposed to explain the periodontal etiopathogenesis in patients with DM. 3,6 Significant differences may be present in…”

Gingival Inflammation as a Sign of Diabetic Systemic Chronic Complications

“…Mean Gi values in groups with "moderately poor" and "poor metabolic control" were higher comparing to the values in group with "good metabolic control" (p<0,05). Lalla E et al 24 measured attachment loss and gingival bleeding separately, and similarly as previous investigators noticed that HbA1c was positively and significantly correlated with gingival bleeding, but not with attachment loss alone 24,27 . Similar findings were noticed in the present investigation where mean Gi values in groups with "moderate poor" and "poor metabolic control" were higher comparing to group with "good metabolic control" (p<0,05).…”

“…The general opinion is that there is no effect of gender on elevated blood glucose in diabetic patients, as noticed in this study, whereas both sexes were uniformly represented 24 . Diabetic patients with poor metabolic control are at a high risk for a poor periodontal prognosis 7,8 .…”

“…The metabolic control in diabetic patients is an important variable in the onset and progression of periodontal disease and chronic systemic DM complications 5 . Lalla et al 24 noticed that HbA1c was positively and significantly correlated with gingival bleeding. The presence of periodontal pockets and attachment loss were not significantly correlated with HbA1c higher values in diabetic patients.…”