Treatment of periodontal disease for glycaemic control in people with diabetes

Abstract

There is some evidence of improvement in metabolic control in people with diabetes, after treating periodontal disease. There are few studies available and individually these lacked the power to detect a significant effect. Most of the participants in the study had poorly controlled Type 2 DM with little data from randomised trials on the effects on people with Type 1 DM.Improving periodontal health is an important objective in itself. However, in order to understand the potential of this treatment to improve glycaemic control among people with diabetes, larger, carefully conducted and reported studies are needed.

The Effect of Chairside Chronic Disease Screenings by Oral Health Professionals on Health Care Costs

“…There is evidence of a bidirectional relationship between diabetes and periodontal disease. 50,51 Oral fungal infections have also been associated with diabetes. 52 Hence, identifying patients with diabetes or prediabetes could help oral health professionals to better treat their patients.…”

Evidence that periodontal treatment improves diabetes outcomes: a systematic review and meta‐analysis

“…Several recent systematic reviews (Teeuw et al, 2010, Simpson et al, 2010) have been conducted to assess the evidence that periodontal treatment influences glycaemic control. The aim of this manuscript is to provide an update to account for recent findings.…”

Dental Care

“…A survey conducted in the United Kingdom found that 43% of adults reported avoiding the dentist due to cost. Of those adults, 26% reported suffering long-term tooth decay, and 13% reported suffering a periodontal abscess as a result (Simpson et al, 2010). A national sample of Canadian adults demonstrated that 30% reported avoiding or delaying dental visits, and 32.2% reported not being able to receive all the treatment that was recommended due to cost (Locker et al, 2011).…”

“…However, in most OECD settings dental care is largely separate. This is an important issue, particularly in ageing societies, since evidence is emerging that oral and systemic health are linked, particularly among populations with high chronic disease burdens (Lockhart et al, 2012;Simpson et al, 2010).…”

“…Thus, not surprisingly, oral health is linked to whole-body health in many ways. For example, although the exact nature of the relationship is not fully understood, healthy gums are associated with a lower risk of heart disease (Lockhart et al, 2012) and diabetes (Simpson et al, 2010). These links are increasingly important given the shifting global burden of disease toward non-communicable conditions.…”