Abstract
PERIODONTITIS AND DIABETES ARE THEY INTER-RELATED??-A REVIEW ARTICLE

*Dr. Bhavana Sharma, Dr Kunal Gaurav Seth, Dr Mallika Sethi, Dr Trishu Chowdhery, Dr Nikhil Sharma, Dr Shubhra Vaish

ABSTRACT

Diabetes mellitus (DM) is a metabolic disease that has become one of the most prevalent diseases in the world. In many of the patients, the diabetes remains undiagnosed.[1,2] More importantly, the prevalence of DM has tripled since 1970. The World Health Organization (WHO) predicts that the number of patients with diabetes will increase to almost 10% of adults by 2030.[3] Diabetes has unequivocally been confirmed as the major risk factor for periodontitis.[4,5,6] The risk of periodontitis increases by approximately threefold in diabetic individuals as compared to that with non-diabetic individuals.[7] Diabetes and periodontitis are intricately related and have the capacity to influence the clinical outcomes of each other.[8] An analysis made by the National Health and Nutrition Examination Survey (NHANES) III data set stated and confirmed the significantly higher prevalence of periodontitis in diabetics than in nondiabetics (17.3% versus 9%)patients. The analysis of the data also concluded that the prevalence of diabetes in patients with periodontitis is almost double than that seen in non-periodontitis patients (12.5% versus 6.3%). A longer duration of diabetes has been linked to increased severity of periodontal diseases.[9] In fact, periodontitis is referred to as the sixth complication of diabetes.[10] Further research suggests that control of periodontal disease can play a major role in the diabetes control. Thus, dentists must be aware of the signs, symptoms and complication of diabetes, and must understand the importance of maintaining periodontal health for any patient with diabetes.

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