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Diabetes and periodontal diseases

Studies carried out in dental offices.

Periodontal record, which shows the loss of insertion and the presence of deep pockets, as well as suppuration, in certain locations.

There is convincing evidence to support the fact that diabetes mellitus (DM)-type 1 and 2, especially if poorly controlled-is a risk factor for periodontitis that increases the risk of the onset and progression of periodontitis. Evidence also suggests that advanced peridontitis compromises glycaemic control. This appears to be a two-way relationship, and patients with severe periodontitis and MD suffer a higher incidence of cardiac and renal mortality and microalbuminuria than patients with MD without periodontitis.
Periodontal treatment has been associated with improvements in short-term glycaemic control (with reductions of approximately 0.4% in the value of HbA1c, as reported in systematic reviews with meta-analysis). However, studies are needed
to determine the optimal periodontal treatment to achieve and maintain better glycaemic control, as well as to determine whether prevention or treatment of periodontitis will lead to the reduction of diabetic complications, such as cardiovascular and renal pathologies.

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