1. The Correlation Between Diabetes and Dental Health
dr shabeel pn

2. Abstract
Diabetes is a disease that has been associated with an increased risk for a number of serious, sometimes life- threatening complications. Some of those risks include, poor dental health. Studies have shown that people with diabetes are more likely to have periodontal disease than people without diabetes, probably because diabetics are more susceptible to contracting infections. This study will show the correlation between diabetes and periodontal disease.
[American Academy of Periodontology]

3. Who is at risk?
Diabetes has a strong prevalence in minority and ethnic groups
Native Americans
Blacks/ African Americans
Hispanics
Cubans

4. What is Diabetes?
A condition characterized by hyperglycemia resulting from the body’s inability to use blood glucose for energy.
Type 1
Type 2
Gestational Diabetes.
Diabetes is a preventable disease
National Diabetes Information Clearinghouse (NDIC)

5. Current Statistics 24 Million individuals have diabetes in USA
Increase of 3 million people in 2yrs
57 Million people are estimated to have pre diabetes
Decrease in the number of people that did not know they had the disease: 30% - 25%

6. Its Effect on the Body Stroke Oral Health Heart Lungs Stomach Kidneys
Reproductive health and Pregnancy

7. Periodontal Disease Infection of the tissues that support your teeth.
Attachment of the tooth and supporting tissues break down.
Gum tissue not attached to the teeth as high as it may seem.
Very shallow v-shaped crevice called a sulcus between the tooth and gums;
develop into a pocket as tissue is damaged. [

8. Classification of Periodontal disease
According to the severity of the disease.
Two major stages;
Gingivitis
Periodontitis

9. Its Relation to Diabetes
Considered the sixth complication of diabetes
More likely to occur in diabetic patients
Poorly controlled type 2 diabetics more likely to develop periodontal disease than well- controlled diabetics
[Journal of Periodontology]

10. Further relationship Increase in blood sugar
Poorly controlled diabetics respond differently to bacterial plaque at the gum line than well-controlled diabetics and non-diabetics

11. Reason Elevated serum triglycerides;
Poorly controlled diabetics have more harmful proteins (cytokines) in their gingival tissue, causing destructive inflammation of the gums.
In turn, beneficial proteins (growth factors) are reduced, interfering with the healing response to infection.

12. Preventative Measures
Keep Blood Glucose under control
Brush Often
Floss Daily
Get Regular Dental Care
Diabetes Public Health Resources

13. The Future Collaboration of Health Care Providers and Communities
Further Research

14. References
Gum Disease and Diabetes (2008). American Academy of Periodontology. Oct 24, Retrieved from
Hewitt images. Retrieved on Jun 3rd, 2009 from
Javed, et al. (2008). Periodontal conditions and oral symptoms in gutka-chewers with and without type 2 diabetes. Acta Odontologica Scandinavica; 66:
Journal of Periodontology Online. November 1999, Vol. 70, No. 11, Pages Retrieved on June 2nd, from