Diabetes mellitus and inflammatory periodontal diseases
Abstract
PURPOSE OF REVIEW: Periodontal diseases are inflammatory conditions that were once thought to have manifestations localized to the oral cavity alone, and were therefore considered the concern of only dentists and other oral health professionals. Emerging evidence has changed this view and now suggests that periodontal diseases may play a role in numerous conditions that impact systemic well being, including diabetes mellitus. This review examines the relationships that exist between periodontal diseases and diabetes mellitus, with a focus on potential common pathophysiologic pathways including those associated with inflammation, altered host responses, and insulin resistance. RECENT FINDINGS: Periodontal inflammation is associated with an elevated systemic inflammatory state and an increased risk of major cardiovascular events such as myocardial infarction and stroke, adverse pregnancy outcomes such as preeclampsia, low birth weight and preterm birth, and altered glycemic control in people with diabetes. Intervention trials suggest that periodontal therapy, which decreases the intraoral bacterial bioburden and reduces periodontal inflammation, can have a significant impact on systemic inflammatory status. Evidence suggests that periodontal therapy is associated with improved glycemic control in many patients with both diabetes and periodontal diseases. SUMMARY: Recognition of the bilateral relationships between oral and systemic health will challenge physicians and dentists to work together closely in the future when managing patients with diabetes and periodontal disease.
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Type 2 diabetes mellitus, and the hyperglycemia related to this disease, are associated with increased risk of periodontitis as a result of the vascular complications of diabetes and increased levels of pro-inflammatory molecules.
“Type 2 diabetes mellitus, and the hyperglycemia related to this disease, are associated with increased risk of periodontitis as a result of the vascular complications of diabetes and increased levels of pro‐inflammatory molecules.216, 217, 218”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [216]
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- Authors
- Mealey, B. L., & Rose, L. F.
- Affiliations
- The University of Texas at San Antonio Health Science Center (US)
- New York University (US)
- Corresponding author
- Rose, Louis F
- Venue
- Current Opinion in Endocrinology, Diabetes & Obesity
- Published
- 2008-04
- Volume
- 15
- Issue
- 2
- Pages
- 135-141
- ISSN
- 1752-296X (ISSN-L)
- OpenAlex
- W2037234222
- Cited by
- 234
- References
- 41
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 6 · 2023: 10 · 2022: 13 · 2021: 10 · 2020: 17 · 2019: 13 · 2018: 10 · 2017: 12 · 2016: 11 · 2015: 7 · 2014: 20 · 2013: 13 · 2012: 32
- FWCI
- 2.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Endocrinology Diabetes and Obesity (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- diabetes mellitus, periodontal disease, periodontitis, periodontal treatment, systemic inflammation, insulin resistance, glycemic control, cardiovascular risk, preeclampsia, preterm birth, low birth weight, oral-systemic health, host response
- MeSH terms
- Bacterial Infections, Diabetes Mellitus, Type 2, Diabetic Angiopathies, Gingiva, Humans, Inflammation, Insulin Resistance, Periodontitis, Disease Progression, Diabetes Complications
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