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Cited by 396

The DOI matches its Crossref record; 62 of the 62 references it cites were found in a registry or an index.

An update on the evidence for pathogenic mechanisms that may link periodontitis and diabetes

Polak, David, Shapira, Lior·2018·Journal of Clinical Periodontology

Abstract

Aim: To provide an update of the review by Taylor (Journal of Clinical Periodontology, 2013, 40, S113) regarding the scientific evidence of the biological association between periodontitis and diabetes. Methods: Literature searches were performed using Me SH terms, keywords and title words and were published between 2012 and November 2016. All publications were screened for their relevance. The data from the articles were extracted and summarized in tables and a narrative review. Results: Small‐scale molecular periodontal microbiome studies indicate a possible association between altered glucose metabolism in pre‐diabetes and diabetes and changes in the periodontal microbiome, with no evidence for casual relationships. Clinical and animal studies found elevated gingival levels of IL 1‐β, TNF‐α, IL‐6, RANKL/OPG and oxygen metabolites in poorly controlled diabetes. In addition, individuals with diabetes and periodontitis exhibit high levels of circulating TNF‐α, CRP and mediators of oxidative stress, and successful periodontal treatment reduces their levels. Conclusions: The elevated pro‐inflammatory factors in the gingiva of patients with poorly controlled diabetes suggest a biological pathway that may aggravate periodontitis. Some evidence suggests that the systemic inflammatory burden in periodontitis has the potential to affect diabetes control, but no studies addressed the impact of successful periodontal therapy on the pathophysiological mechanisms involved in systemic complications of diabetes.

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Metadata

Authors
Polak, D., & Shapira, L.
Venue
Journal of Clinical Periodontology
Publisher
Wiley
Published
2017-12-26
Volume
45
Issue
2
Pages
150-166
ISSN
  • 0303-6979 (ISSN-L)
  • 1600-051X
OpenAlex
W2749653140
Cited by
396
References
62
FWCI
29.00
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: An update on the evidence for pathogenic mechanisms that may link periodontitis and diabetes. https://app.cochat.ai/papers/10.1111/jcpe.12803
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Polak, D., & Shapira, L. (2018). An update on the evidence for pathogenic mechanisms that may link periodontitis and diabetes. Journal of Clinical Periodontology. https://doi.org/10.1111/jcpe.12803

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.