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The Bidirectional Relationship between Periodontal Disease and Diabetes Mellitus

       Hyperglycemia enhances the sensitivity towards periodontal disease, meaning that it is three times more likely for a patient with diabetes mellitus to get periodontal disease with greater severity. Slow wound healing in diabetics is due to abnormal collagen metabolism. Apart from resulting in greater wound deterioration, lowering the recovery ability, the disease condition is more likely to worsen once they acquire periodontal disease. If they have dental implants, there will be an immense increment in the infection rate as well.

       Recent studies have also pointed out that glucose control in diabetics with severe periodontal disease is difficult. The patients not only require maintaining diabetic diet control, but they also need to undergo drug therapy. Furthermore, dental clinic visits for a full mouth dental examination and periodontal disease treatment are required. Only combination control will allow additional protection in glucose and periodontal disease management.

Can diabetics undergo oral surgery?

       The dental treatment consideration for diabetics who have adequate glucose control is indifferent to general patients. It is recommended to go to the dental clinic for assessment in cases where the patient is considering undergoing periodontal disease surgery, bone replacing surgery or dental implant treatment. If the patient has periodontal disease, it is necessary to carry out periodontal treatment and other infection control prior to invasive treatment. Under adequate glucose and periodontal disease management, the treatment efficacy will be similar to the general public.

      Therefore, diabetics should attend regular dental check-ups for periodontal disease. Only early discovery will enable early treatment to ensure more adequate glucose control.