Periodontal Disease and Diabetes

Important factors to consider in assessing the periodontal status of and formulating treatment plans for patients with diabetes include their degree of metabolic control, the duration of their disease, the presence of other long-term complications of diabetes, the presence of concurrent risk factors and their general level of well-being.

Emphasis should be placed on the reduction of the bacteria and elimination of the biofilm, both above and below the gumline. This can be accomplished with traditional scaling and root planning in addition to excellent home care. Treatment should focus on the prevention of periodontal disease and oral inflammation, which is essential in controlling the oral complications associated with diabetes. And, because we know that bacterial challenge is a risk factor for gingivitis among even healthy, well-controlled diabetic patients, patients should be encouraged to floss regularly and brush twice daily with a toothpaste that offers anti-bacterial protection.

© Copyright 2009 Colgate-Palmolive Company

1. J Periodontol Mar; 76(3):418-25.

This article is intended to promote understanding of and knowledge about general oral health topics. It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your dentist or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.