Influence of Diabetes Mellitus on Chronic Periodontitis from Recent Studies

Abstract

Diabetes mellitus (DM) and chronic periodontitis have been medical and social crucial problem. The standard guideline on DM and periodontitis is from European Federation of periodontology (EFP) and International Diabetes Federation (IDF). Compared with DM without periodontitis, DM with periodontitis showed higher clinical risks. Odds ratio (OR) were neuropathy 3.2-6.6, retinopathy 2.8-8.7, nephropathy 1.9-8.5, cardiovascular complications 1.3-17.7 and mortality 2.3-8.5. By proper treatment of periodontitis, estimated HbA1c decrease would be 0.27-0.48% for a few months. As to educational, protective and treatment strategies, authors propose the use of soft interdental brush for DM patients by medical professionals such as nurses.