In what ways does diabetes damage the tissues of the Periodontium?

Diabetes causes blood vessel changes. The thickened blood vessels can reduce the flow of nutrients and removal of wastes from body tissues. This reduced blood flow can weaken the gums and bone. This puts them at greater risk for infection.

How does uncontrolled diabetes affect the body?

Over time, high blood glucose levels can damage the body’s organs. Possible long-term effects include damage to large (macrovascular) and small (microvascular) blood vessels, which can lead to heart attack, stroke, and problems with the kidneys, eyes, gums, feet and nerves.

How does diabetes relate to periodontitis?

Overall, the increased risk of periodontitis in patients with diabetes is estimated to be between 2-3 fold – that is, it increases the risk for periodontitis by 2-3 times. Diabetes increases the prevalence of periodontitis, the extent of periodontitis (that is, number of affected teeth) and the severity of the disease.

How does diabetes affect the anatomy?

Excessive blood glucose levels damage the blood vessels and nerves of the body’s extremities, increasing the risk for injury, infection, and tissue death. Loss of sensation to the feet means that a diabetic patient will not be able to feel foot trauma, such as from ill-fitting shoes.

What is the bidirectional relationship between periodontal disease and diabetes?

Conclusions: There is strong evidence for an association between diabetes mellitus and inflammatory periodontal disease. Diabetes mellitus increases the risk for and severity of periodontitis, and periodontal diseases can aggravate insulin resistance and affect glycemic control.

How does Type 1 diabetes affect periodontal disease?

Periodontal disease is more prevalent and severe in type 1 diabetes mellitus patients. A greater periodontal inflammatory tendency corresponded to those individuals with poorer metabolic control, with or without complications, while longer durations of DM were associated with greater periodontal attachment loss.

What does uncontrolled diabetes mean?

Uncontrolled diabetes means your blood sugar levels are too high, even if you’re treating it. And you may have symptoms such as peeing more often, being thirsty a lot, and having other problems related to your diabetes.

What is the difference between controlled and uncontrolled diabetes?

Based on the levels of Glycosylated Haemoglobin (HbA1c) in the blood, American Diabetic Association has classified Type-2 Diabetes Mellitus patients as uncontrolled group of diabetic patients whose HbA1c level is maintained more than 7\% and as controlled group of diabetic patients whose HbA1c level is maintained less …

How does gum disease affect diabetes?

Severe gum disease can negatively affect your blood sugar control and increase your chances of suffering from other common long-term complications of diabetes. The inflammation, which occurs in the gums, escapes into the bloodstream and upsets the body’s defence system which in turn affects blood sugar control.

What is aggressive periodontitis?

Aggressive periodontitis is a destructive disease characterized by the following: the involvement of multiple teeth with a distinctive pattern of periodontal tissue loss; a high rate of disease progression; an early age of onset; and the absence of systemic diseases.

Why do uncontrolled diabetics experience polyuria?

Polyuria in diabetes occurs when you have excess levels of sugar in the blood. Normally, when your kidneys create urine, they reabsorb all of the sugar and direct it back to the bloodstream. With type 1 diabetes, excess glucose ends up in the urine, where it pulls more water and results in more urine.

How does diabetes affect the endocrine system?

In diabetes, the body either doesn’t produce enough insulin or doesn’t respond properly to insulin causing an imbalance between the effects of insulin and glucagon. In type 1 diabetes, the body isn’t able to produce enough insulin and so blood glucose becomes too high unless insulin is injected.

What happens to periodontal disease in uncontrolled diabetes?

Most striking changes in uncontrolled diabetes are reduction in defense mechanism and increased susceptibility to infection leading to destructive periodontal disease. According to the opinion of many clinicians, periodontal disease in diabetics follows no consistent pattern.

Is periodontitis a chronic disease?

Abstract Periodontitis is a common chronic inflammatory disease characterised by destruction of the supporting structures of the teeth (the periodontal ligament and alveolar bone). It is highly prevalent (severe periodontitis affects 10–15\% of adults) and has multiple negative impacts on quality of life.

What is the prognosis of periodontitis in patients with diabetic nephropathy?

Furthermore, the risk of cardiorenal mortality (ischaemic heart disease and diabetic nephropathy combined) is three times higher in diabetic people with severe periodontitis than in diabetic people without severe periodontitis. Treatment of periodontitis is associated with HbA1creductions of approximately 0.4\%.

Does periodontitis increase the risk of end-stage renal disease?

Incidences of macroalbuminuria and end-stage renal disease are increased twofold and threefold, respectively, in diabetic individuals who also have severe periodontitis compared to diabetic individuals without severe periodontitis.

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