The Impact Of Diabetes On Periodontal Diseases
Write short note on effect of diabetes on periodontium.
Answer. Following are the effects of diabetes on periodontium:
- Diabetes will influence the onset and course of periodontal disease. Patients with diabetes are more prone to develop periodontal disease than those with normal glucose metabolism.
- There is tendency for increased bleeding on probing, deep periodontal pockets, rapid bone loss, greater attachment loss with periodontal abscess formation and inflamed painful abscess and even hemorrhagic gingival papillae, this factor culminated and give rise to tooth mobility.
- It will show more severe and rapid alveolar bone resorption and are more prone to develop periodontal abscess.
- Juvenile diabetics tend to have more destruction around first molars and incisors than elsewhere.
- Diabetes do not cause gingivitis or periodontal pockets but there are indications that it alter the response of periodontal tissues to local factors, hastening bone loss and retard postsurgical healing of periodontal tissues.
- Increase of the glucose in gingival crevicular fluid of diabetics changes the environment of microflora which leads to severity in periodontal diseases.
- Chronic hyperglycemia adversely affects the synthesis, maturation and maintenance of collagen, and extracellular matrix molecules undergo a non-enzymatic glycosylation, resulting in advanced glycation end products. These glycation end products increases in amount which render the periodontal tissues more susceptible to destruction.
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