
Periodontitis Linked to Diabetes Mellitus
Dental practices should focus on patients with severe periodontitis for screening of prediabetes
Diabetes has been an ongoing global health issue that has been associated with various other health conditions. Multiple studies have demonstrated the connection between diabetes and one such oral condition, periodontitis. Periodontitis is a severe gum infection that damages the soft tissue and destroys the supporting structures of the teeth. Its prevalence is 2X higher in those over 50 years old and 2-3X higher in patients with diabetes than in a normal healthy person. It is mainly associated with uncontrolled diabetes making them susceptible to infections and impaired wound healing.
Diabetes is a preventable disease, thus early diagnosis of prediabetes is essential for the prevention of diabetes and related complications. Studies suggest that periodontitis is an early complication of diabetes and it may be used as a tool to screen patients for diabetes early on. Although most dental practices lack equipment for blood biochemistry, measurements of glycated hemoglobin (HbA1c) may assist to screen for diabetes in patients with diabetes. The study aims to analyze HbA1c levels and affirm the presence of prediabetes in participants with or without periodontitis from a university dental clinic using analysis of dry blood spots. In a study, a consecutive series of patients from the Department of Periodontology of the Academic Centre of Dentistry Amsterdam (ACTA) who were diagnosed with periodontitis were to be enrolled for the treatment. A total of 313 participants were included, amon
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