title: Diabetes and periodontal disease: a two-way relationship.
abstract: Periodontitis and diabetes are common, complex, chronic diseases with an established bidirectional relationship. That is, diabetes (particularly if glycaemic control is poor) is associated with an increased prevalence and severity of periodontitis, and, severe periodontitis is associated with compromised glycaemic control. Periodontal treatment (conventional non-surgical periodontal therapy) has been associated with improvements in glycaemic control in diabetic patients, with reductions in HbA1c of approximately 0.4% following periodontal therapy. For these reasons, management of periodontitis in people with diabetes is particularly important. The dental team therefore has an important role to play in the management of people with diabetes. An emerging role for dental professionals is envisaged, in which diabetes screening tools could be used to identify patients at high risk of diabetes, to enable them to seek further investigation and assessment from medical healthcare providers.
authors.affiliation: King's College London, Floor 21 Tower Wing, Guy's Hospital, Great Maze Pond, London SE1 9RT.
authors.forename: L
authors.initials: L
authors.lastname: Casanova
authors.affiliation: King's College London, Floor 21 Tower Wing, Guy's Hospital, Great Maze Pond, London SE1 9RT.
authors.forename: F J
authors.initials: FJ
authors.lastname: Hughes
authors.affiliation: School of Dental Sciences, Newcastle University, Framlington Place, Newcastle upon Tyne, NE2 4BW.
authors.forename: P M
authors.initials: PM
authors.lastname: Preshaw
mesh_terms: D048909:Diabetes Complications; D006801:Humans; D010510:Periodontal Diseases / Q000150:complications*