The Correlation Between The Correlation Between Diabetes and Dental HealthDiabetes and Dental Health

Presented ByPresented ByStella Njenga &Jessica Bright

June 5th, 2009

Presented ByPresented ByStella Njenga &Jessica Bright

June 5th, 2009

AbstractAbstractDiabetes is a disease that has been

associated with an increased risk for a number of serious, sometimes life-threatening complications. Some of those risks include, poor dental health. Studies have shown that people with diabetes are more likely to have periodontal disease than people without diabetes, probably because diabetics are more susceptible to contracting infections. This study will show the correlation between diabetes and periodontal disease.

[American Academy of Periodontology]

Who is at risk? Who is at risk?

Diabetes has a strong prevalence in minority and ethnic groups

◦Native Americans ◦Blacks/ African Americans ◦Hispanics ◦Cubans

What is Diabetes?What is Diabetes?A condition characterized by

hyperglycemia resulting from the body’s inability to use blood glucose for energy.◦Type 1 ◦Type 2 ◦Gestational Diabetes.

Diabetes is a preventable disease

National Diabetes Information Clearinghouse (NDIC)

Current Statistics Current Statistics 24 Million individuals have diabetes in

USA Increase of 3 million people in 2yrs 57 Million people are estimated to have

pre diabetes Decrease in the number of people that did

not know they had the disease: 30% -25%

Its Effect on the Body Its Effect on the Body

Stroke Oral Health Heart Lungs StomachKidneysReproductive health

and Pregnancy

Periodontal DiseasePeriodontal DiseaseInfection of the tissues that support your

teeth.◦Attachment of the tooth and supporting tissues

break down.

◦Gum tissue not attached to the teeth as high as it may seem.

◦Very shallow v-shaped crevice called a sulcus between the tooth and gums;

develop into a pocket as tissue is damaged.

[http://www.ada.org/public/topics/periodontal_diseases.asp]

Classification of Periodontal Classification of Periodontal diseasedisease

According to the severity of the disease.

Two major stages;

◦Gingivitis

◦Periodontitis

Its Relation to DiabetesIts Relation to DiabetesConsidered the sixth complication of diabetes

More likely to occur in diabetic patients

Poorly controlled type 2 diabetics more likely to develop periodontal disease than well-controlled diabetics

[Journal of Periodontology]

Further relationshipFurther relationshipIncrease in blood sugar

Poorly controlled diabetics respond differently to bacterial plaque at the gum line than well-controlled diabetics and non-diabetics

ReasonReasonElevated serum triglycerides;

◦ Poorly controlled diabetics have more harmful proteins (cytokines) in their gingival tissue, causing destructive inflammation of the gums.

◦In turn, beneficial proteins (growth factors) are reduced, interfering with the healing response to infection.

Preventative Measures Preventative Measures Keep Blood Glucose under control Brush Often Floss Daily Get Regular Dental Care

Diabetes Public Health Resources

The Future The Future Collaboration of

Health Care Providers and Communities

Further Research

ReferencesReferences Gum Disease and Diabetes (2008). American Academy of

Periodontology. Oct 24, 2008. Retrieved fromhttp://www.perio.org/consumer/mbc.diabetes.htm

Hewitt images. Retrieved on Jun 3rd, 2009 from http://www.nycc.org/photos/04_mallorca/carbs.jpg

Javed, et al. (2008). Periodontal conditions and oral symptoms in gutka-chewers with and without type 2 diabetes. Acta Odontologica Scandinavica; 66: 268273.

Journal of Periodontology Online. November 1999, Vol. 70, No. 11, Pages 1313-1321. Retrieved on June 2nd, 2009 fromhttp://www.joponline.org/doi/abs/10.1902/jop.1999.70.11.1313