โรคเบาหวานกับโรคปริทันต์อักเสบความสัมพันธ์ที่ไม่อาจมองข้าม

Abstract

Diabetes and periodontitis are chronic diseases, which are related and linked together
by hyperglycemia and the immune system and inflammatory processes. In the last several
years, there are a lot of studies reported the effect of diabetes on periodontitis. Most studies,
believe that the relationship is based on the condition of diabetes that causes the alterations
in the response of the immune system and inflammatory processes, abnormal periodontal
wound healing and the potential effect to oral microbiota. As aforementioned, the diabetes
condition might lead patients more prone to periodontal disease. On the other hand, several
studies have found the negative impact of periodontitis on diabetes as well. The appearance
of chronic inflammation of periodontal tissue, may lead to insulin resistance, elevated blood
sugar level and turn to diabetes eventually. Hence, the treatments of patients with the combination
of these diseases are controlling blood sugar levels to reduce the risk of severe
periodontal disease, and providing the periodontal therapy which is also important for the
success of controlling diabetes. And for this reason, closer collaboration between medical
and dental clinical teams is necessary to manage patients in this group. The physician
should be aware of the relationship between oral diseases and systemic diseases, and do
not overlook certain issues that may affect the treatment of the patients in our care.