Oral Health Problems among Diabetic Patients ? Part of Dental Professionals in Diagnostic and Therapy

Sickness-changes within the oral cavity are to be considering both as the complication of the diabetes as well as the reason of the difficulty in the metabolic compensation of the illness. Every chronic hyperglycaemia, aside from its reasons, leads to the activation of the process of not enzymatic glycation of proteins, poliolic route and the oxidative stress.

The chronic hyperglycaemia and related inflammation leads to the disturbances in the balance between the metaloproteinase system and their inhibitors (MMP/TIMP), what becomes a reason of the pathological reconstruction of the vascular wall,the proliferation of the endothelium and arteriogensis .

Inflammatory focus in the human body, including the oral cavity, can on one hand be the reason of disturbances of the metabolic control of the diabetes, from the second hand – can accelerate the development hyperglycaemia related vascular complications. 

Many authors think that fundamental role in the occurrence of complications plays the insufficient degree of the metabolic compensation. Other authors pay attention that also chronic changes within the oral cavity can unfavourably influence on the compensation of the diabetes.To finally evaluate described above interactions further studies are indicated .

This issue is also highlighted in the publication presented by Teeuw and co-authors. On the basis of extensive literature analysis Spanish authors formulated the conclusion that peridontal disease control can improve DM type 2 patient’s glycaemia control; on the other hand glycaemia control improvement can influence better peridontal diseases control. Read more........