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      Evidence summary: The relationship between oral diseases and diabetes

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      Journal: BDJ
      Publisher: Springer Nature

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          The UK Prospective Diabetes Study (UKPDS): clinical and therapeutic implications for type 2 diabetes

          Paromita King, Ian Peacock, Richard Donnelly (1999)
          Article 0 comments Cited 174 times – based on 0 reviews     Review now
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            Effect of Periodontal Treatment on Glycemic Control of Diabetic Patients

            Wijnand J. Teeuw, Victor E.A. Gerdes, Bruno Loos (2010)
            OBJECTIVE There is growing evidence that periodontitis may affect general health. This study was assigned to explore the robustness of observations that periodontal therapy leads to the improvement of glycemic control in diabetic patients. RESEARCH DESIGN AND METHODS A literature search (until March 2009) was carried out using two databases (MEDLINE and the Cochrane Library) with language restriction to English. Selection of publications was based on 1) original investigations, 2) controlled periodontal intervention studies where the diabetic control group received no periodontal treatment, and 3) study duration of ≥3 months. RESULTS Screening of the initial 639 identified studies and reference checking resulted in five suitable articles. A total of 371 patients were included in this analysis with periodontitis as predictor and the actual absolute change in A1C (ΔA1C) as the outcome. The duration of follow-up was 3–9 months. All studies described a research population of type 2 diabetic patients in whom glycemic control improved after periodontal therapy compared with the control group (range ΔA1C: Δ−1.17 up to Δ−0.05%). The studies in a meta-analysis demonstrated a weighted mean difference of ΔA1C before and after therapy of −0.40% (95% CI −0.77 to −0.04%, P = 0.03) favoring periodontal intervention in type 2 diabetic patients. Nevertheless, this improvement in %A1C must be interpreted with care due to limited robustness as evidenced by heterogeneity among studies (59.5%, P = 0.04). CONCLUSIONS The present meta-analysis suggests that periodontal treatment leads to an improvement of glycemic control in type 2 diabetic patients for at least 3 months.
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              Obesity, diabetes mellitus, atherosclerosis and chronic periodontitis: a shared pathology via oxidative stress and mitochondrial dysfunction?

              Maurizio Battino, N Newman, Pedro Bullon (2014)
              As many diseases have been shown to have several or indirect causes (i.e. are multifactorial) the question is what is the relative importance of each factor in a given disease? Also, what happens when some diseases, although apparently disparate, share causative factors and/or tissue pathologies? Host inflammation response mechanisms are largely shared by the body's different tissues and systems and only recently has special attention been paid to the possible linkages among chronic periodontitis and other chronic systemic diseases. The aim of this review was to consider and discuss the mounting evidence that the basis for the inter-relationships between chronic periodontitis and atheromatous disease and diabetes lie at a fundamental intracellular level, namely oxidative stress and mitochondrial dysfunction, as a meeting background among such chronic diseases and periodontitis. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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                Author and article information

                Journal
                Title: BDJ
                Abbreviated Title: Br Dent J
                Publisher: Springer Nature
                ISSN (Print): 0007-0610
                ISSN (Electronic): 1476-5373
                Publication date Created: June 23 2017
                Publication date (Print): June 23 2017
                Volume: 222
                Issue: 12
                Pages: 944-948
                Article
                DOI: 10.1038/sj.bdj.2017.544
                PubMed ID: 28642531
                SO-VID: e933d7e5-75bc-4332-9335-372dbbfdc0cf
                Copyright © © 2017
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