Effects of diabetes mellitus on periodontal and peri-implant conditions: update on associations and risks

Salvi, Giovanni E; Carollo-Bittel, Barbara; Lang, Niklaus P (2008). Effects of diabetes mellitus on periodontal and peri-implant conditions: update on associations and risks. Journal of clinical periodontology, 35(8 Suppl), pp. 398-409. Frederiksberg (DK): Wiley 10.1111/j.1600-051X.2008.01282.x

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OBJECTIVES: To review the evidence for the association between diabetes and periodontal and peri-implant conditions and the impact of periodontal therapy in subjects with diabetes. MATERIAL AND METHODS: A search of MEDLINE-PubMed was performed up to and including December 2007. The search was limited to clinical studies published in English. Publications on animal studies were excluded. The selection criteria included all levels of available evidence. RESULTS: Evidence on the association between diabetes and periodontitis supports the concept of increased severity but not extent of periodontitis in subjects with poorly controlled diabetes. Subjects with controlled diabetes do not show an increase in extent and severity of periodontitis. Periodontitis is associated with poor glycaemic control and diabetes-related complications. It is inconclusive that periodontal therapy with or without the use of antibiotics results in improvements of glycaemic control and of markers of systemic inflammation. Evidence is lacking to indicate that implant therapy in subjects with diabetes yields long-term outcomes comparable with those of non-diabetic subjects. CONCLUSIONS: Poorly controlled diabetes may be considered a risk factor for increased severity of periodontitis. The effects of periodontal therapy on glycaemic control and systemic inflammation is not proven beyond doubt and need to be confirmed in large-scale randomized-controlled clinical trials.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology

UniBE Contributor:

Salvi, Giovanni and Lang, Niklaus Peter

ISSN:

0303-6979

Publisher:

Wiley

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

04 Oct 2013 15:02

Last Modified:

25 Jan 2017 12:17

Publisher DOI:

10.1111/j.1600-051X.2008.01282.x

PubMed ID:

18724865

Web of Science ID:

000258734000030

URI:

https://boris.unibe.ch/id/eprint/26793 (FactScience: 88742)

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