Is there a link between periodontal disease and diabetes?

Overall, the increased risk of periodontitis in patients with diabetes is estimated to be between 2–3 fold — that is, it increases the risk for periodontitis by 2–3 times. Diabetes increases the prevalence of periodontitis, the extent of periodontitis (that is, number of affected teeth) and the severity of the disease.

What does it mean when we say that a two way relationship exists between periodontitis and diabetes mellitus DM )?

Longitudinal studies have demonstrated a two-way relationship between diabetes and periodontitis, with more severe periodontal tissue destruction in diabetic patients and poorer glycemic control in diabetic subjects with periodontal disease. Periodontal treatment can be successful in diabetic patients.

Can periodontal disease make diabetes worse?

Severe periodontal disease can increase blood sugar, contributing to increased periods of time when the body functions with a high blood sugar. This puts people with diabetes at increased risk for diabetic complications.

How do you treat furcation involvement?

Several treatment modalities have been made use of to treat furcation involved teeth. Surgical therapy involving regenerative procedures are indicated in class II and III furcation involvements. The regenerative procedures used in these cases include bone grafts and guided tissue regeneration.

What causes furcation?

Furcation disease is produced by periodontal disease, which is in turn caused by a bacterial buildup that settles on the teeth and gums. When the bacterial buildup first starts affecting the gums, they become inflamed and irritated, a condition known as gingivitis.

Why is it important to know the extent of furcation involvement?

It is important to determine the extent of furcation involvement to make an appropriate diagnosis and develop a treatment plan. Furcation involvement worsens the prognosis of the tooth because long-term studies indicate that teeth with furcation involvement are the teeth that tend to be lost over time.

How is furcation involvement related to periodontal disease?

Routine home care methods may not keep the furcation area free of plaque. 2 The etiology of periodontal disease is complex and so is its management. One of the most compelling challenges faced in management of periodontal disease in multi-rooted teeth is furcation involvement.

Is there radiographic change in a Grade II furcation?

Radiographic change is not usual, as bone changes are minimal. Grade II involvement: the bone is destroyed on one or more aspects of the furcation, but a portion of the alveolar bone and periodontal ligament remain intact, thus allowing only partial penetration of the probe into the furcation area.

Who are the authors of the furcation involvement classification?

Hamp, Nyman and Lindhe [ 3] and Tarnow and Fletcher [ 4] proposed to measure the horizontal/vertical attachment loss, respectively.