OBJECTIVES:
   Definition and classification of diabetes Definition of periodontitis and gingivitis Oral manifestation .


Etiological factors of diabetes related to periodontal disease .
Prevention and treatment .

171 million people had diabetes in 2000 and this is expected to doubled by 2030. .kidney and nervous. system. This particullar disease of the endocrine system very common worldwide and its incidence is rising .DIABETES: Definition : Diabetes mellitus is a clinical syndrome characterized by hyper glycaemia due to absolute or relative deficiency of insulin . Diabetes can cause many systemic problems such as in eye .

CLASSIFICATION: Type 1( insulin dependent ) Type 2(non insulin dependent ) Others Gestational diabetes .

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SIGNS & SYMPTOMS OF DIABETES: .

. Periodontitis: Periodontitis or pyorrhea is a set of inflammatory disease that effects the peridontium and its involving structures. ulceration.DEFINITION: Gingivitis : It is the inflammation of the gums that can lead to periodontitis It can cause bleeding on probing redness swelling and edema.

sessile pedunculated gingival polyp Abscess formation Alveolar bone loss .ORAL MANIFESTATION: Oral changes have been described in diabetic patients include the following. • Cheilosis • • • • • • • Mucosal drying and cracking Burning mouth and tongue Diminished salivary flow Dental carries Enlarged gingiva .

MAJOR SIGNS OF PERIODONTITIS IN DIABETES: Severe gingival inflammation: .

Alveolar bone loss: .

Periodontal abscess: .

Deep periodontal pockets : .

ETIOLOGICAL FACTORS: • • • Bacterial pathogens Polymorphonuclear leukocyte function Altered collagen metabolism .

BACTERIAL PATHOGENS Actinomyces Caypnocytophaga prevotella .

POLYMORPHONUCLEAR LEUKOCYTES: .

ALTERED COLLAGEN METABOLISM: Chronic hyper glycaemia impaired collagen structure and function which may directly impact the integrity of peridontium .

. glycated hemoglobin . Prophylactic antibiotics should be given 4. Analyses of the lab test fasting blood glucose. Glucose level should be continuously monitored .TREATMENT 1. Consult the patients physician 2.GTD and urinary glucose 3.

Consult a dentist at least in a year for check up. .PREVENTION • • Brush and floss every day to remove bacteria that causes gum disease.

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