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    Recerc Científic

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    The document discusses research on the relationship between diabetes and oral/dental health. It summarizes findings from several studies that found: (1) People with diabetes are more likely to have gum disease and tooth loss than those without diabetes; (2) There is a bidirectional relationship between type 2 diabetes and periodontitis, with diabetes increasing the risk of developing periodontitis by 34%; (3) While a link has been found between periodontitis and type 2 diabetes, evidence is less strong for a connection between periodontitis and type 1 diabetes in children and adolescents.

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    Recerc Científic

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    39 views3 pages
    The document discusses research on the relationship between diabetes and oral/dental health. It summarizes findings from several studies that found: (1) People with diabetes are more likely to have gum disease and tooth loss than those without diabetes; (2) There is a bidirectional relationship between type 2 diabetes and periodontitis, with diabetes increasing the risk of developing periodontitis by 34%; (3) While a link has been found between periodontitis and type 2 diabetes, evidence is less strong for a connection between periodontitis and type 1 diabetes in children and adolescents.

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    The document discusses research on the relationship between diabetes and oral/dental health. It summarizes findings from several studies that found: (1) People with diabetes are more likely to have gum disease and tooth loss than those without diabetes; (2) There is a bidirectional relationship between type 2 diabetes and periodontitis, with diabetes increasing the risk of developing periodontitis by 34%; (3) While a link has been found between periodontitis and type 2 diabetes, evidence is less strong for a connection between periodontitis and type 1 diabetes in children and adolescents.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    39 views3 pages

    Recerc Científic

    Uploaded by

    api-643142068
    The document discusses research on the relationship between diabetes and oral/dental health. It summarizes findings from several studies that found: (1) People with diabetes are more likely to have gum disease and tooth loss than those without diabetes; (2) There is a bidirectional relationship between type 2 diabetes and periodontitis, with diabetes increasing the risk of developing periodontitis by 34%; (3) While a link has been found between periodontitis and type 2 diabetes, evidence is less strong for a connection between periodontitis and type 1 diabetes in children and adolescents.

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    of 3

    Recerca científica

    PART 1
    ● Hem cercat a Pubmed ses paraules “diabetes AND oral health” i sense filtres m’hos
    han sortit 16529 articles.
    ● A continuació, hem afegit el filtre d’anys de 2017-2022 i m’hos han sortit 7763.
    ● Després, hem afegit el filtre de free full text i s’han reduit a 4809 articles.
    ● Seguidament, hem afegit el filtre de clinical trial i m’hos han quedat 407 articles.
    ● També hem afegit es filtre de meta análisis i han quedat 98 articles.
    ● Per acabar, com encara teniem molts d’articles, hem reduït es marge d’anys a
    2020-2022 i hem obtingut 39 resultat.

    Tema: sa diabetes i sa salut oral


    Hipótesis: les persones que tenen diabetes saben que aquesta malaltia pot danyar els ulls,
    els nervis, el cor i altres sistemes importants, pero saben que la diabetes també pot originar
    problemes a la salut bucal?
    Keywords
    - Diabetes
    - Periodontitis
    - Enfermedad
    - Dientes
    - Pacientes

    ABSTRACT
    Periodontitis is a biological process which leads to the disruption of the normal physiology
    of alveolar bone homeostasis in response to the invasion of pathogenic microorganisms in
    the periodontium (3). Diabetes is a chronic disease that affects the way the body converts
    food into energy. Your body breaks down most of the food you eat into sugar and releases
    it into your bloodstream.

    People with diabetes are more likely to have gum (periodontal) disease if they don't have
    their oral health under control. The most relevant symptoms are having swollen gums,
    bleeding when brushing or using dental floss, they may also notice dryness, pain or a bad
    taste in the mouth. If we notice any of these symptoms, we should quickly go to the
    dentist (1). A descriptive analysis was performed showing that a number of studies
    indicate a significantly increased risk of tooth loss in patients with diabetes. Subgroup
    analysis illustrates that this is regardless of the risk of bias assessment, the increased risk
    of tooth loss and patients with diabetes was also greater when only patients with type 2
    diabetes were considered (4). If you suffer from periodontitis, it is advisable to have your
    teeth thoroughly cleaned or, if the disease is more advanced, to have gum surgery (1). In
    this article, they took into account 53 observational studies, where they concluded that
    there is a bidirectional relationship between type 2 diabetes mellitus (T2DM) and
    periodontitis. Patients with T2DM had significantly worse periodontal status, with a 0.61
    mm deeper periodontal pocket, 0.89 mm higher attachment loss, and approximately two
    missing teeth, than all those patients without T2DM. The results of the studies found that
    diabetes could increase the risk of developing periodontitis by 34% (2). Periodontal
    disease is linked to diabetes and there is a great deal of interest in research on the effects
    of periodontal inflammation in children and adolescents with type 1 diabetes. Although
    periodontal disease has been well described in type 2 diabetes, there is a dearth of reports
    on the impact of periodontal inflammation on the pathogenesis and progression of type 1
    diabetes in childhood and adolescence. The meta-analysis did not provide strong evidence
    that periodontitis is a significant risk factor for type 1 diabetes, and the link between
    periodontal disease and type 1 diabetes does not appear to be as strong as the connection
    with type 2 diabetes (3). Due to a possible link between diabetes and periodontitis it is
    hypothesized that patients with diabetes are at increased risk of tooth loss. The default
    inclusion criteria for the first screening of titles and abstracts were: (number of teeth
    present, tooth loss, teeth missing, teeth extracted, participants >18, clinically assessed for
    diabetes…) (4). Some tips to avoid periodontitis would be to control the level of glucose in
    the blood, brush your teeth twice a day and use dental floss; inform the dentist if your
    gums hurt and do not smoke (1).

    In conclusion, there is moderate certainty for a small but significantly increased risk of
    tooth loss in patients with diabetes compared to those without diabetes (4). And there is a
    strong connection between periodontitis and diabetes so controlling these two diseases
    could help prevent the incidence of the other (2).
    REFERÈNCIES
    La diabetes y la salud oral
    1. La diabetes y la salud oral [Internet]. Instituto nacional de investigación dental y
    craneofacial. 2022 [citado 21 octubre 2022]. Disponible en:
    https://www.nidcr.nih.gov/espanol/temas-de-salud/la-diabetes-y-la-salud-oral

    Epidemiologic relationship between periodontitis and type 2 diabetes mellitus


    Wu CZ, Yuan YH, Liu HH, Li SS, Zhang BW, Chen W, An ZJ, Chen SY, Wu YZ, Han B, Li CJ,
    Li LJ. Epidemiologic relationship between periodontitis and type 2 diabetes mellitus. BMC
    Oral Health. 2020 Jul 11;20(1):204. doi: 10.1186/s12903-020-01180-w. PMID:
    32652980; PMCID: PMC7353775.

    Does Periodontal Inflammation Affect Type 1 Diabetes in Childhood and Adolescence? A


    Meta-Analysis
    Rapone B, Corsalini M, Converti I, Loverro MT, Gnoni A, Trerotoli P, Ferrara E. Does
    Periodontal Inflammation Affect Type 1 Diabetes in Childhood and Adolescence? A
    Meta-Analysis. Front Endocrinol (Lausanne). 2020 May 5;11:278. doi:
    10.3389/fendo.2020.00278. PMID: 32431669; PMCID: PMC7214631.

    The risk of tooth loss in patients with diabetes: A systematic review and meta‐analysis
    Weijdijk LPM, Ziukaite L, Van der Weijden GAF, Bakker EWP, Slot DE. The risk of tooth loss
    in patients with diabetes: A systematic review and meta-analysis. Int J Dent Hyg. 2022
    Feb;20(1):145-166. doi: 10.1111/idh.12512. Epub 2021 Aug 24. PMID: 33973353;
    PMCID: PMC9291053.

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