Сахарный диабет и хронический пародонтит: двунаправленная связь

Abstract

Today, scientists are identifying more complex links between diabetes mellitus and chronic periodontitis, and also indicate a bi-directional relationship between these two diseases, each of which negatively affects other. According to many sources, there is a confirmation of relationship between periodontal disease and glycemic status, expressed through glycosylated hemoglobin and glucose. The risk of developing chronic periodontitis increases 2–3 times in people with diabetes as compared to people without this pathology. In common with other complications of diabetes mellitus, the risk of developing and progression of chronic periodontitis increases with the deterioration of the glycemic profile. People with chronic periodontitis have higher levels of glycosylated hemoglobin. New evidence indicates that individuals with severe periodontitis have an increased risk of developing type 2 diabetes. Studie have been carried out to determine the effect of chronic periodontitis on the progression of diabetes mellitus, in which there has been a tendency to a decrease in glycemic status in patients with type 2 diabetes mellitus after correction of chronic periodontal disease. However, the exact mechanisms that lead to a decrease in glycemic hemoglobin and an improvement in glycemic control after periodontal treatment in people with type 2 diabetes mellitus are currently not entirely clear and require extensive study.