#dentalplaque #periodontology #diabetes
Chronic periodontitis has a slow rate of progression and most commonly affects adults and sometimes even children and adolescents. 
Its relation with diabetes mellitus has been researched for many years and is now well established that hyperglycaemia could influence progression of periodontal disease. 
There is also a growing body of evidence implicating chronic periodontitis in affecting glycaemic control and aggravating complications in diabetes. 

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References and further reading:
💡Chapple ILC, Genco R, and on behalf of working group 2 of the joint EFP/AAP workshop. Diabetes and periodontal diseases: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. J Clin Periodontol 2013; 40 (Suppl. 14): S106–S112.
💡Taylor JJ, Preshaw PM, Lalla E. A review of the evidence for pathogenic mechanisms that may link periodontitis and diabetes. J Clin Periodontol 2013; 40 (Suppl. 14): S113–S134.
💡Mealey BL. Periodontal disease and diabetes. A two-way street. J Am Dent Assoc. 2006 Oct;137 Suppl:26S-31S.
💡Preshaw PM, Alba AL, Herrera D, et al. Periodontitis and diabetes: a two-way relationship. Diabetologia. 2012;55(1):21-31
💡Wu YY, Xiao E, Graves DT. Diabetes mellitus related bone metabolism and periodontal disease. Int J Oral Sci. 2015;7(2):63-72.
💡Newman MG, Takei H, Klokkevold PR, Carranza FA. Carranza’s Clinical Periodontology. 10 th ed. Elsevier; 2009.

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