MADRID, 20 (EUROPA PRESS)
A report of the Spanish society of Periodontology (SEPA) and the foundation of the Spanish society of Diabetes (thirst) ensures that oral health consultations are a “great opportunity” to identify patients with diabetes still undiagnosed, your risk of periodontitis is three times greater.
In recent years, several studies have noted an association between both pathologies is bidirectional, given that not only diabetes increases the risk of a periodontal, disease but that they may also affect diabetes, affecting the control of blood sugar.
Say the authors of this report, diabetes causes an inflammatory response exacerbated against pathogenic bacteria present in the gum, and also alters the ability of resolution of inflammation and subsequent repair capacity that accelerates the destruction of the support tissues periodontal.
Also, apparently, this whole process is mediated by receptors in the cell surface for advanced glycosylation products (produced as a result of hyperglycemia), and finds expression in periodontium of individuals with diabetes.
But, on the other hand, other research has shown that periodontitis can start or increase resistance to insulin in a manner similar to as does obesity, favoring the activation of the systemic immune response initiated by the cytokines.
Chronic inflammation generated by the release of these mediators of inflammation is associated with the development of resistance to insulin, which is also influenced by environmental factors such as lack of physical activity, inadequate nutrition, obesity, or infections.
In fact, it has been shown that diabetics who suffer from periodontal disease have a worst control of values of blood glucose, at the time that have double the risk of microalbuminuria and five times higher risk of disease kidney.
That is why the report of the SEPA and the founding of the SED advocates a partnership between diabetes specialists and dentists to identify both pathologies among their patients and derivár according to the case.
