Diabetes mellitus: considerations for dentistry.

BACKGROUND

The connection between oral health and systemic health is bidirectional; systemic illnesses, especially metabolic disorders, affect oral health, and it appears that oral health may affect systemic health.

METHODS

In this review, the authors outline the basic principles behind diabetes mellitus (DM) and provide some tips to help dentists manage the care of patients with DM better in general practice.

RESULTS

DM negatively affects all microvasculature beds, and the soft tissues and bones supporting the teeth are susceptible. There is also strong evidence that the presence of periodontal disease is associated with increased cardiovascular morbidity in patients with DM.

CONCLUSIONS

DM is a chronic, systemic metabolic disorder in which the orosystemic connection is becoming more understood.

CLINICAL IMPLICATIONS

DM is a relatively common condition and, thus, is one that practicing dentists may encounter frequently.