Dunning Trisha
Deakin University and Barwon Health, Geelong, Australia.
Nephrol Nurs J. 2009 Sep-Oct;36(5):489-95; quiz 496.
Periodontal diseases are infectious processes that occur in the presence of bacteria, which trigger an inflammatory response. Periodontal disease is associated with many medical conditions, including diabetes mellitus and its complications (such as kidney disease). It has been described as the "sixth diabetes complication" but is often overlooked in routine diabetes management and complication screening processes. Proactive, preventative dental and diabetes self care, as well as regular dental and diabetes assessment, are important management strategies because periodontal disease contributes to the progression of impaired glucose tolerance to diabetes mellitus and to hyperglycemia in individuals with established diabetes.
牙周疾病是在细菌存在的情况下发生的感染过程，这些细菌会引发炎症反应。牙周疾病与许多医疗状况相关，包括糖尿病及其并发症（如肾脏疾病）。它被描述为“第六种糖尿病并发症”，但在常规糖尿病管理和并发症筛查过程中常常被忽视。积极主动的预防性口腔护理和糖尿病自我护理，以及定期的口腔和糖尿病评估，是重要的管理策略，因为牙周疾病会促使糖耐量受损发展为糖尿病，并导致已患糖尿病的个体出现高血糖。
