{"id":9626,"date":"2019-01-02T19:42:13","date_gmt":"2019-01-02T17:42:13","guid":{"rendered":"https:\/\/latam.patiadiabetes.com\/en\/salud-bucal-la-diabetes-tipo-2\/"},"modified":"2020-12-07T18:14:00","modified_gmt":"2020-12-07T16:14:00","slug":"oral-health-and-type-2-diabetes","status":"publish","type":"post","link":"https:\/\/latam.patiadiabetes.com\/en\/oral-health-and-type-2-diabetes\/","title":{"rendered":"Oral Health and type 2 diabetes"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1\"><h1>Bidirectional association between periodontitis and type 2 diabetes<\/h1>\n<blockquote>\n<p>The recognition of the relationship of periodontal disease to general health, including type 2 diabetes, has revealed new perspectives regarding prevention and treatment.<\/p>\n<\/blockquote>\n<p><strong>\u00a0<\/strong><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-2\"><p>It may sound strange, but beyond obesity there are other factors that are less well known for risk of type 2 diabetes.<\/p>\n<p>Today I am going to refer to periodontitis as a risk factor for diabetes. And vice versa; because diabetes is also a risk factor for periodontitis.<\/p>\n<\/div><div class=\"fusion-text fusion-text-3\"><h2><strong>How can periodontitis and type 2 diabetes be related?<\/strong><\/h2>\n<p>In the article published in Nature <a href=\"https:\/\/www.nature.com\/articles\/nrendo.2011.106\" target=\"_blank\" rel=\"noopener noreferrer\">&#8220;Diabetes mellitus and periodontitis: a tale of two common interrelated diseases&#8221;:<\/a><\/p>\n<ul>\n<li><img decoding=\"async\" class=\"lazyload wp-image-9619 alignright\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27315%27%20height%3D%27228%27%20viewBox%3D%270%200%20315%20228%27%3E%3Crect%20width%3D%27315%27%20height%3D%27228%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2019\/01\/NATURE_nrendo.2011.106-f1.jpg\" alt=\"NATURE periodontitis &amp; type 2 diabetes \" width=\"315\" height=\"228\" \/>Diabetes leads to a hyper-inflammatory response. In these circumstances, the possible repair of the effects of bacterial plaque in the oral cavity is impaired due to the capacity of the receptors and cellular ligands involved in our defenses. Diabetes implies a risk for periodontitis.<\/li>\n<li>At the same time, periodontitis negatively affects glycemic control in those patients with diabetes and thus contributes to the development of their complications. The adverse effect of periodontal infections on diabetes is explained in principle by increased systemic inflammation, which in some way contributes to insulin resistance. And in this case, it can be concluded that periodontitis is a risk for diabetes.<\/li>\n<\/ul>\n<\/div><div class=\"fusion-text fusion-text-4\"><h2><strong>And then, what can we do?<\/strong><\/h2>\n<p>Patients with uncontrolled diabetes are prone to periodontitis and periodontitis is associated with poorer blood glucose control, which is associated with <a href=\"https:\/\/latam.patiadiabetes.com\/en\/top-ten-worries-for-type-2-diabetes\/\" target=\"_blank\" rel=\"noopener noreferrer\">microvascular complications<\/a>.<\/p>\n<p>In addition, periodontitis may also contribute to macrovascular complications through systemic inflammation and consequently to problems associated with poorer control of plasma lipids (cholesterol, triglycerides, etc.). <img decoding=\"async\" class=\"lazyload alignright wp-image-9613 size-medium\" src=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2019\/01\/dentista02_800-225x300.jpg\" data-orig-src=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2019\/01\/dentista02_800-225x300.jpg\" alt=\"Dentista y diabetes tipo 2\" width=\"225\" height=\"300\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27225%27%20height%3D%27300%27%20viewBox%3D%270%200%20225%20300%27%3E%3Crect%20width%3D%27225%27%20height%3D%27300%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2019\/01\/dentista02_800-225x300.jpg 225w, https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2019\/01\/dentista02_800.jpg 600w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 225px) 100vw, 225px\" \/>Therefore, <a href=\"http:\/\/care.diabetesjournals.org\/content\/28\/1\/27.long\" target=\"_blank\" rel=\"noopener noreferrer\">periodontitis is a strong predictor of mortality from cardiac or renal complications in patients with diabetes.<\/a><\/p>\n<p>According to a <a href=\"https:\/\/www.thelancet.com\/journals\/landia\/article\/PIIS2213-8587(18)30038-X\/fulltext\" target=\"_blank\" rel=\"noopener noreferrer\">recent intervention study<\/a>, regular check-ups with the dentist could be a key element in the effective treatment of type 2 diabetes. In this study it was found that the reduction in <a href=\"http:\/\/www.diabetes.org\/living-with-diabetes\/treatment-and-care\/blood-glucose-control\/a1c\/\" target=\"_blank\" rel=\"noopener noreferrer\">glycated hemoglobin<\/a> among patients with diabetes who received treatment for their periodontitis was like that expected with pharmacological treatment.<\/p>\n<p>Thus, in both, predisposed patients and those who are already diagnosed, a check-up at the dentist is recommended, at least every two years, to carry out an in-depth oral hygiene and remove, if necessary, the bacterial plaque, also called <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3312703\/\" target=\"_blank\" rel=\"noopener noreferrer\">dental or oral biofilm<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><style type=\"text\/css\">.fusion-fullwidth.fusion-builder-row-1 { overflow:visible; }<\/style><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":18,"featured_media":9628,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[21,64],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - 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You can follow me on twitter (@juan_revenga) or Facebook.","sameAs":["http:\/\/www.juanrevenga.com"],"url":"https:\/\/latam.patiadiabetes.com\/en\/author\/juan-revenga-frauca\/"}]}},"_links":{"self":[{"href":"https:\/\/latam.patiadiabetes.com\/en\/wp-json\/wp\/v2\/posts\/9626"}],"collection":[{"href":"https:\/\/latam.patiadiabetes.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/latam.patiadiabetes.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/latam.patiadiabetes.com\/en\/wp-json\/wp\/v2\/users\/18"}],"replies":[{"embeddable":true,"href":"https:\/\/latam.patiadiabetes.com\/en\/wp-json\/wp\/v2\/comments?post=9626"}],"version-history":[{"count":0,"href":"https:\/\/latam.patiadiabetes.com\/en\/wp-json\/wp\/v2\/posts\/9626\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/latam.patiadiabetes.com\/en\/wp-json\/wp\/v2\/media\/9628"}],"wp:attachment":[{"href":"https:\/\/latam.patiadiabetes.com\/en\/wp-json\/wp\/v2\/media?parent=9626"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/latam.patiadiabetes.com\/en\/wp-json\/wp\/v2\/categories?post=9626"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/latam.patiadiabetes.com\/en\/wp-json\/wp\/v2\/tags?post=9626"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}