Relação de bilateralidade entre diabetes e a doença periodontal – uma revisão de literatura

Abstract

Bidirectional relationship between diabetes and periodontal disease: literature review Introduction: Periodontal disease and diabetes are chronic pathologies and have inflammation as a common factor, where hyperglycemia can exacerbate the inflammatory state through increased production of inflammatory cytokines in the periodontium, resulting in greater progression of periodontal destruction. On the other hand, worsening periodontal inflammation affects glycemic control, especially in patients with diabetes. Objectives: To demonstrate the existence of a bidirectional relationship between diabetes and periodontal disease. Methodology: This is a literature review and the scientific databases consulted to track the scientific studies were: Virtual Health Library (BVS), PubMed and Scientific Electronic Library Online (SciELO). The search strategy consisted of the descriptors: “Periodontal disease”, “Diabetes” and “Periodontia”. Results: A total of 24 articles were selected for the study. It was possible to observe the bidirectional relationship between diabetes and periodontal disease and it was concluded that diabetes aggravates periodontal disease due to the exacerbation of inflammation and, in contrast, periodontal disease increases the levels of serum inflammatory markers resulting in insulin resistance and a consequent increase in the glycated hemoglobin index.