Assessment of periodontal health status in type 2 diabetes mellitus patients with glycemic levels.

The effect of diabetes on periodontium has been thoroughly investigated and confirmed as a major risk factor for periodontitis.On the other hand, periodontal disease may be a possible risk factor for poor glycemic control and promote the existence of diabetic complications.In patients with type 2 diabetes, severe periodontitis was associated with significant worsening of glycemic control over time.The high concentration of glucose in the fluid of gingival crevicular is due to the levels of glucose high in the plasma and it weakens the capacity of healing in fibroblasts of the periodontium, which is responsible for the health maintenance of the tissues.the gingival capillaries thickness increase in the patients having diabetes which possibly limit the diffusion of the nutrients and the oxygen supply and that causes the immune capacity to limited in the periodontal tissues.Various literature studies have assessed the correlation between diabetic patients and periodontal health through radiographical assessment and the efficiency of healing during periodontal interventions. But there still exists an ambiguity in the correlation between the glycemic levels of patients and its influence on the periodontal health. This prospective clinical study assesses the effect of blood glycemic levels as evaluated from HbA1c levels on the various clinical and radiographic parameters evaluating bone loss for periodontal status.