Diabetes and Non-Surgical Periodontal Therapy: What Can We Hope for?

Abstract

Diabetes and periodontal disease share the same inflammatory pattern. Both these pathologies, if left untreated, lead to a cytokine storm that carries pro-inflammatory factors throughout the body. Periodontitis has recently been assumed to be the sixth complication of diabetes and the latest studies suggest a biunivocal connection between these two conditions. Most recent evidence-based studies propose that having a controlled periodontal situation with proper and timely therapy could improve glycemic management in diabetic patients. In order to provide the newest findings on this topic, a systematic literature research was performed on PubMed following the PRISMA statement. The keywords used were: “Diabetes; Periodontitis; Non-surgical periodontal therapy”. Only free full texts and abstracts in English were enrolled considering a time range of the last 10 years, from 2011 to 2021. A total of 308 studies arose from the first search, and only 73 were strictly related to our topic, while 235 were excluded. The bidirectional link between diabetes and periodontitis is well known. To the best of our knowledge, in the last 10 years there is increasing evidence that non-surgical periodontal treatment is associated with improved glycemic control. Further studies are needed to empower this relation.