This webpage is part of a series about
detection and prevention of periodontal disease in diabetes
As periodontal disease advances, there is increasing resorption of the alveolar bone and loss of tooth attachment, making extraction necessary if the disease remains untreated.
This is an x-ray of a 25-year-old woman 3 years before she was diagnosed with diabetes. Little or no periodontal disease is evident.
An x-ray at the time of diagnosis of NIDDM illustrates severe destruction of the alveolar bone that has led to rapid migration of teeth and severe involvement of the molar teeth.
A clinical photograph of the preceding patient exhibiting multiple periodontal abscesses, flaring of the anterior teeth, and granulomatous tissue around the margins of some teeth.
Periodontal disease is correlated with diabetic control. This 45-year-old woman has had NIDDM for 3 years. Her diabetic control is poor, and her periodontal
disease is severe.
Although highly prevalent, not everyone has periodontitis. This elderly individual with diabetes has retained natural dentition and healthy periodontium, due in large part to the team effort of the patient and the professional.
From the National Institute of Dental and Craniofacial Research
Detection and Prevention of Periodontal Disease in Diabetes
June 1994
http://www.nohic.nidcr.nih.gov/pubs/perdiab/advanced/index.html
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teeth
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periodontal disorders
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