Periodontitis is considered to be an inflammatory disease which is characterized by destruction of the supporting structure of the teeth (periodontal ligament and alveolar bone). Its highly common and can change the quality of life of the affected patient. Periodontitis includes gingivitis, but the difference is that the gingivitis is reversible with good oral hygiene while in periodontitis is irreversible because it is extensive and is involved in the destruction of surrounding tooth structures. Periodontitis in its early stage is considered to be asymptomatic and usually no pain is present, but in advanced stages tooth mobility is involved; a number of factors cause the occurrence of periodontitis …show more content…
Preshaw, A. L. Alba, D. Herrera, S. Jepsen, A. Konstantinidis. K. Makrilakis, and R. Tylor, 2012). There are three types of periodontitis: aggressive periodontitis, chronic periodontitis and periodontitis associated with systemic diseases. The most sever type is the aggressive type and the treatment is different in each type . (Su-Han Jin, Xiao-Yan Guan, Wen-Hong Liang, Guo-Hui Bai and Jian-Guo Liu 2016)
Diabetes patients are considered to be at major risk or factor of periodontitis. Over the past 30years’ diabetes mellitus has been recognized as a major disease with high mortality and morbidity, also diabetes is an important chronic disease globally as announced by (WHO) world heath the rate of increase in diabetes prevalence (GW Taylor, WS Borgnakke, 2008) The risk of periodontitis in diabetic patients is three times more than in patients who are non-diabetic. The level of glycaemia in the blood is an important …show more content…
There are two types of diabetes: type I and type II (Abhijit GURVA, Varsha JADHAV, 2011). In A previous study using the National Health and Nutrition Examination Survey samples found that severe periodontitis is associated with type II diabetic patients (Atsushi Miyawaki,1 Satoshi Toyokawa, Kazuo Inoue, Yuji Miyoshi, and Yasuki Kobayashi, 2016). The treatment of periodontitis in type II diabetic patients is involved in the removal of supra-and subgingival calculus and bacterial plaque, as well as proper oral hygiene instructions. Antibiotics are administrated to the patient in case of scaling and root planning to prevent future infection (Wijnand, Teeuw, Vector, Gerdes and Bruno, 2010) Another systemic factor associated with periodontitis is pregnancy. During pregnancy maternal hormone play an important key role in regulating the onset of labor and any infection during this time will result in preterm labor, preterm premature rupture of membrane and preterm low birth weight (PLBW) (Jeffrey L. Ebersole Stanley C. Holt, and David Cappelli, 2015). A number of studies have demonstrated variability in the frequency of periodontitis among pregnant women (Maria Dilma Bezerra de Vasconcellos Piscoya, Ricardo