Longstanding diabetes can lead to periodontitis and vice-versa. Adult patients, whose diabetes is poorly controlled, have greater tooth loss from periodontal disease than non diabetics of comparable age. However, it is an established fact that adults, whose diabetes is well-controlled, do not have more gingivitis or destructive periodontitis than non-diabetics. Rapidly progressive periodontitis at an advanced stage in adults does not respond to the treatment, such as subgingival scaling, debridement, and plaque control. Besides, bone loss around the teeth, exacerbations, etc., may occur alongside. Therefore, preventing infection through local measures and reducing susceptibility to infection by maintaining good control of diabetes are primary steps in the prevention of periodontal complications. Read More