The Dentist

Studies have shown that people who suffer from diabetes are two times more at risk of periodontal disease than those who do not suffer. Prevention and control of periodontal disease, it must be considered an integral part of diabetes control. 

Esat Hetemi Agron Shabani, Blerim Tafilaj 

Faculty of Medicine, Department: Dentistry 

Summary 

Parodontopatia is multikauzale progressive disease of the tooth supporting which comprised gingiva, alveolar bone, and cement periodonciumi tooth root. Parodontopatia is among the most widespread diseases of mankind. Depending on which part of the supporting apparatus localized pathological process in the gingiva or elsewhere, these processes are treated as gjingjivite or as parodontopatia. Etiology of bacterial origin is parodontopatisë, but studies have shown that there are other factors which affect the appearance of this disease, but always in conjunction with microbiological factor (dental plaque). Among these factors is diabetes where parodonciumit diseases ranked as the sixth complication of diabetes. 

In the past 20 years, studies have shown that people who suffer from diabetes are two times more at risk of periodontal disease than those who do not suffer, while patients with moderate diabetes, there was no significant difference to the health of those parodonciumit that do not suffer from diabetes on the incidence of diseases parodontale. Studies also have shown that prevention and control of periodontal disease, it must be considered an integral part of diabetes control. This is because metabolic control (control of blood glucose or blood sugar levels) in diabetics may be complicated by tank anaerobic gram negative bacteria, which are stationed in pockets gjingival causing infection and poor level of inflammation in the body. This is why the method of connection between disease and diabetes parodontale often referred to as bidirekcionale about. 

The purpose of the study is investigation of the impact of diabetes in comparison paradoncium and parodontopatik patients with diabetes and those without diabetes, description and determination of the mechanism of intereaksionit parodontale between diabetes and how diabetes affects the body and the oral cavity, the connection imunobiologjike parodontale disease and diabetes, the effects of increased blood glucose level at the parodonciumit and ways of treating diseases parodontale.

The term is generic term parodontale diseases with which we refer to bacterial infection parodonciumit. Periodontal disease include a vast array of periodontal tissue disorders as a result of an infection predominantly inflammatory origin. Gingivitis as the most common form of inflammation of the gingiva, is a reversible inflammatory reaction Dento-gingival tissue due to the accumulation of dental plaque. Unlike gingivitis, parodontopatia is chronic inflammatory reaction, which includes not only gingivën, but also other structures like tooth supporting periodontal ligament, alveolar bone and cement. Periodontal disease usually have few symptoms, gingivitis is the easiest form where redness of the gums, bleeding gums and swelling are the most common symptoms. Gingivitis usually occurs as a result of poor oral hygiene. While inflammation of the gingiva, gingival atrophy, parodontal pockets, the pockets parodontal exudate, konkrementet subgingivale, tooth fluctuations are signs associated with advanced paradontopatisë form as a result of progressive destrukcionit tooth supporting, which ends with the eksfolacion tooth. 

Paradontopatisë diagnosis usually relies on clinical data and radiographic evaluations, and evaluation of the gingival condition in the acute phase can be made by clinical examination including registration sulkusit depth of gingival, and bleeding from the gingiva.