The Relationship Between Periodontal Disease and Diabetes Mellitus
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Long-term diabetics have a higher degree of periodontal bone and tissue loss. Diabetes causes a change in periodontal tissue by destruction of periodontal tissue fiber arrangement and a more aggressive pattern of bone loss. CALs- clinical attachment levels, measures the detachment of periodontal tissue loss. Diabetics have higher CALs. Impaired fasting glucose (IFG) levels result in hyperglycemia and are associated with decreased attachment and increased pocket depth.