1. Oral complications of diabetes
dr shabeel pn

2. Oral Candidiasis( pseudomembranous in toung,buccal,gingiva )
Periodontal diseases
Tooth Loss
Dental Caries
Xerostomia
Oral Candidiasis( pseudomembranous in toung,buccal,gingiva )
Oral Lichen Planus
Burning Mouth Syndrome
Oral dysthesia
Delay in wound repair
Increased infections
Bilat . Parotid sialadenitis
Small mucosal wounds

3. Periodontal dis. In diabetic patient
Altered subgingival microflora
Response to plaque (function cells,TNF,IL,glycation end p)
Glocose in gingival fluid & saliva
Wound healing (fibroblast,mmp)
Microangiopathy

4. Studies:
Diabetes increased prevalence, extent & severity of gingivitis & periodontitis
Inflammation ( periodontiitis) is a major component in the pathogenesis of diabetes & its complications
Periodontal dis.can adversely affect the metabolic control of DM
S & Rp can decrease HbA1C

6. Healthy gums are characterized by the following features:
pink or coral pink color, (normal variations in color depend on race)
firm, resilient tissues
'orange-peel' texture (known as stippling)
shape that follows the contour of the teeth and forms a scalloped edge
no areas of redness, swelling or inflammation
no bleeding during daily plaque removal
no discomfort
dr shabeel pn

7. WHAT IS GINGIVITIS ? Gingivitis is inflammation of the gum tissue.
The gums are irritated and swollen due to a plaque or calculus (tartar) buildup along the gum line.
The gums may be sore, bleed easily and appear puffy, soft and swollen.
dr shabeel pn

8. WHAT IS GINGIVITIS ? 
No bone structure is lost around the teeth at this stage of gum disease.
Blood on the toothbrush or dental floss is one of the earliest and most common signs of gingivitis.
preventable and reversible through good brushing and flossing techniques
On the other hand, if oral hygiene habits are poor, gingivitis may progress to periodontitis.
dr shabeel pn

9. Gingivitis: Notice the gums are red and swollen
abeel pn

10. WHAT IS PERIODONTAL DISEASE?
Periodontal disease is destruction of bone and the structures supporting the teeth.
irreversible, but can stop its progression through good oral hygiene and visiting dental professional.
dr shabeel pn

11. Eight Warning Signs of Periodontal Disease:
gums that bleed when you brush or floss your teeth
gums that are red, swollen or tender
gums that have pulled away from teeth
infection including purulence (pus) between the teeth and gums when the gums are pressed
permanent teeth that are loose or separating
any changes in the way teeth fit together when bite
bad breath
itchy sensation
dr shabeel pn

12. EARLY AND MODERATE PERIODONTITIS:
          
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13. Advanced Periodontal Disease
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15. Treatment of Periodontal Disease
Scaling, debridement, root surface planing + AB sys
Periodontal surgery+AB+nutritional consultation+Altering in medication
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