Periodontal Profile of Diabetic Patients

Since beginning of night’s diabetes mellitus has been considered the main systemic disease that affects the peri-odontium, American Diabetes Association (ADA) has added periodontal disease as the 6th complication of diabetes. Dia-betes attacks the periodontium and cooperate with periodontal microorganisms to induce rapid and severe attachment loss alveolar bone resorption. Chronic hyperglycemia has neg-ative pathological effects on periodontal tissues through many mechanisms as qualitative change of some subgingival patho-genic microorganisms, decreased salivation, disturbance of neutrophils functions, vascular changes, (AGE) accumulation in periodontal tissues, exaggerated production of prostaglandins and excessive generation of free radicals. Therefore, under-standing of all these mechanisms is the first and the most important step in the management and better periodontal treatment outcome.