[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Article
February 20, 1960

PERIODONTAL DISEASE AND DIABETES IN YOUNG ADULTS

Author Affiliations

U. S. A. F.

From the departments of internal medicine and periodontology, U. S. A. F. Hospital, Maxwell Air Force Base, Air University, Montgomery, Ala. Dr. Williams is now on the staff of the Medical Service, Massachusetts General Hospital, Boston.

JAMA. 1960;172(8):776-778. doi:10.1001/jama.1960.03020080006003

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

The observation that chronic infection predisposes to difficulty in regulation of diabetes is a concept which has been stressed by numerous authors.1 Infection and inflammatory reactions may increase insulin requirements in a previously stable diabetic patient.2 Much attention has been devoted in the past toward control of indolent urinary tract infections1c or skin infections3 among patients with diabetes; however, relatively scanty regard has been directed at systematic eradication of chronic periodontal disease among diabetics.

Purpose of Study  Recently we have been impressed by the striking frequency with which the relatively young diabetic patients seen in a military practice manifest extensive periodontal disease which heretofore had been undiagnosed and untreated. This is, in fact, an observation to which numerous references have been made since 1899, when Grunert4 stressed the association of far-advanced pyorrhea with diabetes mellitus. In 1928, Williams2b described a group of oral conditions

References
1.
Joslin, E. P.; Root, H. F.; White, P.; and Marble, A.: Treatment of Diabetes Mellitus , Philadelphia, Lea & Febiger, 1946.
2.
Duncan, G. G., and others: Diabetes Mellitus: Principles and Treatment , Philadelphia, W. B. Saunders Company, 1951.
3.
Young, K. R., and Clancy, C. F.:  Symposium on Diabetes and Obesity: Urinary Tract Infections Complicating Diabetes Mellitus , M. Clin. North America 39:1665-1670 ( (Nov.) ) 1955.
4.
Burket, L. W., and Sindoni, A., Jr.:  Diabetes and Dental Patient , J. Am. Dent. A. 58:81-85 ( (Feb.) ) 1959.
5.
Williams, J. B.:  Diabetic Periodontoclasia , J. Am. Dent. A. 15: 523-529 ( (March) ) 1928.
6.
Greenwood, A. M.:  Study of Skin in 500 Cases of Diabetes , J. A. M. A. 89:774-776 ( (Sept. 3) ) 1927.Article
7.
Grunert, O. G.: Über Krankheitserscheinungen in der Mundhöhle beim Diabetes: Therapeutische Winke für Diabetiker , Berlin, Berlinische Verlagsanst., 1899, p. 8.
8.
Hirschfeld, I.:  Periodontal Symptoms Associated with Diabetes , J. Periodontology 5:37-46 ( (Jan.) ) 1934.
9.
Rudy, A., and Cohen, M. M.:  Oral Aspects of Diabetes Mellitus , New England J. Med. 219:503-508 ( (Oct. 6) ) 1938.Article
10.
Glickman, O.:  Periodontal Structures in Experimental Diabetes , New York J. Dentistry 16:226-251 ( (June) -July) 1946.
11.
Ziskin, D. E.; Siegel, E. H.; and Laughlin, W. C.:  Diabetes in Relation to Certain Oral and Systemic Problems: Clinical Study of Dental Caries, Tooth Eruption, Gingival Changes, Growth Phenomena, and Related Observations in Juveniles , J. Dent. Research 23:317-331 ( (Oct.) ) 1944.Article
12.
Shepro, M. J.:  Oral Manifestations of Metabolic Disturbances , J. Am. Dent. A. 43:543-556 ( (Nov.) ) 1951.
13.
Stahl, S. S.; Wisan, J. M.; and Miller, S. C.:  Influence of Systemic Diseases on Alveolar Bone , J. Am. Dent. A. 45:277-283 ( (Sept.) ) 1932.
14.
Sandler, H. C., and Stahl, S. S.:  Influence of Generalized Diseases on Clinical Manifestations of Periodontal Disease , J. Am. Dent. A. 49:656-667 ( (Dec.) ) 1954.
15.
Mahan, C. J.: Unpublished data.
×