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Topics on combined problem of diabetes and periodontitis from epidemiological point of view

MOJ Public Health
Daiki Sakamoto,1 Hiroshi Bando1,2


Medical practice is like a woven fabric, consisting of warp & weft threads. Physician manages diabetic patients for long years as longitudinal axis, and treats diabetic various complications as transverse axis from epidemiological aspect. Recently, periodontitis has been estimated to be 6th common complication for diabetes. The existence of periodontitis
revealed elevated odds ratio (OR) as 1.96 for overall micro vascular complications, with retinopathy 3.77 and nephropathy 1.55. When HbA1c value decreases 1%, the risk of periodontitis seems to decrease by 35% from epidemiological report. Periodontitis becomes a risk factor for Atherosclerotic cardiovascular disease (ASCVD)as hazard ratio (HR) 1.67.


diabetes, periodontitis, epidemiology, atherosclerotic cardiovascular disease (ASCVD), Healthy Japan 21