Introduction
loss of periodontal tissue, periodontitis, diabetes mellitus, gingivitis, bleed, tooth structure loss, Diabetes, Systemic diseases
PERIODONTAL DISEASE, DIABETES, PERIODONTAL INFECTION, PERIODONTITIS, DIABETES MELLITUS, CHRONIC METABOLIC DISEASE, GINGIVITIS, BLEED, CAVITY, PLAQUE, CHRONIC INFLAMMATION, SYSTEMIC DISEASES
Diabetes is a chronic metabolic disease characterised by elevated blood glucose levels, leading to severe damage to the heart, blood vessels, eyes, kidneys, and nerves [Periodontal disease is characterised by chronic inflammation of the periodontal tissues caused by the accumulation of dental biofilm. After plaque removal, gingivitis is a reversible condition. However, long-term biofilm accumulation leads to irreversible loss of periodontal tissue (connective tissue, periodontal ligament, and alveolar bone) [Numerous studies confirm that diabetes mellitus increases the risk of gingivitis, periodontitis, and implant complications [Systemic diseases can increase the risk of periodontitis or affects its progression by increasing the inflammatory burden and also by causing alterations to the local microbiome, which can become more pathogenic [The success of periodontal treatment is based on the reduction of periodontal pathogenic bacteria in the dental biofilm and other ecological niches in the oral cavity [With mechanical debridement, it is not always possible to completely eliminate the bacteria that cause periodontal infection, which is why residual pockets that bleed upon probing may still be present. Repeated scaling and root planning can lead to tooth structure loss [