According to Iacopino, hyperlipidemia or high serum cholesterol, not impaired glucose tolerance, seems to be a significant risk factor for periodontal disease in diabetics. "Therefore, lipid-lowering therapies, such as low-fat diets, lipid lowering drugs and exercise, are vitally important for diabetics who want to improve their quality of life, as well as their oral health," he said. "The same approaches may also prove beneficial in non-diabetic patients with high cholesterol."

The next step to determine for sure whether or not periodontal disease can cause diabetes is to perform clinical studies and intervention trials, which answer the question, when periodontal disease is treated, does the risk for diabetes decrease? "Until we have results from intervention studies to better understand the role periodontal disease may play in diabetes, as well as heart disease, preterm births and respiratory disease, the best advice is for people to take excellent care of their oral health to help ensure they keep their teeth as well as maintain overall health," said Michael McGuire, D.D.S., president of the AAP.

A referral to a periodontist and free brochures including one titled Diabetes & Gum Disease are available by calling 800-FLOSS-EM or visiting the AAP's Web site at www.perio.org.

The American Academy of Periodontology is a 7,500-member association of dental professionals specializing in the prevention, diagnosis and treatment of diseases affecting the gums and supporting structures of the teeth and in the placement and maintenance of dental implants. Periodontics is one of nine dental specialties recognized by the American Dental Association.

For more information, contact Amanda Widtfeldt at 312/573-3243 or amanda@perio.org.

SOURCE: The American Academy of Periodontology