- Adults 20 or older with diabetes are 40% more likely to have untreated cavities than similar adults without diabetes.1
- There is an association between having diabetes and periodontal (gum) disease, a leading cause of tooth loss.2,3,4
- About 60% of US adults with diabetes had a medical visit in the past year, but no dental visit.1
- Expanding health care coverage for periodontal treatment among people with diabetes could save each person about $6,000 (2019 US dollars) over their lives.5
- Adults 50 or older with diabetes lack functional dentition (have fewer than 20 teeth) 46% more often and have severe tooth loss (8 or fewer teeth) 56% more often than adults without diabetes.6
- Adults 50 or older with diabetes are more likely to report that they have a hard time eating because of dental problems.7
- Annual dental expenditures for an adult with diabetes are $77 (2017 US dollars) higher than for an adult without diabetes. This cost translates to $1.9 billion for the nation.8
- Treating periodontal disease significantly improves blood sugar level (glycemic control) among people with diabetes compared to no treatment or routine care.9
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- Wei L, Griffin SO, Parker M, Thornton-Evans G. Dental health status, utilization, and insurance coverage among adults with chronic conditions: implications for medical dental integration in the US. J Am Dent Assoc. 2022;153(6):563–571.
- Chávarry, Nilo Guliberto Martins et al. The relationship between diabetes mellitus and destructive periodontal disease: a meta-analysis. Oral Health Prev Dent. 2009;7(2):107–127.
- Sanz M, Ceriello A, Buysschaert M, et al. Scientific evidence on the links between periodontal diseases and diabetes: consensus report and guidelines of the joint workshop on periodontal diseases and diabetes by the International Diabetes Federation and the European Federation of Periodontology. J Clin Periodontol. 2018;45(2):138–149. doi:10.1111/jcpe.12808
- Kassebaum, N J et al. Global burden of severe tooth loss: a systematic review and meta-analysis. J Dent Res. 2014;93(suppl 7):20S–28S. doi:10.1177/0022034514537828
- Choi, Sung Eun et al. Impact of treating oral disease on preventing vascular diseases: a model-based cost-effectiveness analysis of periodontal treatment among patients with type 2 diabetes. Diabetes Care. 2020;43(3):563–571. doi:10.2337/dc19-1201
- Parker ML, Thornton-Evans G, Wei L, Griffin SO. Prevalence of and changes in tooth loss among adults aged ≥50 years with selected chronic conditions — United States, 1999–2004 and 2011–2016. MMWR Morb Mortal Wkly Rep. 2020;69(21):1141–1145.
- Griffin SO, Jones JA, Brunson D, Griffin PM, Bailey WD. Burden of oral disease among older adults and implications for public health priorities. Am J Public Health. 2012;102(9):e3–e4.
- Chen Y, Zhang P, Luman ET, Griffin SO, Rolka DB. Incremental dental expenditures associated with diabetes among non-institutionalized US adults aged ≥18 years old in 2016-2017. Diabetes Care. 2021;44(6):1317–1323.
- Simpson TC, Clarkson JE, Worthington HV, et al. Treatment of periodontitis for glycaemic control in people with diabetes mellitus. Cochrane Database of Syst Rev. 2022;4(4): CD004714. doi:10.1002/14651858.CD004714.pub4