Abstract：
First recorded in 1928, people living with diabetes mellitus (DM) are at a three to four times higher risk of developing periodontal disease (PD) than non-diabetics; for those who smoke this risk increases up to ten times. However, many doctors are unaware of this.DM and PD are bidirectionally linked, the one affecting the other and vice versa, although the mechanism is not fully understood and may be linked to chronic infection. PD has an adverse effect on glycaemic control. That improves when periodontitis is successfully treated.Doctors should consider PD when their patients have persistently high glycated haemoglobin (HbA1c) levels, and dentists should consider diabetes or pre-diabetes when they have patients with unstable or progressive periodontitis.Doctors, dentists, and their teams need to share results. A traffic light system of red, amber and green for both medical and dental risks is proposed, and a pro forma designed, so that diabetics themselves can share them with their professional advisors until such times as there are reliable methods of interprofessional communication and a paradigm shift in working practices is achieved.Dentists need to find ways to teach their medical colleagues about the basics of PD, update their medical records, and understand more about medical risks. More research is required.
摘要：
1928年首次记录，患有糖尿病（DM）的人患牙周病（PD）的风险是非糖尿病患者的三到四倍；对于那些吸烟的人来说，这种风险增加了十倍。然而,许多医生都不知道这一点。DM和PD是双向链接的，一个影响另一个，反之亦然，尽管机制尚不完全清楚，并且可能与慢性感染有关。PD对血糖控制有不利影响。当牙周炎被成功治疗时,这改善。当患者持续高糖化血红蛋白（HbA1c）水平时，医生应考虑PD，当牙医患有不稳定或进行性牙周炎时，应考虑糖尿病或糖尿病前期。医生,牙医,他们的团队需要分享结果。红绿灯系统，提出了琥珀色和绿色的医疗和牙科风险，和设计的形式，以便糖尿病患者自己可以与他们的专业顾问分享他们，直到有可靠的专业沟通方法和工作实践的范式转变。牙医需要找到方法向他们的医学同事传授PD的基础知识，更新他们的医疗记录,了解更多医疗风险。需要更多的研究。
