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Guidance

Welcome to the Guidance Section – a comprehensive resource dedicated to summarising key guidance and consensus statements on periodontitis, diabetes, and their co-management. This section provides an invaluable reference for clinicians, offering evidence-based recommendations and expert consensus to support integrated care.

Our aim is to present essential information in accessible summaries, empowering healthcare professionals to implement best practices in managing oral and systemic health.

Please note that while the guidance is current at the time of publication, clinicians should stay updated with evolving evidence and new recommendations to ensure optimal patient care.

  • Diabetes
  • Periodontitis
  • Peri-implantitis

NICE Guideline: Type 2 Diabetes in Adults – Management

Guideline |  Published on 02.12.2015  |  Last updated on 29.06.2022

This guideline supports healthcare professionals and adults with type 2 diabetes, with a focus on individualised care plans, structured education, dietary advice, and regular reviews. It addresses hypertension, glucose control, complications (e.g., periodontitis, neuropathy, kidney disease), and lifestyle modifications. Evidence-based recommendations promote self-management, tailored treatment targets, and comprehensive care pathways.

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Consensus report of the Joint EFP/AAP Workshop: Diabetes and periodontal diseases

Consensus Statement |  Published on 30.04.2013

The consensus report from the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases highlights the bidirectional link between periodontitis and diabetes. Hyperglycaemia worsens periodontal health, while advanced periodontitis increases the risk of diabetes onset. The report stresses the importance of integrated care between dental and medical professionals to ensure effective management of these interrelated conditions.

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Commissioning standard: Dental care for people with diabetes

Clinical Standard |  Published on 13.08.2019

NHS England’s ‘Commissioning Standard: Dental Care for People with Diabetes’ highlights the bidirectional link between diabetes and periodontitis, emphasising that individuals with diabetes are more susceptible to severe gum disease, which can, in turn, exacerbate diabetes complications. The document advocates for integrated care pathways, urging collaboration between dental and diabetes services to ensure timely periodontal management. It also underscores the importance of raising awareness among healthcare professionals and patients about this connection to improve overall health outcomes.

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Periodontitis is the 6th most prevalent condition globally

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Periodontitis and diabetes are bidirectionally linked

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Diabetic complications are increased if you have both diseases

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Successful periodontal treatment can improve blood glucose control

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Successful periodontal treatment can improve blood glucose control

icon1 services

Periodontitis is the 6th most prevalent condition globally

icon1 services

Periodontitis and diabetes are bidirectionally linked

icon1 services

Diabetic complications are increased if you have both diseases

icon1 services

Successful periodontal treatment can improve blood glucose control

icon1 services

Successful periodontal treatment can improve blood glucose control

Our Team

Team - The Periodontitis-Diabetes Hub

Dr Varkha Rattu

Founder & Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Amar Puttanna

Diabetes Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Rajeev Raghavan

Diabetes Co-Lead

Team - The Periodontitis-Diabetes Hub

Professor Mark Ide

Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Professor Luigi Nibali

Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Dominika Antoniszczak

Education & Support Advisor

Team - The Periodontitis-Diabetes Hub

Dr Jasmine Loke

Clinical Content Advisor

Team - The Periodontitis-Diabetes Hub

Dr Mira Shah

Patient Resource Advisor

Team - The Periodontitis-Diabetes Hub

Elaine Tilling

Outreach & Communications Lead

Team - The Periodontitis-Diabetes Hub

Dr Varkha Rattu

Periodontitis-Diabetes Hub Position: Founder & Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Amar Puttanna

Periodontitis-Diabetes Hub Position: Diabetes Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Rajeev Raghavan

Periodontitis-Diabetes Hub Position: Diabetes Co-Lead

Team - The Periodontitis-Diabetes Hub

Professor Mark Ide

Periodontitis-Diabetes Hub Position: Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Professor Luigi Nibali

Periodontitis-Diabetes Hub Position: Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Dominika Antoniszczak

Periodontitis-Diabetes Hub Position: Education and Support Advisor

Team - The Periodontitis-Diabetes Hub

Dr Jasmine Loke

Periodontitis-Diabetes Hub Position: Clinical Content Advisor

Team - The Periodontitis-Diabetes Hub

Dr Mira Shah

Periodontitis-Diabetes Hub Position: Patient Resource Advisor

Team - The Periodontitis-Diabetes Hub

Elaine Tilling

Periodontitis-Diabetes Hub Position: Outreach and Communications Lead

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