
Prevention and treatment of periodontal diseases in patients with type 2 diabetes (literature review)
Abstract
The review article analyzes current approaches to the prevention and treatment of periodontal diseases in patients with type 2 diabetes. Key pathogenetic mechanisms are discussed, including microcirculatory disorders, an imbalance of pro-inflammatory and anti-inflammatory cytokines, oxidative stress, and delayed tissue regeneration. Local therapies such as antimicrobial agents, phytopreparations, and innovative drug compositions are examined alongside systemic approaches involving immunomodulators, hypoglycemic agents, and physiotherapeutic methods. The significance of comprehensive therapy aimed at improving metabolic control and preventing the progression of pathological changes in periodontal tissues is emphasized. Data on the effectiveness of various treatment methods, including laser therapy, hyperbaric oxygenation, and balneotherapy, are presented.
Keywords
Type 2 diabetes, periodontal diseases, pathogenesis
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