Diabetes and oral hygiene
There is a bidirectional relationship between diabetes and oral hygiene. On one hand, diabetes will aggravate and increase the risk of common oral problems such as periodontitis. On the other hand, infections of the oral cavity are associated with poorer glycemic control and there is even some epidemiological evidence linking periodontitis with an increased risk of cardiovascular events. Thus, even though formal evidence from interventional studies is scarce, it seems reasonable to advise patients to take good care of oral hygiene and to regularly visit a dentist.