Diabetes mellitus is estimated to affect 20 million Americans, of which approximately 35-40% have not been diagnosed. Over 9% of the adult population suffers from diabetes and both the incidence and prevalence are increasing every year." (Mealey, 2006, page 1) This is a scary statement. These numbers include our parents, aunts, uncles, sisters and brothers. We must be aware that this is a real threat. Many of these individuals most likely also have some type of periodontal problem, particularly if the diabetes is uncontrolled or has not yet been diagnosed. Oral health can play a significant role in the overall health of the body. Periodontal disease and diabetes. Interestingly, diabetes is now more often characterized as a cardiovascular disease. It has been well documented that periodontal disease is considered a possible risk factor for cardiovascular disease. The connection between diabetes and periodontal disease and how each can exacerbate the other is understandable. Blood sugar control is significant in the prevention and management of oral health problems in diabetic patients. People with uncontrolled diabetes are more prone to gum disease and are affected more often and more severely than people whose diabetes is well controlled. Proper brushing, flossing, and nutrition, along with regular dental visits and blood sugar monitoring, are the best preventative measures against periodontal disease in immunocompromised patients. Studies show that periodontal disease can be considered the sixth complication of diabetes, after neuropathy, nephropathy, retinopathy and microvascularization. macrovascular diseases. There is a two-way street philosophy when it comes to periodontal disease and diabetes. When infected... in the middle of a sheet of paper... or orally, the results are generally the same. The main goal of the body is to protect the life of the individual. To eliminate the offending area, the body may attack itself, resulting in tissue and bone loss and ultimately tooth loss. We must also keep in mind that diabetes affects the patient's ability to heal, possibly slowing progress or inhibiting healing altogether. Good oral hygiene and regular dental visits are an important part of diabetes care along with regular appointments with your doctor. As healthcare professionals, it is important for us to recognize the signs and symptoms of disease, not only oral disease but also oral manifestations of systemic disease. We can help prevent diabetes complications by encouraging people with diabetes to maintain routine dental care and consistent, adequate glycemic control.