This position paper on diabetes mellitus was prepared by the Research, Scie
nce and Therapy Committee of The American Academy of Periodontology. It is
intended to: 1) update members of the dental profession on the diagnosis an
d medical management of patients with diabetes mellitus; 2) summarize curre
nt knowledge on the relation between diabetes mellitus and periodontal dise
ases; 3) provide an overview of factors in diabetic patients relevant to un
derstanding the pathogenesis of periodontal diseases in these subjects; 4)
outline special considerations associated with treatment of periodontal dis
eases in diabetic patients; and 5) discuss possible approaches to the manag
ement of diabetic emergencies in the dental office.