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Previous Volume 342:895-896 March 23, 2000 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In their review article, Joshi et al. (Dec. 16 issue)¹ do not mention an extremely common infection seen in patients with diabetes: chronic periodontitis. Periodontitis is associated with substantial morbidity in the form of tooth loss, which directly affects nutritional sta-tus and the quality of life. In addition, this form of chronic infection often adversely affects glycemic control. Although periodontitis rarely causes death, it can lead to more serious infections such as Ludwig's angina and is a major factor in bacteremia. The relation between diabetes and periodontitis has been well established^2,3,4,5,6 and is gaining widespread attention.

James . . . [Full Text of this Article]

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