Diabetes: Metformin could help treat gum disease, aid healthy aging

Evan Walker
Evan Walker TheMediTary.Com |
A close-up of a person holding a vial of metformin, a drug used to manage diabetes.Share on Pinterest
Metformin, a medication used to manage and treat diabetes, could also help people with gum disease. Tashatuvango/Getty Images
  • Although gum disease occurs in the mouth, previous research shows it can affect health in other parts of the body, such as the heart and bones.
  • Researchers from King’s College London recently found that metformin —a common type 2 diabetes drug—may help improve clinical outcomes for non-diabetic people with gum disease.
  • The same study also found that metformin may help prevent bone loss caused by either periodontal disease or aging via both mouse and clinical trials.

About 19% of the world’s adult population has severe periodontal disease.

Also known as gum disease, this condition occurs when the tissues holding teeth in place become infected. If left untreated, periodontal disease can damage bones in the mouth and ultimately lead to tooth loss.

Periodontal disease can also impact other areas of the body. Previous studies link gum disease to an increased risk for Health">cardiovascular disease, Health">Alzheimer’s disease, Health">diabetes, and Health">respiratory disease.

Now, researchers from King’s College London have found a common type 2 diabetes drug may help improve clinical outcomes for non-diabetic people with gum disease, as well as help prevent bone loss caused by either periodontal disease or aging, via both mouse and clinical trials.

This study was recently published in the Journal of Translational Medicine.

First, the researchers tested metformin in a mouse model of periodontal disease. After the mouse study, scientists found metformin led to significant prevention of bone loss during induced periodontal disease and age-related bone loss in living mice.

“What surprised me about metformin was being able to make my aging animals healthier and (prevent) 50% of bone loss,” Dr. Neves told Medical News Today. “When I analyzed that data, it was the (first) time I felt, ‘Wow, there is really something here’.”

Next, Dr. Neves and his colleagues performed a clinical trial with 20 study participants who all had gum disease but did not have diabetes.

At the end of the trial, researchers discovered participants given metformin had improved clinical outcomes in their gum disease treatment. Additionally, metformin helped control sugar levels and inflammation in the mouth and body, even when bacteria levels were high.

Improving aging with metformin

“Prevention starts before disease takes place, with both my animal data and patient data showing good metformin outcomes even with high levels of bacteria in the mouth. This raises the question about whether ‘solely brushing your teeth’ truly is the only way we can actually prevent gum disease development throughout our lives,” Dr. Neves said.

“In addition to those surprising findings, my clinical data also points to the potential use of metformin to improve the overall health of gum disease patients, due to seeing the stabilization of glucose levels, improvement of insulin sensitivity, and control of inflammation,” he added.

“All these markers [stabilized glucose, improved insulin, controlled inflammation] are directly correlated with improvement of aging according to aging research. Therefore, it seems that preventing systemic diseases from the mouth is a good pathway to prevent overall systemic diseases.”
— Dr. Vitor Neves

After reviewing this study, Dr. Purnima Kumar, American Dental Association spokesperson and professor at the University of Michigan School of Dentistry, told Medical News Today that as a clinician who specializes in treating patients with periodontal disease, she initially found this research very intriguing.

“But it’s also important to keep in mind that these findings are very preliminary and have several caveats — including the fact that the majority of the results are reported from animal studies,” she said.

“These findings require additional studies in larger and broader populations. Moreover, because the researchers are proposing an off-label use of a drug that is only FDA-approved to help improve glycemic control in people with type 2 diabetes, there will have to be more data gathered on any adverse reactions to the use of this drug in normoglycemic people,” she added.

When it comes to overall health, Dr. Kumar said the mouth is a window into the health of your body. She said many people fail to realize that several systemic conditions and diseases, like heart disease and diabetes, can affect oral health systemically or due to physical inability to maintain appropriate oral hygiene.

“Periodontal and systemic diseases share many common risk factors, including smoking and poor diet. An important part of healthier aging is to take care of your oral health, which includes brushing your teeth twice a day, cleaning in-between your teeth once a day, and regularly visiting the dentist. You can find helpful dental health information from the ADA at MouthHealthy.org.”
— Dr. Purnima Kumar

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