Objectives: To describe the oral health profile and evaluate the impact of tooth loss on diet quality and glycemic control among 66 patients with type 2 diabetes (T2DM) treated in an endocrinology outpatient clinic at a teaching hospital. Materials and methods: Questionnaires about diabetes selfcare (SDSCA), masticatory ability, diet quality, anxiety level about dental treatment, and oral health were applied. Laboratory tests were retrieved from medical records or newly collected samples. Results: The presence of fewer than 21 teeth was associated with an unsatisfactory self-perceived masticatory ability (r = 0.44; p = 0.007). Most participants reported not having received guidance on oral health from their endocrinologists (81.8%) and having had the last visit to the dentist 2 years or more before the study (36.8%). The mean HbA1c level in the group with fewer than 21 teeth was comparable to that in the group with functional dentition (8.9 ± 1.5 and 8.7 ± 1.6%, respectively; p = 0.60). Conclusion: Adults with T2DM have a high prevalence of tooth loss and lack of information about oral hygiene care. Our results reinforce the need for more effective communication between medical and dental care teams.
The literature reports a standard chronological sequence in the eruption of permanent teeth. However, evidence indicates that regional differences may interfere in this process. Thus, the aim of the present study was to compare dental age and chronological age in children and adolescents in a city in southern Brazil to determine the specific pattern in this population. We analyzed the orthodontic records of 250 children and adolescents at the undergraduate course in dentistry of Universidade Franciscana in the city of Santa Maria (southern Brazil). The dental age of each individual was determined through the analysis of panoramic radiographs using the Nolla's method. Data were also collected on the child's chronological age, sex, and race. No significant difference was found between average chronological age and that determined using Nolla's method, indicating that dental and chronological age are similar in this population. However, the eruption periods of all tooth groups were slightly ahead in comparison to the world standard.
This study presents the clinical case of an eight-year-old male patient who visited the Pediatric Dentistry Clinic of Ingá (UNINGÁ) complaining of dissatisfaction with his smile. The clinical and radiographic examination revealed a supernumerary tooth between the maxillary central incisors (mesiodens). Treatment consisted of surgical removal of the mesiodens and restorative clinical interventions. The patient was then sent for orthodontic treatment for complete functional and esthetic restoration. This work addresses the etiology, diagnosis, incidence/prevalence, treatment according to location and age group as well as clinical and radiographic aspects of mesiodens. The present case shows that, when planned in an integrated manner and performed on a properly selected patient, the surgical removal of mesiodens achieves satisfactory results and improves the child's quality of life.
Indivíduos com diabetes mellitus tipo 2 (DM2) são mais suscetíveis a doenças da cavidade bucal, assim a atenção odontológica deve fazer parte da rotina de cuidados desses pacientes. Este trabalho tem como objetivo relatar um caso clínico, no qual um paciente do sexo masculino, 57 de anos de idade, com diagnóstico de dislipidemia, hipertensão arterial sistêmica e diabetes mellitus aos 42 anos de idade, após infarto agudo do miocárdio, compareceu ao Centro de Especialidades Odontológicas Santa Marta -Porto Alegre -RS, queixando-se que seus dentes ficavam amolecidos e depois caíam. Referiu que, em avaliações médicas e odontológicas anteriores, havia sido informado da relação do diabetes com a condição dentária e do risco de perda total dos dentes. Essa possibilidade fez com que o paciente se mobilizasse para a busca por tratamento especializado. Com diagnóstico de doença periodontal avançada, foi realizado tratamento de adequação bucal e tratamento periodontal. Recebeu orientação sobre as doenças bucais identificadas, importância do tratamento, da higiene bucal e dieta para a manutenção da saúde. O caso relatado evidencia a necessidade de acompanhamento odontológico para manutenção da saúde sistêmica desses indivíduos. O controle do distúrbio exige aquisição de conhecimento e atendimento adequado e resolutivo desses pacientes pelo cirurgião-dentista e equipe multiprofissional. Ao assumir um papel ativo no diagnóstico e no tratamento das condições bucais relacionadas ao diabetes, o dentista, associado às equipes multiprofissionais, pode contribuir para a manutenção da saúde e qualidade de vida de pacientes com esta doença.
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