A Comparative Study on Oral Manifestations of Controlled and Uncontrolled Type 2 Diabetes Mellitus in South Indian Patients

Gupta, Siddharth; Kumar, Anand C; Kailasam, S

doi:10.5005/jp-journals-10011-1214

Cited by 6 publications

(13 citation statements)

References 10 publications

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“…The most frequent mucosal findings in studied sample respectively were Fordyce's granules, white patches, angular cheilitis, oral ulcers, melanin pigmentation and others as tongue lesions. White patches, angular cheilitis and oral ulcers were more in uncontrolled patients compared to controlled one, this agreed with a study done by Gupta S et al (17) .…”

Section: Discussionsupporting

confidence: 92%

Prevalence of Oral Manifestations of Diabetic Patients in a Group of Egyptian Population

et al. 2021

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Purpose: This study aimed to assess the prevalence of oral manifestations of diabetic patients in a group of Egyptian population. Subjects and Methods: A cross-sectional study was conducted on 245 diabetic Egyptian patients. They were recruited from outpatient clinic of the Faculty of Dental Medicine for girls and Al-Azhar university hospitals. We assessed prevalence by collecting data from patients by questionnaire then clinical examination. We used HbA1c test to show its relation with oral manifestations. Results: The most frequent oral symptoms were xerostomia 77.1%, followed by toothache 51.1%, taste abnormality 50.2%, tender gum 38.8%, halitosis 32.7%, burning sensation 6.5% and mouth soreness 5.7%. While the most frequent dental findings were plaque accumulation in 92.1% followed by calculus deposition in 86.3%, bleeding with probing in 85.1%, dental caries in 62.6%, tooth mobility in 28.6% and finally gingival recession in 28.2%. Almost uncontrolled patients had more frequent manifestations than controlled ones. Conclusion: DM associated many oral manifestations and they are more prevalent in uncontrolled diabetic patients.

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Section: Discussionsupporting

confidence: 92%

Prevalence of Oral Manifestations of Diabetic Patients in a Group of Egyptian Population

et al. 2021

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“…Several studies revealed that increased glucose levels in saliva and gingival crevicular fluids (GCFs), altered plaque microflora, a greater number of Streptococcus mutans and lactobacilli, and reduced salivary flow in uncontrolled diabetic patients predispose this set of patients to an increased prevalence as well as the severity of dental caries. [13][14][15][16]…”

Section: Dental Cariesmentioning

confidence: 99%

“…An increased concentration of calcium in the stimulated parotid and submandibular saliva of Type 1 diabetes (T1D) patients has also been reported. [13][14][15][16] Oral mucosal diseases A higher prevalence of oral lichen planus, especially the erosive type, oral fungal infections, and recurrent aphthous stomatitis, has been commonly reported in uncontrolled and therapeutically treated diabetic patients. Lichenoid reactions, a mucosal disease similar to lichen planus in its presentation, have commonly being linked with the oral hypoglycemic agents prescribed in the diabetic patients.…”

Section: Salivary Gland Abnormalitiesmentioning

confidence: 99%

“…Oral lichenoid reactions too might be encountered in diabetic patients secondary to the use of nonsteroidal anti-inflammatory drugs, angiotensin-converting enzyme inhibitors, oral hypoglycemic drugs including chlorpropamide and other oral hypoglycemic, and/or antihypertensive medications given during its treatment and such reactions are seen to resolve once such drugs are discontinued or changed to some other class of drugs. [12][13][14][15][16]…”

Section: Salivary Gland Abnormalitiesmentioning

confidence: 99%

“…These may include but are not necessarily limited to xerostomia and salivary gland dysfunction, increased susceptibility to bacterial, viral, and fungal (oral candidal) infections, dental caries and periapical infections, periapical and periodontal abscesses, gingivitis and periodontal disease, loss of teeth, impaired ability to wear dental prostheses, taste impairment, burning mouth syndrome (BMS), and lichen planus. [12][13][14][15][16][17]…”

mentioning

confidence: 99%

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Serum and salivary glucose levels in diabetes mellitus: A review on the quest for diagnostics

Nayyar

2021

Journal of Diabetes and Endocrine Practice

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The salivary fluid has an old history of study, but its physiological importance has only been recognized recently. In the past 50 years, the pace of salivary research has accelerated with the advent of new techniques that illuminated the biochemical and physicochemical properties of saliva. The recent introduction of molecular biology opens up, once again, new vistas and a new search of the role of salivary fluid as a potential diagnostic tool which has an added advantage of being noninvasive. The role of saliva in the diagnosis as well as monitoring of glycemic control has also been attracting the attention of clinical researchers in recent times although results have been conflicting. The present review presents such insight into the possible use of salivary fluid for the monitoring of serum glucose levels and in the detection of glycemic control in diabetic patients with the evidence of its reliability based on the existing literature.

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Prevalence of oral mucosal changes in type 2 diabetic patients attending diabetes mellitus center in Sulaimani city

Ahmed¹,

Garib²

2018

SDJ

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Objective: Find the prevalence of possible changes seen in the oral mucosa of type 2 diabetes mellitus patients. Methods: Three hundred type 2 DM patients included in this study after taking their medical history and glycemic control level. Patients were asked for symptoms of dry mouth, burning sensation, pain and paresthesia and they were subjected to full oral mucosal examination. Results: Most patients had one or more subjective oral complain (83%). The predominant symptom was the feeling of dry mouth (80%) with no sex difference (P= 0.772). The mucosal pain reported in (12.7%) and significantly in males (P= 0.000). Gingival redness reported in (33.3%) and paresthesia in (8%). Nine (3%) patients had white buccal patches and six of them revealed lichenoid drug reaction. Dry mouth and oral burning sensation were shown to be unrelated to the glycemic control. Gingival redness was the most common lesion and correlated with poor glycemic control. Tongue was the second most commonly affected site in both sexes; however, the type of changes was sex and age-dependent. Denture stomatitis was seen in 4% and more frequent in females and in old age patients but did not relate to glycemic status. Lichenoid drug reaction was more prevalent among patients with poor glycemic control (6.3%) and who were above 50 years old. Buccal mucosal white patches were related to the glycemic control (P = 0.014). Conclusions: Dry mouth was the most common complaints of a diabetic patient in all levels of glycemic control. Gingival redness was frequent in diabetic patients and correlated with poor glycemic control. Buccal white patches were more prevalent in patients with poor glycemic control and who were above 50 years old.

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A Comparative Study on Oral Manifestations of Controlled and Uncontrolled Type 2 Diabetes Mellitus in South Indian Patients

Cited by 6 publications

References 10 publications

Prevalence of Oral Manifestations of Diabetic Patients in a Group of Egyptian Population

Prevalence of Oral Manifestations of Diabetic Patients in a Group of Egyptian Population

Serum and salivary glucose levels in diabetes mellitus: A review on the quest for diagnostics

Prevalence of oral mucosal changes in type 2 diabetic patients attending diabetes mellitus center in Sulaimani city

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