Dental Management of Patients with Diabetes

McKenna, S.J.

doi:10.1016/j.cden.2006.06.008

Cited by 26 publications

(20 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although potential benefits of periodontal therapy in diabetics are not fully established in large, randomized multicenter clinical trials, diabetics need a comprehensive oral and periodontal exam [144,145]. Compensated diabetics usually can have all dental treatments without special precautions.…”

Section: Resultsmentioning

confidence: 99%

Does It Make Sense that Diabetes is Reciprocally Associated with Periodontal Disease?

Santacroce¹,

Carlaio²,

Bottalico³

2010

EMIDDT

View full text Add to dashboard Cite

Epidemiological studies indicated that more than 15% of the population in western countries suffer because of severe forms of periodontitis, In this respect, the recognition of the relationship between oral and systemic health is growing, thus receiving remarkable interest in scientific literature. In fact, periodontitis may increase the risk for a group of life-threatening conditions such as atherosclerosis, stroke or low birth weight. The American Diabetes Association has reported that individuals with uncontrolled diabetes (defined as 200mg/dL of glucose on three consecutive readings) undergo an increased risk of infections, abnormal wound healing and consequent increased recovery time. Moreover, diabetics may be more likely to develop periodontal and cardiovascular disease than non diabetics, if note. History of poorly controlled chronic periodontal disease can alter diabetic/glycemic control. This may originate from a likely continuous passege of bacterial toxins and/or bacteria into the bloodstream, and/or from an exaggerated release of inflammatory mediators. This review is aimed at elucidating the connections between the status of oral health and glycemic control in diabetes.

show abstract

Section: Resultsmentioning

confidence: 99%

Does It Make Sense that Diabetes is Reciprocally Associated with Periodontal Disease?

Santacroce¹,

Carlaio²,

Bottalico³

2010

EMIDDT

View full text Add to dashboard Cite

show abstract

“…In addition, it is usual to postpone elective dental treatments in decompensated diabetic patients. When in emergent needs, however, prompt care is expected, paying attention to additional care [25,26], but the professionals surveyed tended to refer these patients instead of offering prompt care.…”

Section: Discussionmentioning

confidence: 99%

Dental emergencies in public health services: what is the role of the Dental Surgeon?

Rios

Queiroz

2017

Rev. Odonto Ciênc. (Online)

View full text Add to dashboard Cite

OBJECTIVE: To assess the opinions of Brazilian dental surgeons (DS) about their roles in Public Emergency Dental Services (PEDS). METHODS: A cross-sectional study was conducted with an intentional sample of 44 DS who worked at the PEDS in a large municipality in the central-western region of Brazil, in 2013. To collect data we designed, pretested and applied a self-administered questionnaire with Likert scale assertions about the DS duties, referral of patients and execution of dental procedures in PEDS. Post-hoc tests revealed an instrument's reliability of 91%. RESULTS: As their main duty, DS pointed out providing relief to patients' complaints in cases of dental pain and trauma. Regarding referral of patients, they considered typically that they should refer to services at a higher complexity level those patients exhibiting infections in advanced stages under risk of disseminations. Most of them disagreed with performing dental restorations in emergency consultations, while the majority stated that they should mainly perform intraoral abscesses drainage, alveolitis and haemorrhage treatment. CONCLUSION: To provide pain and trauma relief to patients was pointed out by DS as their key role in PEDS, as well as to refer at-risk patients to high-level complexity services and to perform procedures aimed at solving emergency situations, instead of providing restorative treatment to patients.Key words: Public Health Dentistry; Dental Health Services; Emergencies; Public Health Policy; Dental CareUrgências odontológicas em serviços públicos de saúde: qual o papel do Cirurgião-Dentista? RESUMO OBJETIVO: Avaliar a opinião de cirurgiões-dentistas (CD) brasileiros sobre o papel deles em Serviços Odontológicos Públicos de Urgência (SOU). METODOLOGIA: Um estudo transversal foi realizado com uma amostra intencional de 44 CD que trabalhavam em SOU em um município de grande porte na região centro-oeste do Brasil, em 2013. Para coletar os dados foi elaborado, pré-testado e aplicado um questionário autoexplicativo com escala Likert e asserções sobre as atribuições dos CD, encaminhamento de pacientes e execução de procedimentos odontológicos nos SOU. Testes posteriores revelaram uma confiabilidade deste instrumento de 91%. RESULTADOS: Como sua principal atribuição, os CD apontaram que devem buscar aliviar as queixas dos pacientes em casos de dor e trauma dental. Com relação ao encaminhamento de pacientes, eles consideraram tipicamente que deveriam referenciar para serviços de maior complexidade aqueles pacientes com infecções em estágios avançados com risco de disseminação. Muitos deles discordavam com a realização de restauração dental nas consultas de urgência, enquanto que a maioria considerou que deveria executar drenagem intraoral de abscessos, tratamento de alveolite e hemorragia. CONCLUSÃO: Os CD reconheceram que prover alívio aos pacientes com dor e trauma é o seu principal papel nos SOU, além de referenciar pacientes de risco para unidades de maior complexidade e realizar procedimentos clínicos voltados à resolu...

show abstract

“…Diabetes mellitus (DM) is considered a common systemic disease with oral manifestations and profuse literature deals with the considerations of orthodontic treatment on diabetic patients (Burden et al, 2001; Vernillo, 2001; Bensch et al, 2003; McKenna, 2006). Experimental data widely show that DM promotes molecular and structural changes in the periodontal area after orthodontic treatment including MMP's or bone alterations (Feng et al, 2007; Abbassy et al, 2010; Braga et al, 2011; Villarino et al, 2011; Zhang et al, 2011).…”

Section: Final Discussionmentioning

confidence: 99%

Does Oxidative Stress Induced by Alcohol Consumption Affect Orthodontic Treatment Outcome?

Barcia

Portolés

et al. 2017

Front. Physiol.

View full text Add to dashboard Cite

HIGHLIGHTS Ethanol, Periodontal ligament, Extracellular matrix, Orthodontic movement.Alcohol is a legal drug present in several drinks commonly used worldwide (chemically known as ethyl alcohol or ethanol). Alcohol consumption is associated with several disease conditions, ranging from mental disorders to organic alterations. One of the most deleterious effects of ethanol metabolism is related to oxidative stress. This promotes cellular alterations associated with inflammatory processes that eventually lead to cell death or cell cycle arrest, among others. Alcohol intake leads to bone destruction and modifies the expression of interleukins, metalloproteinases and other pro-inflammatory signals involving GSKβ, Rho, and ERK pathways. Orthodontic treatment implicates mechanical forces on teeth. Interestingly, the extra- and intra-cellular responses of periodontal cells to mechanical movement show a suggestive similarity with the effects induced by ethanol metabolism on bone and other cell types. Several clinical traits such as age, presence of systemic diseases or pharmacological treatments, are taken into account when planning orthodontic treatments. However, little is known about the potential role of the oxidative conditions induced by ethanol intake as a possible setback for orthodontic treatment in adults.

show abstract

Dental Management of Patients with Diabetes

Cited by 26 publications

References 56 publications

Does It Make Sense that Diabetes is Reciprocally Associated with Periodontal Disease?

Does It Make Sense that Diabetes is Reciprocally Associated with Periodontal Disease?

Dental emergencies in public health services: what is the role of the Dental Surgeon?

Does Oxidative Stress Induced by Alcohol Consumption Affect Orthodontic Treatment Outcome?

Contact Info

Product

Resources

About