The healing of dental extraction sockets in patients with Type 2 diabetes on oral hypoglycaemics: a prospective cohort

Abstract

Background: The aim of this study was to determine whether there is a difference in delayed healing following dental extractions for Type 2 diabetics on oral hypoglycaemics and non-diabetic patients. Methods: Prospective patients referred for dental extractions were recruited into two groups: known diabetics and nondiabetics with no conditions associated with poor healing. All had a random blood glucose level (BGL). Extractions were performed using local anaesthesia. Delayed healing cases were identified and statistical evaluation performed to identify risk factors. Results: There were 224 Type 2 diabetics on oral hypoglycaemics (BGL 7.51, range 4.1-17.4) and 232 non-diabetics. The diabetic group were older, more males and less smokers than the control group. Twenty-eight patients, 12 (5%) diabetic and 16 (7%) control group, had socket healing delayed for more than one week but all healed in four weeks. There were no statistical differences between delayed healing and age, gender, diabetic state, BGL or smoking. The younger control group had more healing problems. Conclusions: The traditional view that diabetics have increased delayed healing was not supported. Type 2 diabetics on oral hypoglycaemics should be treated the same as non-diabetic patients for extractions.

Blood Products Provided to Patients Receiving Futile Critical Care

“…On the contrary, 68% of the patients who were perceived to receive futile ICU treatment died before hospital discharge and 85% died within 6 months; survivors remained in severely compromised health states. 3 …”

“…Details of the definition of futile treatment and the core data collection are described in detail elsewhere. 3 …”

Delayed wound healing after tooth extraction and self-reported kyphosis in Japanese men and women

“…Additionally, Huang et al . described that the traditional view that people with diabetes have increased risk of delayed healing was not supported in their study23. Fernandes et al .…”

Diabetes, Wound Healing And Complications

“…The authors of the study 'The healing of dental extraction sockets in patients with Type 2 diabetes on oral hypoglycaemics: a prospective cohort' 1 should be commended for proving what has been observed anecdotally for some time -that those patients who have well controlled diabetes or who are on oral hypoglycaemics do not have an increased risk of impaired wound healing after dentoalveolar surgery. Diabetes is an important chronic disease in Australia whose incidence is growing at a staggering rate.…”