The Relationship of Glycemic Control to the Outcomes of Dental Extractions

Aronovich, Sharon; Skope, Leonard; Kelly, Jill; Kyriakides, Tassos C.

doi:10.1016/j.joms.2010.05.006

Cited by 31 publications

(26 citation statements)

References 8 publications

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“…Scoring by each clinician, they did not find a significant difference between placebo and HA group. Healing of tooth extraction socket in patients with poorly controlled diabetes is often delayed due to the duration of hyperglycemia, impaired recruitment of inflammatory cells and microcirculation (26). It is interesting to note that poor healing score and delayed wound healing was reported only in the control group on up to day 10 (3.33%).…”

Section: Discussionmentioning

confidence: 98%

Hyaluronic acid treatment outcome on the post-extraction wound healing in patients with poorly controlled type 2 diabetes: A randomized controlled split-mouth study

Marin¹,

Popović-Pejičić²,

Radošević-Carić³

et al. 2020

Med Oral

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Background: Hyaluronic acid is widely used in the medical field. However, there is a lack of research about its effect on patients with certain risks, such as compromised wound healing commonly found in patients with poorly controlled type 2 diabetes. The aim of this study is to investigate the efficacy of hyaluronic acid on the post-extraction wound healing and pain in patients with poorly controlled type 2 diabetes. Material and Methods: The randomized controlled split-mouth study was designed, which included 30 patients with poorly controlled type 2 diabetes with a bilaterally same teeth in the lower jaw for extraction. The sockets treated with 0.8% hyaluronic acid represented the study group, while the sockets where hyaluronic acid was not applied represented the control group. Wound closure rate (WCR), clinical scores in wound healing scale (WHS) and pain intensity in Visual analogue scale (VAS) were recorded. Patients were followed up on 5 th , 10 th , 15 th , 20 th , 25 th day after tooth extraction.

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Section: Discussionmentioning

confidence: 98%

Hyaluronic acid treatment outcome on the post-extraction wound healing in patients with poorly controlled type 2 diabetes: A randomized controlled split-mouth study

Marin¹,

Popović-Pejičić²,

Radošević-Carić³

et al. 2020

Med Oral

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“…Recently after the completion of the data collection of the present study, a report comparing well controlled with poorly controlled diabetics, as measured by blood glucose level (BGL), haemoglobin Alc (HbAlc) and endorganic scores was published. It found no difference in healing …”

Section: Introductionmentioning

confidence: 90%

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

Huang

Dang

Huynh

et al. 2013

Australian Dental Journal

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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.

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“…Diabetes is another condition known to expose patients at a high risk of slow healing and wound infection following a surgical intervention [38]. However, it remains unclear whether those who undergo tooth extractions are more likely to develop surgical infection as compared to non-diabetic patients [39,40]. In the present study diabetes does not seem to interfere with the post-operative course.…”

Section: Discussionmentioning

confidence: 57%

Factors Influencing the Onset of Intra- and Post- Operative Complications Following Tooth Exodontia: Retrospective Survey on 1701 Patients

et al. 2019

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Complications after tooth extraction may occur because of several factors correlated to the patient's medical history, surgical site or type of intervention. The aim of this retrospective cohort study was to evaluate type and frequency of complications after exodontic surgery, its correlation with antibiotic administration and between patient's related systemic factors. From June 2015 until February 2016 1701 exodontic interventions, for a total of 2322 extracted teeth, were carried out at the Unit of Oral Surgery in Trieste. Descriptive statistic, and backward multiple logistic regressions were performed to identify the variables associated with the presence of post-operative alveolitis or any other post-operative complication. The presence of coagulopathy and smoking habit were related to high risk of post-operative alveolitis (OR = 5.51, p = 0.035 and OR = 2.5, p = 0.029, respectively). Tooth fracture was found to be correlated with higher probability of post-operative alveolitis (p = 0.001) and concomitant chemotherapy put at a higher risk post-operative complications, including alveolitis (OR = 29.5, p = 0.018). According to the present results, antibiotic consumption did not seem to reduce the incidence of post-operative infective complications (alveolitis). A careful analysis of medical history, the adequate surgical technique, and the correct instructions in post-surgical behavior, prevent the insurgence of intra and post-operative complications.

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The Relationship of Glycemic Control to the Outcomes of Dental Extractions

Cited by 31 publications

References 8 publications

Hyaluronic acid treatment outcome on the post-extraction wound healing in patients with poorly controlled type 2 diabetes: A randomized controlled split-mouth study

Hyaluronic acid treatment outcome on the post-extraction wound healing in patients with poorly controlled type 2 diabetes: A randomized controlled split-mouth study

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

Factors Influencing the Onset of Intra- and Post- Operative Complications Following Tooth Exodontia: Retrospective Survey on 1701 Patients

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