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Can fasting plasma glucose and glycated hemoglobin levels predict oral complications following invasive dental procedures in patients with type 2 diabetes mellitus? A preliminary case-control study
Motta, Ana Carolina Fragoso; Bataglion, Cristiane Aparecida Nogueira; Foss-Freitas, Maria Cristina; Foss, Milton Cesar; Komesu, Marilena Chinali.
Afiliação
  • Motta, Ana Carolina Fragoso; University of São Paulo. Dental School of Ribeirão Preto. Department of Morphology, Stomatology and Physiology. Ribeirão Preto. BR
  • Bataglion, Cristiane Aparecida Nogueira; University of São Paulo. Dental School of Ribeirão Preto. Department of Morphology, Stomatology and Physiology. Ribeirão Preto. BR
  • Foss-Freitas, Maria Cristina; University of São Paulo. Dental School of Ribeirão Preto. Department of Morphology, Stomatology and Physiology. Ribeirão Preto. BR
  • Foss, Milton Cesar; University of São Paulo. Dental School of Ribeirão Preto. Department of Morphology, Stomatology and Physiology. Ribeirão Preto. BR
  • Komesu, Marilena Chinali; University of São Paulo. Dental School of Ribeirão Preto. Department of Morphology, Stomatology and Physiology. Ribeirão Preto. BR
Clinics ; 68(3): 427-430, 2013. tab
Article em En | LILACS | ID: lil-671440
Biblioteca responsável: BR1.1
ABSTRACT

OBJECTIVE:

To evaluate the effects of the levels of glycemic control on the frequency of clinical complications following invasive dental treatments in type 2 diabetic patients and suggest appropriate levels of fasting blood glucose and glycated hemoglobin considered to be safe to avoid these complications.

METHOD:

Type 2 diabetic patients and non-diabetic patients were selected and divided into three groups. Group I consisted of 13 type 2 diabetic patients with adequate glycemic control (fasting blood glucose levels <140 mg/dl and glycated hemoglobin (HbA1c) levels <7%). Group II consisted of 15 type 2 diabetic patients with inadequate glycemic control (fasting blood glucose levels >140 mg/dl and HbA1c levels >7%). Group III consisted of 18 non-diabetic patients (no symptoms and fasting blood glucose levels <100 mg/dl). The levels of fasting blood glucose, glycated HbA1c, and fingerstick capillary glycemia were evaluated in diabetic patients prior to performing dental procedures. Seven days after the dental procedure, the frequency of clinical complications (surgery site infections and systemic infections) was examined and compared between the three study groups. In addition, correlations between the occurrence of these outcomes and the glycemic control of diabetes mellitus were evaluated.

RESULTS:

The frequency of clinical outcomes was low (4/43; 8.6%), and no significant differences between the outcome frequencies of the various study groups were observed (p>0.05). However, a significant association was observed between clinical complications and dental extractions (p = 0.02).

CONCLUSIONS:

Because of the low frequency of clinical outcomes, it was not possible to determine whether fasting blood glucose or glycated HbA1c levels are important for these clinical outcomes.
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Texto completo: 1 Coleções: 01-internacional Temas: Doencas_passiveis_prevencao_controle Contexto em Saúde: 2_ODS3 Base de dados: LILACS Assunto principal: Complicações Pós-Operatórias / Glicemia / Hemoglobinas Glicadas / Biomarcadores / Procedimentos Cirúrgicos Bucais Tipo de estudo: Evaluation_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male Idioma: En Revista: Clinics Ano de publicação: 2013 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Temas: Doencas_passiveis_prevencao_controle Contexto em Saúde: 2_ODS3 Base de dados: LILACS Assunto principal: Complicações Pós-Operatórias / Glicemia / Hemoglobinas Glicadas / Biomarcadores / Procedimentos Cirúrgicos Bucais Tipo de estudo: Evaluation_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male Idioma: En Revista: Clinics Ano de publicação: 2013 Tipo de documento: Article