Buccodental pathology in patients with insulin-dependent diabetes mellitus: a clinical study.

OBJECTIVE: A study is made to determine whether patients with type 1 (insulin-dependent) diabetes mellitus (IDDM) suffer oral complications attributable to the disease, or whether some disorder of the oral cavity can be regarded as pathognomonic of diabetes. MATERIAL AND METHODS: Thirty juvenile diabetics and 30 healthy individuals were evaluated for dental caries and oral mucosal lesions, with the performance of basal and stimulated sialometry in all cases, to assess possible alterations in salivary flow. In addition, an study of periodontal variables was made such as the presence of bacterial plaque, gingival status and attachment losses. RESULTS AND CONCLUSIONS: The diabetics were found to have significantly greater periodontal attachment loss, even though oral hygiene was significantly better among these patients. There were no differences between the two groups in terms of the number of caries, the presence of mucosal lesions or salivary flow.

Estudio clínico sobre la patología bucodentaria en el paciente diabético tipo 1 / Buccodental pathology in patients with insulin-dependent diabetes mellitus: a clinical study

Objetivo: Comprobar si los pacientes diabéticos insulino-dependientes presentaban complicaciones a nivel bucal debidas a su enfermedad o si existía alguna patología patognomónica de la diabetes mellitus en la cavidad oral. Material y métodos: Se realizó una exploración de 30 individuos diabéticos juveniles (DM 1) y 30 individuos sanos en el que se consignó la existencia de caries dental y la posible existencia de lesiones en la mucosa oral, se realizó una sialometría basal y estimulada en la totalidad de los pacientes para estudiar posibles alteraciones en el flujo salival, y se realizó un estudio de variablesperiodontales tales como la presencia de placa bacteriana, estudio de las condiciones gingivales y de la pérdida de inserción. Resultados y conclusiones: Los diabéticos tenían una mayor pérdida de inserción en su periodonto, siendo esta diferencia significativa. Este hecho ocurría incluso cuando las condiciones de higiene oral eran significativamente mejores para el grupo diabético. No había diferencias en el número de caries encontradas, en la presencia de lesiones en la mucosa o en la tasa de flujo salival (AU)

Dental management of the patient with ischemic heart disease: an update.

Ischemic heart disease is the most common cause of death in developed countries. The classical protocols for providing dental care in these patients with chest angina or myocardial infarction were based on the classification of the American Society of Anesthesiologists (ASA), postponing therapy for a minimum of 6 months after infarction in order to ensure safer dental treatment. However, advances in diagnostic techniques and medical and surgical treatments in patients with heart disease have led to the development of more precise risk assessment protocols, thus allowing earlier post-infarction dental treatments and oral surgery, with acceptable safety margins.