Dentist care for new-admitted patients at the Comprehensive Center for the Care of Diabetic People
Keywords:
Diabetes mellitus/prevention & control, Oral manifestations.Abstract
Introduction: diabetes affects the entire organism. Dentist can detect the disease due to certain oral manifestations, though they cannot be pathognomonic to diabetes, due to its location and characteristics an effective and differential diagnosis is required.Objective: to determine the main systemic and oral disorders in recently diagnosed diabetic patients to the preventive orientation and dentistry care.
Material and method: a descriptive and cross-sectional research comprising 152 patients was carried out with patients hospitalized at the Comprehensive Center for the Care of Diabetic People, Pinar del Río during August 2013 to 2014. An assessment of the oral cavity was performed using a set of classification and natural light. Variables studied were: age, gender and length of the disease, type of diabetes, systemic complications and oral health problems.
Results: the average age was 65 year old, with and incidence of 55.7%, female sex prevailed and 98% of patients suffered from type 2-diabetes. Systemic disorders included: hypertension, vasculitis, retinopathies and in the oral cavity: edentulous patients, periodontitis, chronic caries and gingivitis.
Conclusions: endothelial dysfunction provoked by uncontrolled hyperglycemic status in undiagnosed patients causes the onset of the oral affections observed in this study. The dentist can contribute to the early diagnosis of diabetes mellitus making possible the insertion of diabetic patients into the comprehensive medical care system. The Center for the Care of Diabetic People is an adequate space to achieve a medical integration in promotion functions, prevention and management of the diabetic patients.
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