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Published on: January 12, 2017
Diabetes mellitus and the dental pulp
1Academy House, Philadelphia, PA 19102, USA.
Journal of Endodontics
|June 20, 2003
Summary
Diabetes mellitus increases risks for dental pulp infections due to impaired circulation and immune response. Treating oral infections, including dental pulp issues, is crucial for better glycemic control in diabetic patients.
Area of Science:
- Endocrinology
- Oral Medicine
- Immunology
Background:
- Diabetes mellitus impairs circulation and immune function, increasing infection susceptibility.
- Diabetic patients exhibit damaged blood vessels and reduced leukocyte efficacy.
- The dental pulp's limited collateral circulation makes it vulnerable to infection.
Purpose of the Study:
- To evaluate oral manifestations of diabetes mellitus.
- To investigate the impact of diabetes on dental pulp health.
- To highlight the link between oral infections and glycemic control.
Main Methods:
- Review of clinical and radiographic studies on diabetic patients.
- Analysis of periapical lesion prevalence in diabetics versus non-diabetics.
- Examination of asymptomatic tooth infection rates in poorly controlled diabetes.
Main Results:
- Diabetics show a higher prevalence of periapical lesions.
- A significant rate of asymptomatic tooth infections was observed in diabetics with poor glycemic control.
- Increased local inflammation exacerbates diabetes, requiring insulin adjustment.
Conclusions:
- Dental pulp infections pose a significant risk for individuals with diabetes mellitus.
- Effective management of oral infections, including dental pulp infections, is essential for improving glycemic control.
- Periapical lesions in diabetics heal effectively when diabetes mellitus is therapeutically controlled.
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