Particularities in chronic marginal periodontitis at pacients with diabetes mellitus

Abstract

Introduction: Diabetes mellitus is a disease that affects the entire body, including the mouth (marginal periodontal tissues). Dental care is particularly important for people with diabetes because they face a higher risk of oral health problems due to hyperglycemia. The effects of diabetes depend directly on glycemic control.

Purpose: Highlighting the particularities of chronic marginal periodontitis in diabetes mellitus.

Material and methods: To achieve the established purpose, 10 pacients with diabetes mellitus from the department of endocrinology from the Republican Clinical Hospital were included in the study. Also, another 10 pacients were included as the martour group. Examination was performed according to the WHO methodology, by direct inspections using a unique set of dental tools. The plaque index Silness & Loe, PMA index (papilar, marginal alveolar) and CPITN index were determined. Patients were subjected to treatment by cleaning and scaling. After that, the PMA index was determined again.

Results: Pacients with diabetes mellitus had an inflammation after scaling that lasted more time, confirmed by PMA index, comparing with pacients in the martour group. This type of inflammation is due to a low trophic at the marginal periodontal lever, because diabetes angiopathy affects the whole body, including the mouth (marginal periodontal tissues).

Conclusion: Diabetes mellitus is one of the most spreaded chronic disease, and the effects can be seen all over the human body, including stomatognathic system.