Diabetes y su impacto en el territorio periodontal

Published on Aug 1, 2012in Revista Clínica de Periodoncia, Implantología y Rehabilitación Oral
· DOI :10.1016/S0718-5391(12)70099-X
Patricio C. Smith22
Estimated H-index: 22
(UC: Pontifical Catholic University of Chile),
Ignacio N. Retamal6
Estimated H-index: 6
(UC: Pontifical Catholic University of Chile)
+ 4 AuthorsConstanza Martínez12
Estimated H-index: 12
(UC: Pontifical Catholic University of Chile)
Resumen Diabetes y enfermedad periodontal corresponden probablemente al mejor ejemplo de como una enfermedad sistemica puede tener un efecto en el territorio periodontal. Si bien esta asociacion ha sido extensamente estudiada, muchas de las asociaciones propuestas presentan contradicciones. En la presente revision de la literatura se analizan los siguientes topicos relevantes para la practica clinica en periodoncia e implantologia: i) Identificacion de enfermedad periodontal severa y su capacidad para diagnosticar casos de diabetes; ii) Efectos de la diabetes sobre la enfermedad periodontal; iii) Efectos de la diabetes sobre la reparacion periodontal y periimplantaria; iv) Efecto del tratamiento periodontal sobre el control metabolico de la diabetes.
#1Ling Auyeung (CGU: Chang Gung University)H-Index: 1
#2Pei-Wen Wang (CGU: Chang Gung University)H-Index: 1
Last. Hsueh-Wen Chang (NSYSU: National Sun Yat-sen University)H-Index: 1
view all 7 authors...
Background: The periodontal status and effects of non-surgical periodontal treatment in patients with type 2 diabetes mellitus and periodontal disease are assessed.Methods: One-hundred patients with type 2 diabetes (mean ± SD hemoglobin (Hb)A1c level: 7.3% ± 0.94%) and periodontal disease were recruited for this study. The group with moderate-to-severe periodontal disease included patients with >1 tooth with a probing depth (PD) ≥5 mm and >2 teeth with a clinical attachment loss (AL) ≥6mm, and t...
26 CitationsSource
#1Evanthia Lalla (Columbia University)H-Index: 46
#2Carol KunzelH-Index: 20
Last. Ira B. LamsterH-Index: 44
view all 5 authors...
Many diabetic patients remain undiagnosed, and oral findings may offer an unrealized opportunity for the identification of affected individuals unaware of their condition. We recruited 601 individuals who presented for care at a dental clinic, were ≥ 40 years old, if non-Hispanic white, and ≥ 30 years old, if Hispanic or non-white, and had never been told they have pre-diabetes or diabetes. Those with at least one self-reported diabetes risk factor (N = 535) received a periodontal examination an...
133 CitationsSource
12.3k CitationsSource
#1Shanshan Li (Harvard University)H-Index: 1
#2Paige L. WilliamsH-Index: 73
Last. Chester W. DouglassH-Index: 55
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ABSTRACT Background In 2007, 17.9 million people in the United States had diagnosed diabetes, and 5.7 million had undiagnosed diabetes. The authors developed a clinical guideline to help dentists identify patients with undiagnosed diabetes. Methods The authors used classification and regression tree (CART) methods to generate different prediction models using data from the Third National Health and Nutrition Examination Survey (NHANES III) (1988–1994) and data from NHANES 2003–2004 for external ...
35 CitationsSource
#1Jean-Noel Vergnes (University of Toulouse)H-Index: 17
The Cochrane Oral Health Group's Trials Register, The Cochrane Central Register of Controlled Trials (CENTRAL), Medline, EMBASE, CINAHL, ZETOC, ISIWeb of Knowledge and LILACS databases were searched together with hand searches of the journals Annals of Periodontology (1996 to 2003) and Periodontology 2000 (1993 to 2003).There were no language restrictions. This review included randomised controlled trials of people with type 1 or 2 diabetes mellitus (DM) with a diagnosis of periodontitis. Suitab...
14 CitationsSource
#1Terry C Simpson (Edin.: University of Edinburgh)H-Index: 2
#2Ian Needleman (UCL Eastman Dental Institute)H-Index: 57
Last. Edward J Mills (U of O: University of Ottawa)H-Index: 111
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Background: Glycaemic control is a key issue in the care of people with diabetes mellitus (DM). Some studies have suggested a bidirectional relationship between glycaemic control and periodontal disease. Objectives: To investigate the relationship between periodontal therapy and glycaemic control in people with diabetes and to identify the appropriate future strategy for this question. Search strategy: A comprehensive approach was adopted employing handsearching; searching of electronic database...
203 CitationsSource
#1Tesfahun Desta (UMDNJ: University of Medicine and Dentistry of New Jersey)H-Index: 17
#2J. LiH-Index: 1
Last. Dana T. GravesH-Index: 86
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Although it is known that diabetes impairs oral wound healing, relatively little is known about the cellular parameters affected, particularly in connective tissue. This study investigated the hypothesis that diabetes impairs connective tissue formation in healing gingiva, and that impaired healing is associated with factors that decrease fibroblast numbers. Full-thickness wounds were created in the palatal gingiva of type 1 and type 2 diabetic and normoglycemic mice. Five days after wounding, d...
63 CitationsSource
2,551 CitationsSource
Background: This study evaluated the clinical and metabolic effects of full-mouth scaling and root planing (FMSRP) compared to partial-mouth scaling and root planing (PMSRP) in patients with type 2 diabetes and chronic periodontitis, and it assessed the impact of the glycemic status on the clinical and metabolic response to periodontal therapy. Methods: In this clinical trial, 18 subjects with diabetes received FMSRP in a maximum of 24 hours, and 18 subjects received PMSRP in a maximum of 21 day...
57 CitationsSource
#1Thomas W. OatesH-Index: 35
#2S. Dowell (University of Texas Health Science Center at San Antonio)H-Index: 1
Last. C.A. McMahanH-Index: 1
view all 4 authors...
Diabetes mellitus is considered a relative contra-indication for implant therapy. However, the effect of glycemic level on implant integration in persons with diabetes remains poorly understood. The hypothesis of this research was that poor glycemic control is directly related to short-term-impairment implant stabilization. This prospective clinical study evaluated 10 non-diabetic individuals (12 implants) and 20 persons with type 2 diabetes (30 implants). Glycated hemoglobin (HbA1c) levels rang...
104 CitationsSource
Cited By2
#1MF Gutiérrez (Austral University of Chile)
#2JP Hernández (Austral University of Chile)
Last. Pedro Christian Aravena (Austral University of Chile)H-Index: 4
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Resumen Objetivo Observar Necesidad de Tratamiento Periodontal (NTP) en pacientes adultos sin Diabetes Mellitus tipo 2 (noDM2) y con Diabetes Mellitus tipo 2 (DM2) controlados y no controlados en una poblacion chilena. Materiales y Metodos Estudio observacional de corte transversal. Un periodoncista registro la NTP segun el Indice Comunitario de Necesidad de Tratamiento Periodontal (CPITN), en una muestra de pacientes noDM2, DM2 controlados (Hemoglobina Glicosilada HbA1c ≤ a 6.5%) y DM2 no contr...
Objective: To observe the Periodontal Treatment Need (PTN) in adult patients without Diabetes Mellitus type 2 (noDM2) and with Diabetes Mellitus type 2 (DM2) controlled and non-controlled in a chilean population. Materials and Methods: Cross sectional study. A periodontist recorded the PTN according to the Periodontal Treatment Need Community Index (CPITN), from a sample of patients with noDM2, controlled DM2 (Hemoglobin A, Glycosylated HbA1c ≤ a 6.5%) and non-controlled DM2 (HbA1c > 6.5%) from ...