Systemic conditions of diabetic patients diagnosed with apical periodontitis

ABSTRACT Objective: This study aimed to evaluate the association between glycemic control status in type 2 diabetes mellitus (T2DM) patients and apical periodontitis. Methods: Twenty-seven patients were involved in this study. The survey was based on anamnesis, intra and extra oral examination and...

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Main Authors: Poliana Amanda Oliveira SILVA, Stella Maris de Freitas LIMA, Jeeser Alves de ALMEIDA, Daniela Corrêa GRISI, Evelyn Mikaela KOGAWA, Simone Cruz LONGATTI, Octávio Luiz FRANCO, Taia Maria Berto REZENDE
Format: Article
Language:English
Published: Faculdade São Leopoldo Mandic 2021-11-01
Series:RGO: Revista Gaúcha de Odontologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372021000100319&tlng=en
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author Poliana Amanda Oliveira SILVA
Stella Maris de Freitas LIMA
Jeeser Alves de ALMEIDA
Daniela Corrêa GRISI
Evelyn Mikaela KOGAWA
Simone Cruz LONGATTI
Octávio Luiz FRANCO
Taia Maria Berto REZENDE
author_facet Poliana Amanda Oliveira SILVA
Stella Maris de Freitas LIMA
Jeeser Alves de ALMEIDA
Daniela Corrêa GRISI
Evelyn Mikaela KOGAWA
Simone Cruz LONGATTI
Octávio Luiz FRANCO
Taia Maria Berto REZENDE
author_sort Poliana Amanda Oliveira SILVA
collection DOAJ
description ABSTRACT Objective: This study aimed to evaluate the association between glycemic control status in type 2 diabetes mellitus (T2DM) patients and apical periodontitis. Methods: Twenty-seven patients were involved in this study. The survey was based on anamnesis, intra and extra oral examination and radiographic evaluation. Diabetes mellitus information involved type of diabetes and blood glucose analysis. Patients were divided according to their metabolic control status (glycemic controlled and poorly controlled T2DM patients). Results: A higher fasting blood glucose level (p = 0.004) and a higher percentage of HbA1c (p = 0.0001) were demonstrated in poorly controlled T2DM patients when compared to glycemic controlled T2DM. However, the frequency of apical periodontitis and the elapsed time since diabetes mellitus diagnosis were higher in controlled T2DM patients, reaching 64%. Nevertheless, controlled T2DM patients presented a higher number of apical periodontitis cases (p < 0.05). Findings support that controlled patients T2DM presented higher presence of apical periodontitis than poorly controlled T2DM ones. In these patients, the time elapsed since the diagnosis was higher, which may have provided a longer period of oscillation and/or uncontrolled metabolism. Conclusions: Therefore, it might contribute to the development and maintenance of apical periodontitis in glycemic controlled patients of this study.
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spelling doaj.art-038b22d7b4dd4241b914333804a9fa852023-06-28T23:14:58ZengFaculdade São Leopoldo MandicRGO: Revista Gaúcha de Odontologia1981-86372021-11-016910.1590/1981-863720210005020190110Systemic conditions of diabetic patients diagnosed with apical periodontitisPoliana Amanda Oliveira SILVAhttps://orcid.org/0000-0001-5970-2945Stella Maris de Freitas LIMAhttps://orcid.org/0000-0003-1359-8761Jeeser Alves de ALMEIDAhttps://orcid.org/0000-0002-3409-8005Daniela Corrêa GRISIhttps://orcid.org/0000-0002-2466-8190Evelyn Mikaela KOGAWAhttps://orcid.org/0000-0001-7573-1068Simone Cruz LONGATTIhttps://orcid.org/0000-0002-1021-0146Octávio Luiz FRANCOhttps://orcid.org/0000-0001-9546-0525Taia Maria Berto REZENDEhttps://orcid.org/0000-0002-4148-0659ABSTRACT Objective: This study aimed to evaluate the association between glycemic control status in type 2 diabetes mellitus (T2DM) patients and apical periodontitis. Methods: Twenty-seven patients were involved in this study. The survey was based on anamnesis, intra and extra oral examination and radiographic evaluation. Diabetes mellitus information involved type of diabetes and blood glucose analysis. Patients were divided according to their metabolic control status (glycemic controlled and poorly controlled T2DM patients). Results: A higher fasting blood glucose level (p = 0.004) and a higher percentage of HbA1c (p = 0.0001) were demonstrated in poorly controlled T2DM patients when compared to glycemic controlled T2DM. However, the frequency of apical periodontitis and the elapsed time since diabetes mellitus diagnosis were higher in controlled T2DM patients, reaching 64%. Nevertheless, controlled T2DM patients presented a higher number of apical periodontitis cases (p < 0.05). Findings support that controlled patients T2DM presented higher presence of apical periodontitis than poorly controlled T2DM ones. In these patients, the time elapsed since the diagnosis was higher, which may have provided a longer period of oscillation and/or uncontrolled metabolism. Conclusions: Therefore, it might contribute to the development and maintenance of apical periodontitis in glycemic controlled patients of this study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372021000100319&tlng=enPeriapical periodontitisDiabetes MellitusType 2. Glycemic control
spellingShingle Poliana Amanda Oliveira SILVA
Stella Maris de Freitas LIMA
Jeeser Alves de ALMEIDA
Daniela Corrêa GRISI
Evelyn Mikaela KOGAWA
Simone Cruz LONGATTI
Octávio Luiz FRANCO
Taia Maria Berto REZENDE
Systemic conditions of diabetic patients diagnosed with apical periodontitis
RGO: Revista Gaúcha de Odontologia
Periapical periodontitis
Diabetes Mellitus
Type 2. Glycemic control
title Systemic conditions of diabetic patients diagnosed with apical periodontitis
title_full Systemic conditions of diabetic patients diagnosed with apical periodontitis
title_fullStr Systemic conditions of diabetic patients diagnosed with apical periodontitis
title_full_unstemmed Systemic conditions of diabetic patients diagnosed with apical periodontitis
title_short Systemic conditions of diabetic patients diagnosed with apical periodontitis
title_sort systemic conditions of diabetic patients diagnosed with apical periodontitis
topic Periapical periodontitis
Diabetes Mellitus
Type 2. Glycemic control
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372021000100319&tlng=en
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