Postoperative assessment in Dental Exodontia in Diabetic Patients

Authors

DOI:

https://doi.org/10.59471/ijhsc2024115

Keywords:

Exodontia, diabetes, postoperative period, healing, complications

Abstract

The postoperative period following dental extractions in diabetic patients is a topic of interest in dentistry because of the potential complications associated with diabetes, such as delayed wound healing and increased risk of infection. The scientific literature has investigated various aspects of the postoperative period in diabetic patients undergoing dental extractions. Some studies have highlighted the importance of optimal glycemic control before, during and after the procedure to minimize the risk of complications. Maintaining blood glucose levels within the target range can promote proper healing and reduce the risk of infection. The prescription of medications, such as analgesics and antibiotics, is also a factor to consider in the postoperative period in diabetic patients. The choice and appropriate dosage of these drugs should take into account the individual characteristics of the patient and possible drug interactions with antidiabetic treatments. In addition, it has been observed that diabetic patients may have a higher prevalence of periodontal disease, which may influence the postoperative response to dental extractions. Therefore, it is important to adequately evaluate and treat any periodontal disease prior to tooth extraction to optimize postoperative outcomes. Collaboration between the dentist and the diabetic patient's treating physician is essential for a multidisciplinary and personalized approach to postoperative management. This implies a comprehensive evaluation of the patient, considering his or her general health, glycemic control, medication and any existing diabetic complications. Thus, it is concluded that the postoperative period of dental exodontia in diabetic patients requires specialized care and an individualized approach. Glycemic control, adequate pain management, infection prevention and treatment of periodontal disease are key aspects to take into account in order to achieve optimal healing and minimize complications

References

Maftei G-A, Martu M-A, Martu M-C, Popescu D, Surlin P, Tatarciuc D, et al. Correlations between salivary immuno-biochemical markers and HbA1c in type 2 diabetes subjects before and after dental extraction. Antioxidants (Basel) [Internet]. 2021; 10(11):1741. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34829612/

Power DJ, Sambrook PJ, Goss AN. The healing of dental extraction sockets in insulin-

dependent diabetic patients: a prospective controlled observational study. Aust Dent J [Internet]. 2019;64(1):111–6. Disponible en: http://dx.doi.org/10.1111/adj.12669

Falcón Guerrero B, Quea Ticona S, Quispe Quispe M, Nina Charca S, Medina Condori W, Tito Mamani N, et al. Cicatrización periodontal en pacientes con diabetes mellitus. rob [Internet]. 2020; 4(2):51–6. Disponible en: https://revistas.unjbg.edu.pe/index.php/rob/article/view/963

Ortega Rodríguez DA, Segura Cueva KA, Alvarez Centeno TG, Peralta Bizuete JZ. Protocolo quirúrgico para el manejo de pacientes diabéticos sometidos a procedimiento de cirugía bucal. Anál comport las líneas crédito través corp financ nac su aporte al desarro las PYMES Guayaquil 2011-2015 [Internet]. 2; 7(1):297–306. Disponible en: https://www.recimundo.com/index.php/es/article/view/1954

La Plata Bs. As. Argentina C 50 e/ A 1. y. 115. |Protocolo quirúrgico para el manejo de [Internet]. Edu.ar. Disponible en: http://sedici.unlp.edu.ar/bitstream/handle/10915/97580/Documento_completo.pdf-PDFA.pdf?sequence=1&isAllowed=y

Protocolo quirúrgico para el manejo de pacientes diabéticos sometidos a procedimientos de cirugía bucal [Internet]. Actaodontologica.com. Disponible en: https://www.actaodontologica.com/ediciones/2011/2/art-11/

García YS. Cicatrización de heridas en la diabetes mellitus. Arch Med [Internet]. 2023; 19(1):4. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=8859544

Gazal G. Management of an emergency tooth extraction in diabetic patients on the dental chair. Saudi Dent J [Internet]. 2020; 32(1):1–6. Disponible en: http://dx.doi.org/10.1016/j.sdentj.2019.07.004

Barasch A, Safford MM, Litaker MS, Gilbert GH. Risk factors for oral postoperative infection in patients with diabetes. Spec Care Dentist [Internet]. 2008 [citado el 11 de agosto de 2023];28(4):159–66. Disponible en: https://pubmed.ncbi.nlm.nih.gov/18647376/

Ko KI, Sculean A, Graves DT. Diabetic wound healing in soft and hard oral tissues. Transl Res [Internet]. 2021 [citado el 11 de agosto de 2023];236:72–86. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33992825/

Yang S, Li Y, Liu C, Wu Y, Wan Z, Shen D. Pathogenesis and treatment of wound healing in patients with diabetes after tooth extraction. Front Endocrinol (Lausanne) [Internet]. 2022 [citado el 11 de agosto de 2023];13. Disponible en: http://dx.doi.org/10.3389/fendo.2022.949535

Gadicherla S, Smriti K, Roy S, Pentapati K-C, Rajan J, Walia A. Comparison of extraction socket healing in non-diabetic, prediabetic, and type 2 diabetic patients. Clin Cosmet Investig Dent [Internet]. 2020;12:291–6. Disponible en: http://dx.doi.org/10.2147/ccide.s264196

Sykara M, Maniatakos P, Tentolouris A, Karoussis IK, Tentolouris N. The necessity of administrating antibiotic prophylaxis to patients with diabetes mellitus prior to oral surgical procedures-a systematic review. Diabetes Metab Syndr [Internet]. 2022;16(10):102621. Disponible en: https://www.sciencedirect.com/science/article/pii/S1871402122002351

da Silva Gomes Campos V. CUIDADOS EM PROCEDIMENTOS CIRÚRGICOS ORAIS EM PACIENTES DIABÉTICOS. RTCC [Internet]. 2021 [citado el 11 de agosto de 2023]; Disponible en: https://pensaracademico.unifacig.edu.br/index.php/repositoriotcc/article/view/3282

Calgaro LM. Atendimento odontológico da pacientes diabéticos. 2022 [citado el 11 de agosto de 2023]; Disponible en: http://104.207.146.252:8080/xmlui/handle/123456789/492

Downloads

Published

2024-07-11

Issue

Section

Original

How to Cite

1.
Dávila Alemán LF, Escobar Guanochanga LB, Ortiz González JL. Postoperative assessment in Dental Exodontia in Diabetic Patients. Interamerican Journal of Health Sciences [Internet]. 2024 Jul. 11 [cited 2024 Dec. 7];4:115. Available from: https://ijhsc.uai.edu.ar/index.php/ijhsc/article/view/115