{"title":"Evaluation of parotid and submandibular salivary glands with ultrasonography in diabetic patients.","authors":"Ebru Yüksel Kaya, Gediz Geduk","doi":"10.1007/s00784-025-06174-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>The main symptom of diabetes mellitus (DM) is hyperglycaemia, and patients with DM often have microvascular complications, such as retinopathy, neuropathy, and nephropathy; macrovascular complications, such as coronary heart disease, peripheral arterial disease and cerebrovascular disease; and oral complications, such as xerostomia, hyposalivation and periodontal disease. The main aim of this study was to evaluate the submandibular and parotid glands in type 2 DM patients and healthy individuals and to determine the changes in the salivary glands caused by diabetes.</p><p><strong>Materials and methods: </strong>In this study, the salivary glands of 100 patients (50 individuals with type 2 DM and 50 healthy individuals) were evaluated by ultrasonography (US). Echogenicity, parenchymal homogeneity, hypoechogenic and hyperechogenic areas, margin characteristics, and vascularity of the glands were analysed. The anteroposterior, superoinferior, and mediolateral lengths and volumes of the submandibular glands were measured.</p><p><strong>Results: </strong>Statistically significant differences in submandibular gland echogenicity, parotid gland vascularity, and hyperechogenic reflections of the parotid glands were observed between the groups (p < 0.05). In addition, the volume and dimensions of the submandibular glands were significantly greater in the type 2 DM group.</p><p><strong>Conclusions: </strong>DM leads to changes in the salivary glands. US, which has many advantages for salivary gland imaging, is a highly effective method for investigating these changes in individuals with diabetes.</p><p><strong>Clinical relevance: </strong>US, which is well tolerated by patients and does not involve ionizing radiation, can be used for long-term monitoring of the effects of diabetes mellitus on the salivary glands.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"29 2","pages":"95"},"PeriodicalIF":3.1000,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Oral Investigations","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00784-025-06174-y","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: The main symptom of diabetes mellitus (DM) is hyperglycaemia, and patients with DM often have microvascular complications, such as retinopathy, neuropathy, and nephropathy; macrovascular complications, such as coronary heart disease, peripheral arterial disease and cerebrovascular disease; and oral complications, such as xerostomia, hyposalivation and periodontal disease. The main aim of this study was to evaluate the submandibular and parotid glands in type 2 DM patients and healthy individuals and to determine the changes in the salivary glands caused by diabetes.
Materials and methods: In this study, the salivary glands of 100 patients (50 individuals with type 2 DM and 50 healthy individuals) were evaluated by ultrasonography (US). Echogenicity, parenchymal homogeneity, hypoechogenic and hyperechogenic areas, margin characteristics, and vascularity of the glands were analysed. The anteroposterior, superoinferior, and mediolateral lengths and volumes of the submandibular glands were measured.
Results: Statistically significant differences in submandibular gland echogenicity, parotid gland vascularity, and hyperechogenic reflections of the parotid glands were observed between the groups (p < 0.05). In addition, the volume and dimensions of the submandibular glands were significantly greater in the type 2 DM group.
Conclusions: DM leads to changes in the salivary glands. US, which has many advantages for salivary gland imaging, is a highly effective method for investigating these changes in individuals with diabetes.
Clinical relevance: US, which is well tolerated by patients and does not involve ionizing radiation, can be used for long-term monitoring of the effects of diabetes mellitus on the salivary glands.
期刊介绍：
The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.
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