[Oral manifestations of diabetes].

Reeta Jha, Preeti Kalyani, Riddhi Bavishi
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Abstract

Diabetes mellitus is a disease of adults as well as children which could result either due to insulin deficiency or resistance to insulin, or both. Symptoms include polyuria, polydypsia, polyphagia, unexplained weight loss, neurosensory disorders, recurrent infections and slow wound healing. Diabetes mellitus is classified as Type I diabetes mellitus (insulin dependent), Type II diabetes mellitus (non-insulin dependent), gestational diabetes and other specific types. Most frequent oral manifestations include gingivitis, periodontitis, recurrent periodontal abscess, delayed healing after extraction, dry socket, oral infections like candidiasis, xerostomia, neurosensory disorders which result in glossodynia, stomatopyrosis or „burning mouth syndrome‟, hypogeusia and other oral dysesthesias.  Most diabetic patients can easily be managed on an outpatient basis in dental office. Preferred appointment timing is in the morning. Prophylactic antibiotic coverage is usually necessary in order to prevent infections. It is also advisable to have dextrose solution at hand during treatment procedures. Key words: Oral Manifestations, Diabetes, Dental
[糖尿病的口腔表现]。
糖尿病是一种既适用于成人也适用于儿童的疾病,可能是由于胰岛素缺乏或胰岛素抵抗,或两者兼而有之。症状包括多尿、多饮、多食、不明原因的体重减轻、神经感觉障碍、复发性感染和伤口愈合缓慢。糖尿病分为1型糖尿病(胰岛素依赖型)、2型糖尿病(非胰岛素依赖型)、妊娠期糖尿病和其他特定类型。最常见的口腔表现包括牙龈炎、牙周炎、复发性牙周脓肿、拔牙后延迟愈合、牙槽干燥、念珠菌病等口腔感染、口干症、神经感觉障碍导致舌痛、口紧闭或“灼口综合征”、口腔功能减退和其他口腔感觉障碍。大多数糖尿病患者在牙科诊所可以很容易地进行门诊治疗。首选的预约时间是在早上。预防性抗生素覆盖通常是必要的,以防止感染。在治疗过程中,也建议手边有葡萄糖溶液。关键词:口腔表现;糖尿病;口腔
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