بسم هللا الرحمن الرحيمبسم هللا الرحمن الرحيــــــــم

Oral Complications of Diabetes

Done by,

Mohammad Mutni Al-Mutairi

Objective

Defenition.

Normal glocuse level.

Oral complication of diabetes.

Dental management of DM.

Diabetes mellitus is a clinically and

genetically heterogeneous metabolic disease

characterizd by abnormally elevatd blood

glocuse level and dysregulation of

carbohydrates,protein, and lipid metabolism

Impaired

fasting glucosenormal

110-126mg/dl110mg/dl>Fasting glocuse

140-200mg/dl140mg/dl>2 h postprandial

plasma glucose

Normal glucose level

Diabetes mellitus

126mg/dl<

200mg/dl<

Normal glocuse level

Oral Complications of Diabetes

Oral dysesthesia

xerostomia

Salivary gland enlargement

Salivary hypofunction

Dry mucosal surface

Dental caries

Gingivitis and periodontitis

Oral dysesthesia

Which include;-

1) Burning mouth.

2) Altered wound healing.

3) Increase incidence of infection.

4) Candidal infection.

xerostomia

Decrease secretion of salivary gland.

Salivary gland enlargement

Salivary gland enlargement

or sialadenitis is inflammation

of salivary gland especially in

parotid gland and both are

related to poor glycemic

control.

Salivary hypofunction

Medication taken by DM patient for

related or unrelated systemic condition

may produce salivary hypofunction.

Dry Mucosal Surface

Caused by insufficient salivary output are

easily irritated, causing;

•Minor mucosal ulceration.

•Oral burning sensation.

•Increased overgrowth of fungal organism.

Minor mucosal ulceration.

Dental caries

The high incidence and severity of dental

caries in DM patient have been associated

with;-

•Xerostomia.

•Increase gingival crevicular fluid glocuse

level.

•Increase dental plaque accumulation.

Dental caries

dental plaque accumulation

Gingivitis and Periodontitis

DM also an established risk factor for the

prevalence and severity of gingivitis and

periodontitis.

Progressive destructive periodontitis is

more common in patient with poor glycemic

control.

Poor hygiene and smoking contribute to the

increased incidence and severity of

periodontitis.

gingivitis

Periodontitis

Dental Mangement of

DM

Treatment the causes.

Control glocuse level

There is some risk factor may increase the dental problem as a follow;

- Concomitant medical problems- Diet- Oral hygiene- Habits

References

GREENBERG -M,S. Ulcerative, Vesicular,

and Bullous

Lesion.Greenberg,m,s.Burkets oral

medicine.Eleventh edition.2008; chapter 21

Thank you