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I型糖尿病患者牙列的形态学改变。

Morphological alterations in the dentition of type I diabetes mellitus patients.

作者信息

Yamunadevi Andamuthu, Basandi Praveen S, Madhushankari G S, Donoghue Mandana, Manjunath Alur, Selvamani Manickam, Puneeth H K

机构信息

Department of Oral and Maxillofacial Pathology, Vivekanandha Dental College for Women, Tiruchengode, Namakkal, Tamil Nadu, India.

Department of Oral and Maxillofacial Pathology and Microbiology, College of Dental Sciences and Hospital, Davangere, Karnataka, India.

出版信息

J Pharm Bioallied Sci. 2014 Jul;6(Suppl 1):S122-6. doi: 10.4103/0975-7406.137415.

Abstract

INTRODUCTION

Type 1 diabetes mellitus (DM) is an endocrine disorder that occurs commonly in an age group, where the development of primary and permanent dentition takes place. As altered endocrine functions may affect the shape and size of teeth leading to dental anomalies, this study was conducted to look for the occurrence of any dental anomalies in type I DM patients.

MATERIALS AND METHODS

A diabetic camp was conducted at Alur Chandrashekharappa Memorial Hospital, Davangere, where 30 diabetic patients were examined and the impressions of their maxillary and mandibular arches were recorded. Age and sex matched controls were selected randomly, and similar recordings were done.

RESULTS

Type I diabetic patients showed statistically significant (P < 0.001) morphological alterations of total number of cusps, including presence of 6(th) cusp in mandibular molars and extra cusps in mandibular premolars. Other alterations such as microdontia, flower shaped mandibular molars, prominent cusp of carabelli, and oblique ridge in maxillary molars were also noted. Severe attrition was found in 11 (36.6%) of the diabetic patients, whereas the control group showed attrition only in 2 (6.8%) patients.

CONCLUSION

Remarkable morphological alterations do occur in the dentition of type I DM patients.

摘要

引言

1型糖尿病(DM)是一种常见于处于乳牙和恒牙列发育阶段年龄组的内分泌疾病。由于内分泌功能改变可能影响牙齿的形状和大小,导致牙齿异常,本研究旨在探寻1型糖尿病患者中牙齿异常的发生情况。

材料与方法

在达万盖雷的阿卢尔·钱德拉谢卡尔帕纪念医院举办了一场糖尿病患者活动,对30名糖尿病患者进行了检查,并记录了他们上颌和下颌牙弓的印模。随机选择年龄和性别匹配的对照组,并进行类似的记录。

结果

1型糖尿病患者在牙尖总数上表现出具有统计学意义(P < 0.001)的形态学改变,包括下颌磨牙出现第六牙尖以及下颌前磨牙出现额外牙尖。还观察到其他改变,如下小牙、花形下颌磨牙、卡氏尖突出以及上颌磨牙斜嵴。11名(36.6%)糖尿病患者存在严重磨耗,而对照组仅2名(6.8%)患者有磨耗。

结论

1型糖尿病患者的牙列确实出现了显著的形态学改变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6aa/4157248/51b64720af1c/JPBS-6-122-g003.jpg

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