Faget Cepero O, Díaz Díaz O
Rev Cubana Estomatol. 1988 Sep-Dec;25(3):3-10.
Oral affections are important causes of disorders in diabetes, within them, periodontal disease is the most common one, which comprises gingivitis and periodontitis. Dental plaque, high concentrations of salivary calcium and glucose, hyperglycemia and a lower resistance to infections, are main factor contributing to periodontal disease, dental caries, mycotic stomatitis and aphthae. Even though with the most advanced surgical methods and using antibiotics, systematically, the treatment of periodontal disease is rather difficult and often unsuccessful, therefore, to prevent it is the best treatment available, hence the importance of teaching oral health to the diabetic patient, which should comprise a good metabolic control, right tooth-brushing and visits to the stomatologist every six months or in the presence of gingival bleeding or gingival pus emanation. Diabetic condition is not a contraindication for the extraction of carious dental teeth, on the contrary, such teeth must be extracted when required or adequately treated.
口腔疾病是糖尿病患者身体紊乱的重要原因，其中牙周病最为常见，它包括牙龈炎和牙周炎。牙菌斑、唾液中高浓度的钙和葡萄糖、高血糖以及抗感染能力降低，是导致牙周病、龋齿、口腔念珠菌病和口腔溃疡的主要因素。即使采用最先进的手术方法并系统性地使用抗生素，牙周病的治疗依然相当困难且常常不成功，因此，预防是最佳的治疗方式，故而向糖尿病患者传授口腔健康知识至关重要，这应包括良好的代谢控制、正确刷牙以及每六个月就诊于口腔科医生，或者在出现牙龈出血或牙龈有脓性分泌物时就诊。糖尿病并非拔除龋牙的禁忌证，相反，此类牙齿在必要时必须拔除或进行适当治疗。
