Nayani Samina, Mustafa Omar G
Specialty Registrar in Special Care Dentistry, Department of Community Special Care Dentistry, King's College Dental Hospital, Denmark Hill, London.
Consultant diabetologist, Department of diabetes, King's College Hospital, Denmark Hill, London.
Prim Dent J. 2020 Jun;9(2):38-46. doi: 10.1177/2050168420923864.
Diabetes mellitus is a condition resulting from loss of production of insulin, or insufficient production/insulin resistance leading to high blood glucose levels. Management of the condition can be provided in a variety of settings and is tailored to the person's requirements. The condition has a lifelong, systemic impact due to microvascular and macrovascular complications. Diabetes mellitus has dental implications due to increased risk of infections, poor wound healing, rapid progression of periapical pathology, xerostomia, burning mouth syndrome, and a bidirectional link with periodontal disease. Two clinical cases of patients with diabetes are discussed and their dental management described. Many people with diabetes can be treated in primary care, however, some with suboptimal glycaemic control may require specialist input and liaison with the patient's diabetes team.
糖尿病是一种由于胰岛素分泌丧失，或胰岛素分泌不足/胰岛素抵抗导致血糖水平升高而引起的病症。该病症的管理可在多种环境中进行，并根据个人需求进行调整。由于微血管和大血管并发症，该病症具有终身性的全身影响。糖尿病对牙齿有影响，因为感染风险增加、伤口愈合不良、根尖周病变进展迅速、口干、灼口综合征以及与牙周病存在双向联系。本文讨论了两例糖尿病患者的临床病例，并描述了他们的牙科治疗情况。许多糖尿病患者可在初级保健机构接受治疗，然而，一些血糖控制不佳的患者可能需要专科医生的介入以及与患者的糖尿病治疗团队进行联络。
