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DIABETICS SHOULD BE CAREFUL IN DENTAL TREATMENT
During dental treatment, more care should be taken to ensure that the sugar of diabetics does not drop and the treatment is not interrupted.
In the researches of the World Dental Association and the World Health Organization, it is revealed that an average of 36 million people die every year from chronic diseases. Diabetes carries similar risk factors as non-communicable diseases (heart disease, cancer), as well as caries and gum disease.
Diabetes is one of the most serious chronic diseases that affect the health of society in general. According to the findings of the Ministry of Health, there are 8.3 million diabetics in our country. Diabetes is a disease that can occur at any time in our lives and persist for a lifetime. In people with diabetes who have no treatment and whose blood sugar cannot be regulated, it can lead to serious organ damage before long. Diabetes is the number one cause of obesity, high blood pressure, coronary heart disease, chronic kidney failure, stroke (stroke), blindness over the age of 20 and leg amputations.
Studies show that 80-100 percent of Type 2 diabetics and a significant proportion of Type 1 diabetics have problems with oral and dental health. Oral and dental health problems are one of the most important obstacles to regulating blood sugar in diabetes. For this reason, it is impossible to treat diabetes without ensuring oral and dental health in patients with diabetes that covers such a large population in our country.
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WHAT IS DIABETES?
In our body, there is a gland called the pancreas located at the back of the stomach. This gland secretes hormones that regulate blood sugar. One of these hormones is insulin. As a result of the inability to secrete insulin or its ineffectiveness, sugar (glucose), which has a very important task, such as meeting the energy of the cell, cannot enter the cell. This sugar, which cannot enter the cell, accumulates in the blood. It is found in the blood more than the amount that should be found normally. This, in turn, damages all cells. Because excess sugar is like poison in the body.
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WHAT ARE THE SYMPTOMS OF DIABETES?
The desire to drink and drink a lot of water,
Loss of appetite and overeating,
Urinating too often and waking up often at night for this,
Drying of the skin,
Constant weakness and fatigue, getting tired quickly,
Late healing of wounds,
Sometimes there are symptoms such as blurred vision.
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THE RELATIONSHIP BETWEEN DIABETES AND ORAL AND DENTAL HEALTH
Oral-dental health is of great importance for a healthy life. It should always be remembered that informing the patient has an important role in maintaining oral and dental health and ensuring its continuity.
The dentist can help with early diagnosis by evaluating the oral signs of diabetes and the side effects it causes during the examination.
Both preventive measures and approaches in oral dental treatments and follow-up processes facilitate metabolic control of diabetes as well as maintaining oral dental health.
In addition to systemic complications, oral dental complications are also frequently encountered in diabetic patients.
Patients with diabetes should definitely be evaluated for oral-dental health and any irregularities that may occur in the mouth.
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In general, there is not much difference in terms of oral-dental treatment options between patients with diabetes and healthy people who have regular metabolic control in oral-dental health practices in terms of oral-in treatment options. However, the management and follow-up of the treatment process may require a different approach depending on the case.
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Surgical procedures that will be performed with general anesthesia, or operations that take more than two hours, are considered major surgical operations.
Kidney and liver functions of patients should be evaluated before this procedure, and electrolyte imbalances, if any, should be corrected before surgery in Turkey hospital dental clinic.
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DRY MOUTH CAUSED BY DIABETES
Dry mouth may occur in a patient with diabetes due to many reasons, such as frequent excessive amounts of urine, disruption of the glandular structure of the salivary glands, blood pressure-lowering drugs used. As a result of dry mouth, there is also an increase in candidal infections with inflammation of the mouth due to traumatization of the oral mucosa during speech and feeding.
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SIGNS AND SYMPTOMS OF DIABETES IN THE MOUTH
Susceptibility to infection
Growth of salivary glands
Taste disturbance
Pain in the tongue
Thickening of the skin, erythroplakia, leukoplakia
Oral lichen planus
Presence of ulceration
Fibramatous growths, herpetic lesions
Lesions affecting the tongue (loss of known color and image of the tongue, fibrous tumor)
Increased dry mouth
Increase in tooth decay.
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COMPLICATIONS THAT OCCUR IN THE MOUTH IN DIABETES
As a result of predisposition to infection, nerve damage, vascular and immunodeficiency in diabetes mellitus, the following oral complications may develop:
Increased accumulation of Ca2+ and glucose-related plaques in saliva
Ulcers
Pulpitis
Inflammation of the tooth extraction cavity
Dry mouth
Increased risk of caries
Increase in gum disease
Excessive growth of the gum
Recurrent gum abscesses
Increase in the level of glucose in saliva
Attachment and bone loss.
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WHAT PATIENTS DIAGNOSED WITH DIABETES SHOULD PAY ATTENTION TO BEFORE TREATMENT IN TURKEY
The diabetes medical consultation form should be evaluated in detail by the attending Turkish physician.
Before starting treatment, the type and treatment of diabetes should not be ignored.
The duration of action of the drugs used, their mechanism and interaction with other drugs should be known.
Early appointments should be preferred.
Patients with diabetes should take their medication in the morning and not on an empty stomach before starting minor surgical procedures and regulatory dental treatments.
Necessary precautions should be taken in terms of the risk of hypoglycemia.
If there is an infection, antibiotic therapy should be performed.
The risk of acute exacerbation of chronic infections should be taken into account.
Oral antidiabetic drugs should be discontinued 48 hours in advance by contacting the patient’s own doctor for major surgical operations to be performed with general anesthesia.
Attention should be paid to hypoglycemia if it has been starving for too long.
The diabetic dental patient in Turkey, should not be kept waiting for a long time.
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Turkey's world-renowned organ transplant specialist Demirbaş who has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.