Clinical Evaluation Methods of Oral Cavity Hygiene of Patients with Drug-Compensated Diabetes Mellitus Using Removable Partial Acrylic Prosthesis
Journal Title: Modern Approaches in Dentistry and Oral Health Care - Year 2018, Vol 1, Issue 4
Abstract
The influence of hygiene products on the state of the oral cavity and dentures in 63 patients with type 2 diabetes using partial removable acrylic prostheses was studied. The results of the study showed that individual oral hygiene with the use of rinses and the care for removable dentures with the use of cleansing tablets contributed to the increase of the index of effectiveness of oral hygiene RNR (Podshadley, Haley, 1968) and removable dentures (Ambjörnsen E.e.a.). The conducted measures reduced inflammatory phenomena in the tissues of the prosthetic bed in diabetic patients, which provided stable clinical results in long-term follow-up [1-8]. The annual increase in the number of diabetics determines the medico-social and clinical significance of this problem, including dentistry. Medically compensated diabetes mellitus type 2 (SD2) is diagnosed in patients older than 40 years, with 51% - 98% observed inflammatory lesions of periodontal tissues, bone resorption and as a consequence a high percentage of complete or partial edentulous [9-12]. Partial absence of teeth in case of untimely orthopedic treatment leads to morphological and functional restructuring of the entire dental system, causing inflammatory and destructive changes in the mucous membrane of the oral cavity and periodontal tissues [1,10]. Additional difficulties in orthopedic dental rehabilitation of this category of patients cause increased formation of plaque, reduced resistance to infection, resistance to yeast-like fungi, which is a risk factor in the development of complications and increased level of glycemia by increasing the body’s resistance to insulin, causing deterioration during diabetes [4,6,9]. In this regard, the role of individual oral and prosthetic hygiene in orthopedic treatment of such patients and the expediency of using means that provide antibacterial and anti-inflammatory effect [5-9] increases.
Authors and Affiliations
Shevkunova Natalia Alekseevna
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