DİYABETLİ HASTALARDA ORTODONTİK TEDAVİ

Year 2018, Volume: 28 Issue: 3, 415 - 420, 11.07.2018

Özge Uslu Akçam

https://doi.org/10.17567/ataunidfd.473408

Abstract

Diabetes
mellitus, pankreastaki beta hücrelerinin yetersiz fonksiyonu sonucu insülin
salgısındaki bozukluk nedeniyle meydana gelen kronik metabolik bir hastalıktır.
Tip 1 diyabet (insuline bağımlı diyabet) ve Tip 2 diyabet (insuline bağımlı
olmayan diyabet) olmak üzere 2 ana tipi bulunmaktadır. Periodontal hastalıklar,
ağız kuruluğu (kserostomia), çürük insidansında artış, iyileşme zamanında uzama
diyabetin ağız içi bulgularındandır. Bu hastalarda, dikkatli bir medikal
anamnez alınmalı, randevular uygun saatlerde olmalı, kontrollü kuvvet
uygulanmalı ve iyi bir ağız hijyeni sağlanmalıdır. Bu derlemenin amacı diabetes
mellitusu tanımlamak; sınıflaması, etiyolojisi, oral belirtileri,
komplikasyonları ve diyabetli hastalarda ortodontik yaklaşım hakkında bilgi
vermektir.

Anahtar Kelimeler: Diyabet, ortodonti, tip 1 diyabet, tip 2 diyabet 

ORTHODONTIC TREATMENT
IN PATIENTS WITH DIABETES MELLITUS

ABSTRACT

 Diabetes mellitus is a chronic metabolic disease
caused by a defect in insulin secretion due to insufficient function of the
beta cells in the pancreas. There are two main types of diabetes including Type 1 diabetes (insulin-dependent diabetes) and Type 2 diabetes (non-insulin
dependent diabetes). Oral findings of the diabetes are periodontal diseases,
xerostomia, increased caries incidence and prolonged wound healing. A careful
medical history should be taken, appointments must be at convenient times,
controlled force should be implemented and a good oral hygiene should be
provided in these patients. The aim of this review is to define diabetes mellitus; provide
information about classification, etiology, oral symptoms, complications and
orthodontic approach in diabetic patients

Keywords:
Diabetes, orthodontics, type 1 diabetes mellitus, type 2 diabetes mellitus

Keywords

Diyabet, ortodonti, tip 1 diyabet

References

• 1. Rylander H, Ramberg P, Blohme G, Lindhe J. Prevalence of periodonal disease in young diabetics. J Clin Periodontol 1986;14:38-43.
• 2. Fıratlı E, Ünal T, Saka N, Onan U, Sivas A, Öz H. Serum fructosamine correlates with gingival index in children with insulindependent diabetes mellitus (IDDM). J Clin Periodontol 1994;21:565-8.
• 3. Fıratlı E. Diabetes mellitus ve periodontal hastalıklar. İstanbul Diş Hekimleri Odası Dergisi 1998;63:40-1.
• 4. Al Shamsi M, Amin A, Adeghate E. Effect of vitamin C on liver and kidney functions in normal and diabetic rats. Annals New York Academy of Sciences 2006;1084:371-90
• 5. Satman I, Yılmaz MT, and TURDEP group. Population-Based Study of Diabetes and Risk Characteristics in Turkey: Results of the Turkish Diabetes Epidemiology Study (TURDEP). Diabetes Care 2002;25:1551-6
• 6. Tuncer BB. Medikal sorunlu bireylerde ortodontik yaklaşımlar. Atatürk Üniv Diş Hek Fak Derg 2005;15:40-51.
• 7. Little RR, England JD, Weidmeyer HM, McKenzie EM, Pettitt DJ, Knowler WC, Goldstein DE. Relationship of glycosylated hemoglobin to oral glucose toleranse. Implications for diabetes screening. Diabetes 1988;37:60-4.
• 8. Bensch L, Braem M, Willems G. Orthodontic considerations in the diabetic patient. Semin Orthod 2004;10:252-8.
• 9. Dokheel TM. An epidemic of childhood diabetes in the United States? Evidence from Allegheny County, Pennsylvania. Pittsburgh Diabetes Epidemiology Research Group. Diabetes Care 1993;16:1606-11.
• 10. Meyle J, Gonzales JR. Influences of systemic diseases on periodontitis in children and adolescents. Periodontol 2000 2001;26:92-112.
• 11. Burden M. Diabetes-associated cardiovascular risk factors. Nurs Stand. 2001;15:45-52.
• 12. Davis SN, Shavers C, Mosqueda-Garcia R, Costa F. Effects of differing antecedent hypoglycemia on subsequent counterregulation in normal humans. Diabetes 1997;46:1328-35.
• 13. Bensch L, Braem M, Van Acker K, Willems G. Orthodontic treatment considerations in patients with diabetes mellitus. Am J Orthod Dentofacial Orthop 2003;123:74-8.
• 14. Finney LS, Finney MO, Gonzalez-Campoy JM. What the mouth has to say about diabetes.Diabetes 1997;102:117-26.
• 15. Gokcel A, Baltali M, Tarim E, Bagis T, Gumurdulu Y, Karakose H, Yalcin F, Guvener N. Detection of Insulin Resistance in Turkish Adults: A Hospital Based Study. Diabetes Obesity & Metabolism 2003;5:126-30.
• 16. Erem C, Yıldız R, Kavgacı H, Karahan C, Değer O, Can G, Telatar M. Prevalance of diabetes, obesity and hypertension in a Turkish population (Trabzon city). Diabetes Res Clin Pract 2001;54:203-8.
• 17. Krolewski AS, Warram JH, Rand LI, Kahn CR. Epidemiologic approach to the etiology of type 1 diabetes mellitus and its complications. N Engl J Med 1987;26:317:1390-8.
• 18. Altuntaş Y. Diabetes mellitusun tanımı, tanısı ve sınıflaması, Her yönüyle Diabetes Mellitus kitabı. Nobel Tıp Kitabevleri; İstanbul, 2001. p. 85-128.
• 19. Golay A, Felber JP, Jequier E, et al. Metabolic basis of obesity and non-insulin dependent diabetes mellitus. Diab Metab Rev 1988;4:727-47.
• 20. Coustan D. Gestational diabetes. Diabetes Care 1993;16:8-15.
• 21. Akan S, Kocadereli İ. Sistemik hastalıkların ortodontik tedaviye etkileri. Cumhuriyet Üniv Diş Hek Fak Derg 2008;11:66-74.
• 22. Cianciola LJ, Park BH, Bruck E, Mosovich L, Genco RJ. Prevalnace of periodontal disease in insülin-dependent diabetes mellitus (juvenile diabetes). J Am Dent Assoc 1982;10:653-60.
• 23. Rylander H, Ramberg P, Blohme G, Lindhe J. Prevalance of periodontal disease in young diabetics. J Clin Periodontol 1987;14:38-43.
• 24. Tozoğlu Ü, Bilge OM. Tip 2 diyabetli hastalarda DMF indeksi, periodontal indeks, tükürük akışı ve tükürük PH’sının değerlendirilmesi. Atatürk Üniv Diş Hek Fak Derg 2009;19:145-50.
• 25. Tunalı M, Erşahan Ş, Aydınbelge M. Periodontal hastalık ile diyabet arasında çift yönlü ilişki. Sağlık Bilimleri Dergisi 2014;23:28-38.
• 26. Nathan DM. The pathophysiology of diabetic complications: how much does the glucose hypothesis explain? Ann Inter Med 1996;1:86-9.
• 27. Klein BE. Overview of epidemiologic studies of diabetic retinopathy. Ophthalmic Epidemiol 2007;14:179-83.
• 28. Schmidt AM, Hori O, Cao R. RAGE, a novel cellular receptor for advenced glycosylation end products. Diabetes 1996;45:77-80.
• 29. Murrah VA. Diabetes mellitus and associated oral manifestations: A review. J Oral Pathol 1985;14:271-81.
• 30. Canepari P, Zerman N, Cavalleri G. Lack of correlation between salivary Streptococcus mutans and lactobacilli counts and caries in IDDM children. Minerva Stomatol. 1994;43:501–5.
• 31. Ciglar L, Skaljac G, Sutalo J, Keros J, Jankovic B, Knezevic A. Influence of diet on dental caries in diabetics. Coll Antropol. 2002;26:311–7.
• 32. Siudikiene J, Maciulskiene V, Nedzelskiene I. Dietary and oral hy¬giene habits in children with type I diabetes mellitus related to dental caries. Stomatologija. 2005;7:58–62.
• 33. Özenen DÖ, Karataş MÖ, Sandallı N. Tip I diabetli çocuklarda oral değişiklikler. Cumhuriyet Üniversitesi Diş Hekimliği Fakültesi Dergisi 2007;10:58-63.
• 34. Patel A, Burden DJ, Sandler J. Medical disorders and orthodontics. J Orthod 2009;36:1-21.
• 35. Pithon MM, Ruellas CV, Ruellas AC. Orthodontic treatment of a patient with Type 1 diabetes mellitus. J Clin Orthod 2005;39:435-9.
• 36. Loe H. Periodontal disease:the sixth complication of diabetes mellitus. Diabetes Care 1993;16:329-34.
• 37. Tervonen T, Oliver RC. Long term control of diabetes mellitus and periodontitis. J Clin Periodontol 1993;20:431-5.
• 38. Barkvoll P, Rolla G, Svendson AK. Interaction between chlorhexidine digluconate and sodium lauryl sulfate in vivo. J Clin Periodontol 1989;16:593-5.
• 39. Owens J, Addy M, Faulkner J,et al. A short term clinical study design to investigate the chemical plaque inhibitory properties of mouthrinses when used as adjuncts to toothpastes:applied to chlorhexidine. J Clin Periodontol 1997;24:732-7.
• 40. Holtgrave EA, Donath K. Periodontal reactions to orthodontic forces in the diabetic metabolic state. Fortschr Kieferorthop 1989;50:326-37.
• 41. Lalla E, Kaplan S, Chang SM, Roth GA, Celenti R, Hinckley K, Greenberg E, Papanaou PN. Periodontal infection profiles in type 1 diabetes. J Clin Periodontol 2006;33:855-62.
• 42. Lalla E, Cheng B, Lal S, Kaplan S, Softness B, Greenberg E, Goland RS, Lamster IB. Diabetes mellitus promotes periodontal destruction in children. J Clin Periodontol 2007;34:294-8.
• 43. Pinson M, Hoffman WH, Garnick JJ, Litaker MS. Periodontal disease and type I diabetes mellitus in children and adolescents. J Clin Periodontol 1995;22:118-23.
• 44. Sbordone L, Ramaglia L, Barone A, Ciaglia RN, Iacono VJ. Periodontal status and subgingival microbiota of insülin-dependent juvenile diabetics: a 3 year longitudinal study. J Periodontal 1998;69:120-8.
• 45. Mealey BL, Oates TW. Diabetes mellitus and periodontal diseases. J Periodontal 2006;77:1289-303.
• 46. El-Bialy T, Aboul-Azm SF, El-Sakhawy M. Study of craniofacial morphology and skeletal maturation in juvenile diabetics (Type 1). Am J Orthpd Dentofacial Orthop 2000;118:189-95.
• 47. van Venrooy JR, Proffit WR. Orthodontic care for compromised patients: possibilities and limitations. J Am Dent Assoc 1985;111:262-6.