Clinical, biochemical and histopatological correlación in diabetic patients with periodontal disease.
Introduccion.- The aim of this paper was to study the clinical, biochemical and histopathological correlation caused by scaling and root planning in diabetic patients wiffi periodontal disease. Material and Methods.- The study was conducted on 80 patients, both males and females, (age 25-60 years)....
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/26817 |
| Aporte de: |
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I10-R327-article-26817 |
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| record_format |
ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
diabetes periodontal disease microangiopathies scaling and root planing diabetes enfermedad periodontal microangiopatía raspaje y alisado radicular |
| spellingShingle |
diabetes periodontal disease microangiopathies scaling and root planing diabetes enfermedad periodontal microangiopatía raspaje y alisado radicular Villa, Agustín A Clinical, biochemical and histopatological correlación in diabetic patients with periodontal disease. |
| topic_facet |
diabetes periodontal disease microangiopathies scaling and root planing diabetes enfermedad periodontal microangiopatía raspaje y alisado radicular |
| author |
Villa, Agustín A |
| author_facet |
Villa, Agustín A |
| author_sort |
Villa, Agustín A |
| title |
Clinical, biochemical and histopatological correlación in diabetic patients with periodontal disease. |
| title_short |
Clinical, biochemical and histopatological correlación in diabetic patients with periodontal disease. |
| title_full |
Clinical, biochemical and histopatological correlación in diabetic patients with periodontal disease. |
| title_fullStr |
Clinical, biochemical and histopatological correlación in diabetic patients with periodontal disease. |
| title_full_unstemmed |
Clinical, biochemical and histopatological correlación in diabetic patients with periodontal disease. |
| title_sort |
clinical, biochemical and histopatological correlación in diabetic patients with periodontal disease. |
| description |
Introduccion.- The aim of this paper was to study the clinical, biochemical and histopathological correlation caused by scaling and root planning in diabetic patients wiffi periodontal disease. Material and Methods.- The study was conducted on 80 patients, both males and females, (age 25-60 years). Fourty patients had type 1 and type 2 diabetes, while 40 were non-diabetic patients. According to the medical examination, the subjects including lo the study were wellcompensated. After studying the periodontal field, patients with real pockets measuring 5 mm or less were selected. Laboratory Criteria.- The subjects were considered to be diabetic when their basal glycemia was equal to or aboye 140 mg/dl, and the HhA1C equal to or aboye 8%. Patients whose glycemia was beiow 115 mgI di, and their HhA1C helow 8 % were considered to be non-diahetic. Free and inserted biopsies of the gingiva were done after the administration of 2 g of anioxicilin. Scaling and planing of all the teeth was carried out aoci periodontal protection was placed. Supervised dental sessions were heid weekly. Clínica¡ and biochemlcal criteria for selection were used again at 40 days and at 120 days. Biopsies viere done and analyzed microscopically.
Results.- At 40 days and mainly at 120 days it was found thai in 90 % of the selected patients glycemia values haci decreased. In 70 % of the cases studied HbA1C values were stable and the chinical signs of the periodontal disease were reversed in 80 % of the subjects. Histological analysis at time O revelead mononuclear infiltrate, congestion and proliferation of the middle Iayer of the vessels when compared with non-diabetie values with deposits of PAS + material. At 40 days and at 120 days there was also a decreased of infiltrate and of the deposits PAS + on the wall of the small vessels.
Conclusión.- Scaling and planning is proposecl as an effective method to reverse glycemic values, 1-IbA 1 C, gingival microangiopathies and clinical signs in cliabetic patients with periodontal disease. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/26817 |
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AT villaagustina clinicalbiochemicalandhistopatologicalcorrelacionindiabeticpatientswithperiodontaldisease AT villaagustina correlacionclinicabioquimicaehistopatologicaenpacientesperiodontalesdiabeticos |
| first_indexed |
2024-09-03T21:01:36Z |
| last_indexed |
2024-09-03T21:01:36Z |
| _version_ |
1809210196047691776 |
| spelling |
I10-R327-article-268172024-08-27T18:27:14Z Clinical, biochemical and histopatological correlación in diabetic patients with periodontal disease. Correlación clínica, bioquímica e histopatológica en pacientes periodontales diabéticos. Villa, Agustín A diabetes periodontal disease microangiopathies scaling and root planing diabetes enfermedad periodontal microangiopatía raspaje y alisado radicular Introduccion.- The aim of this paper was to study the clinical, biochemical and histopathological correlation caused by scaling and root planning in diabetic patients wiffi periodontal disease. Material and Methods.- The study was conducted on 80 patients, both males and females, (age 25-60 years). Fourty patients had type 1 and type 2 diabetes, while 40 were non-diabetic patients. According to the medical examination, the subjects including lo the study were wellcompensated. After studying the periodontal field, patients with real pockets measuring 5 mm or less were selected. Laboratory Criteria.- The subjects were considered to be diabetic when their basal glycemia was equal to or aboye 140 mg/dl, and the HhA1C equal to or aboye 8%. Patients whose glycemia was beiow 115 mgI di, and their HhA1C helow 8 % were considered to be non-diahetic. Free and inserted biopsies of the gingiva were done after the administration of 2 g of anioxicilin. Scaling and planing of all the teeth was carried out aoci periodontal protection was placed. Supervised dental sessions were heid weekly. Clínica¡ and biochemlcal criteria for selection were used again at 40 days and at 120 days. Biopsies viere done and analyzed microscopically. Results.- At 40 days and mainly at 120 days it was found thai in 90 % of the selected patients glycemia values haci decreased. In 70 % of the cases studied HbA1C values were stable and the chinical signs of the periodontal disease were reversed in 80 % of the subjects. Histological analysis at time O revelead mononuclear infiltrate, congestion and proliferation of the middle Iayer of the vessels when compared with non-diabetie values with deposits of PAS + material. At 40 days and at 120 days there was also a decreased of infiltrate and of the deposits PAS + on the wall of the small vessels. Conclusión.- Scaling and planning is proposecl as an effective method to reverse glycemic values, 1-IbA 1 C, gingival microangiopathies and clinical signs in cliabetic patients with periodontal disease. Introducción.- El objetivo de este trabajo fue estudiar la correlación clínica, histológica y Bioquímica por efecto del raspaje y alisado radicular en pacientes diabéticos con enfermedad periodontal. Materiales y Métodos.- Se seleccionó una población total de 80 pacientes de ambos sexos (edad 25-60 años), 40 diabéticos 1 y 2, y 40 no diabéticos. Se eligieron los sujetos compensados, según examen médico. Se examinó el terreno periodontal, seleccionándose pacientes con bolsas reales Iguales o menores a 5 mm. Criterio de laboratorio: se consideraron diabéticos sujetos con glucemia igual o mayor a 140 mg/dl, y HbAlC igual o mayor a 8 %. No diabéticos, los de glucemias inferiores a 115 mg/dl. y HbA1C menor a 8 %. Previa administración de 2 g. de amoxicilina, se tomaron biopsias de encía libre e insertada a todos los pacientes,. Se realizó raspaje y alisado de todos los elementos dentarios, y se colocó protector periodontal. Se realizaron sesiones de higiene supervisada semanalmente. A los 40 y 120 días se aplicaron nuevamente los criterios de selección clínicos y bioquímicos. Se tomaron biopsias, laS QUE fueron analizadas microscópicamente. Se aplicaron las coloraciones H/E, PAS, y Tricrómico de Masson. Resultados.- Al tiempo 40, y principalmente 120 se encontró que en el 90 % de los pacientes seleccionados disminuyeron los valores de glucemia. En un 70 % de los casos estudiados se estabilizaron los valores de HbAlC, y se revirtieron los signos clínicos de enfermedad periodontal en un 80 % de los pacientes. El análisis histológico al tiempo O demostró infiltrado mononuclear, congestión y proliferación de la capa media de los vasos, cuando se comparó con los controles no diabéticos. Al tiempo 40 y al 120. disminución del infiltrado y de los depósitos sensibles a Pas en las paredes de los pequeños vasos. Conclusión.- Se propone que el raspaje y alisado es un método eficaz para revertir los valores de glucemia, HbAlC, las microangiopatías gingivales y los signos clínicos en pacientes periodontales diabéticos. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-12-09 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/26817 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 63 No. 2 (2006); 50 -- 55 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 63 Núm. 2 (2006); 50 -- 55 Revista da Faculdade de Ciências Médicas de Córdoba; v. 63 n. 2 (2006); 50 -- 55 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/26817/28479 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |