Manejo odontológico en pacientes diabéticos con enfermedad periodontal crónica.

Abstract

Periodontal disease and diabetes mellitus are chronic diseases that have a high prevalence, thus being considered a problem for oral health as well as public health. These types of patients require that they be attended by dentists for good preventive and clinical care. The objective of this research was to describe the protocols that must be taken into account during dental management in diabetic patients with chronic periodontal disease. This research was carried out through the bibliographic compilation of scientific articles published between the years 2000-2019, using the Google Scholar database, Scielo. where 20 articles were collected. The design was documentary and was based on the postulates to carry out systematic reviews. The research came to determine that the relationship between both diseases such as diabetes and periodontal disease is bidirectional, that is, not only diabetes can increase the risk of suffering from periodontal diseases, but periodontal diseases can affect diabetes in yes, impairing glycemic control. Diabetes causes an inflammatory response against the pathogenic bacteria present in the gums, which accelerates the destruction of the periodontal support tissues. The most important aspects in dental care are that the dentist complies with biosafety standards, provides preventive care, performs a correct care protocol for diabetic patients with periodontal disease; and work together with the doctor specialized in diabetic patients to monitor the patient and control the disease. It was concluded that the proper care and management of periodontal disease is to prevent glycemic control from worsening and as well as complications during the dental consultation and the control of diabetes mellitus will stop the exacerbation of periodontal infection.