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DIABETES MELLITUS, PERIAPICAL INFLAMMATION, AND ENDODONTIC TREATMENT : A CASE REPORT
Jurnal Prodenta, Vol 1, No 2 (2013), 55-61
Sari
Diabetes mellitus (DM) is one of the most common metabolic disorders. DM is characterized by hyperglycaemia, resulting in wound healing difficulties and systemic and oral manifestations, which have a direct effect on dental pulp integrity. The influence of DM on periapical bone resorption and its impact on dental interventions are reviewed. Pulps from patients with diabetes have the tendency to have limited dental collateral circulation, impaired immune response, increased risk of acquiring pulp infection or necrosis, besides toothache and occasional tendency towards pulp necrosis caused by ischaemia.
A 72-year male patient presented to the department of Conservative Dentistry and Endodontics, Faculty of Dentistry, University of Sumatera Utara with severe pain and swelling for the last 3 days. The patient gave a history of some tooth restoration. Dressing with calcium hidroxide was applied on the tooth for 1 months. Obturation was also applied together with AH26 sealer. The final restoration was full crown metal with fiber reinforced composite post.
Conclusion: Knowledge about how diabetes affects systemic and oral health has an enduring importance, because it may imply not only systemic complications but also a higher risk of oral diseases with a significant effect on pulp and periapical tissue.
Key Words: Diabetes Mellitus, Endodontics, Root Canal Treatment.
A 72-year male patient presented to the department of Conservative Dentistry and Endodontics, Faculty of Dentistry, University of Sumatera Utara with severe pain and swelling for the last 3 days. The patient gave a history of some tooth restoration. Dressing with calcium hidroxide was applied on the tooth for 1 months. Obturation was also applied together with AH26 sealer. The final restoration was full crown metal with fiber reinforced composite post.
Conclusion: Knowledge about how diabetes affects systemic and oral health has an enduring importance, because it may imply not only systemic complications but also a higher risk of oral diseases with a significant effect on pulp and periapical tissue.
Key Words: Diabetes Mellitus, Endodontics, Root Canal Treatment.
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