April 21, 2009

Diabetes and nonnasality

Diabetes is due to lack of pancreatic insulin secretion, carbohydrate metabolism disorder caused mainly by the disease, the patient is mainly expressed in blood glucose and diabetes increase. Appeared on more than three clinical symptoms: more drink, more food, the symptoms of polyuria.

Patients with diabetes often can lead to multi-organ diseases of malnutrition, can occur in the oral cavity of diabetic gingivitis, periodontitis. Was dark red gums, swelling, bleeding or exfoliative easy, easy Health periodontal periodontal abscess, and often relapse; calculus can be formed rapidly in the near future, its very hard subgingival calculus. As a result of sedimentary stone, gums were peeling, the periodontal ligament has been damaged, it will soon form a periodontal pocket. This will enable the food debris easily impaction in the periodontal pocket and is conducive to microbial growth, increased destruction of periodontal tissue; when brushing teeth as a result of fear of bleeding, it decreased the quality of brushing teeth may soon loose , elongation and other symptoms of a system out, and even some patients with early stage there is lack of full-mouth tooth.

People with diabetes also appear dry mouth, thirst, tongue as a reminder of this dark red, tongue and other oral symptoms of hypertrophy. Severe diabetes may be due to fat metabolism disorders, an increase in ketone body smell in the mouth one taste, some patients may consider bad breath to do about blood sugar.

Tissue in diabetic patients with high sugar content, combined with declining immune function of patients and is conducive to bacterial growth and reproduction. Therefore, in denominations furuncle carbuncle can occur frequently, such as pyogenic infection. As a result of diabetic patients to reduce systemic and local resistance, injury prone to infection and wound necrosis, so during the extraction, and periodontal scaling, such as deep oral surgery should be the use of antibiotics before surgery, vitamin C, B and other drugs.

Patients with diabetes in the implementation of oral surgery, should be minimal use of anesthetics containing epinephrine, the epinephrine can increase blood glucose and ischemic wounds, caused by infection. In addition, patients with insulin injections extraction time should be completed within two hours in order to prevent too much time in fasting, hypoglycemia reaction.