State of Evidence on Oral Health Problems in Diabetic Patients: A Critical Review of the Literature
Metadatos
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MDPI
Materia
Diabetes mellitus Oral health Oral medicine Oral pathology Periodontitis Dental caries Oral cancer
Date
2021-11-18Referencia bibliográfica
González-Moles, M.Á.; Ramos-García, P. State of Evidence on Oral Health Problems in Diabetic Patients: A Critical Review of the Literature. J. Clin. Med. 2021, 10, 5383. [https://doi.org/10.3390/jcm10225383]
Résumé
Diabetes mellitus (DM) is a global health problem, having recognized that in the next
20 years the number of diabetic patients in the world will increase to 642 million. DMexerts enormous
repercussions on general health diabetic (especially derived from vascular, cardiac, renal, ocular,
or neurological affectation). It entails in addition a high number of deaths directly related to the
disease, as well as a high health care cost, estimated at $673 billion annually. Oral cavity is found
among all the organs and systems affected in the course of DM. Important pathologies are developed
with higher prevalence, such as periodontitis (PD), alterations in salivary flow, fungal infections,
oral cancer, and oral potentially malignant disorders (OPMD). It has been proven that PD hinders
the metabolic control of DM and that the presence of PD increases the possibility for developing
diabetes. Despite the relevance of these oral pathologies, the knowledge of primary care physicians
and diabetes specialists about the importance of oral health in diabetics, as well as the knowledge
of dentists about the importance of DM for oral health of patients is scarce or non-existent. It is
accepted that the correct management of diabetic patients requires interdisciplinary teams, including
dentists. In this critical review, the existing knowledge and evidence-degree on the preventive,
clinical, diagnosis, prognosis, and therapeutic aspects of oral diseases that occur with a significant
frequency in the diabetic population are developed in extension.