Relevance. Numerous epidemiological studies have found a high degree of association between DM and periodontal disease, and periodontal disease has even been proposed as a sixth complication of DM. It has also been demonstrated that this relationship is bidirectional, with periodontitis exerting an effect on DM. These fndings have diagnostic and therapeutic implications. Thus, the high prevalence of periodontal disease in DM indicates the need to evaluate glucose levels in periodontal patients. Conversely, intervention studies have demonstrated that the treatment of periodontal disease improves the glycemic control of DM patients. To alert health professionals about the risk that periodontitis represents for the onset or exacerbation of complications in individuals with type 2 diabetes mellitus (DM) and to emphasize that the mechanical treatment of periodontal disease and reestablishment of oral health are essential for the metabolic control of these patients.Materials and methods. A review of the literature on the topic of 30 sources from them 5 domestic and 25 foreign data.Some researchers demonstrate the Periodontal screening must be part of the overall clinical examination of patients with diabetes and, if diagnosed, periodontal disease must be treated appropriately to avoid or exacerbate diabetes complications besides improving glycemic control in these individuals.Results: In the postoperative period during the frst three days, patients of both groups had moderate soft tissue edema, slight flap hyperemia and palpation pain.Conclusions. Increased knowledge of dentists, endocrinologists and the public is required to improve early diagnosis of diabetes, adequate management, prevention and treatment of dental diseases in patients with DM.
АННОТАЦИЯВ исследовании, посвященном оценке стоматологического статуса у пациентов с редкой формой диабета -MODY, приняли участие 9 чел. (3 женщины и 6 мужчин). Диагноз MODY-диабета им был поставлен на основании результатов молекулярно-генетического исследования. У обследованных с разными подтипами (2, 6 и 12) MODYдиабета выявлена высокая интенсивность кариеса, воспалительных заболеваний пародонта и зубочелюстных аномалий, что существенно не влияло на качество жизни обследованных. В полости рта у больных MODY-диабетом подтипа 2 отсутствовали выраженные специфические проявления нарушений углеводного обмена, что, вероятно, может быть связано с хорошей компенсацией диабета. Также представлено клиническое описание MODY-диабета подтипа 2 у представителей двух поколений -отца и сына.Ключевые слова: MODY-диабет, стоматологический статус, гликированный гемоглобин, кариес, индекс гингивита, индекс пародонтита. ABSTRACTIn a study on the assessment of dental status in patients with a rare form of diabetes -MODY, 9 people were involved (3 women and 6 men). The diagnosis of MODY was based on the results of molecular genetic research. In patients with different subtypes (2, 6 and 12) of MODY a high intensity of caries, infl ammatory periodontal diseases and dental anomalies was detected, which did not signifi cantly affect the quality of life of the patients. In the oral cavity of patients with MODY subtype 2 there were no pronounced specifi c manifestations of disorders of carbohydrate metabolism, which probably can be associated with good diabetes compensation. Clinical descriptions of MODY subtype 2 in representatives of two generations -father and son -is also presented.
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