Orthodontic treatment considerations in patients with diabetes mellitus

Maxillary ulceration resulting from using a rapid maxillary expander in a diabetic patient

“…24,25 Glycemic control in DM management is a key to reducing the impact of acute oral infections and microvascular complications, 2,5,6,8,9,14,25 and for diabetes patients under good medical control, all dental procedures can be performed. 2,6,10,13 A diabetes control and complications trial study revealed that long-term complications can be reduced by 54% to 76% if DM is managed properly, 26 and systemic and oral complications are more likely the longer the disease lasts and remains out of control. 5 Orthodontic treatment should be avoided in patients with poorly controlled type 1 DM because these individuals are particularly susceptible to periodontal breakdown.…”

“…2,4,6,9,10,18 The oral cavity may show the first signs or symptoms of an undiagnosed or poorly controlled diabetic condition. 2,10,12,18 Other findings characteristic of DM are accelerated tooth eruption until 10 years of age, greater gingival bleeding 23 when probing and a higher prevalence of caries.…”

“…2,3,8,9 DM buccal manifestations include periodontal and dental tissue infections, salivary gland dysfunction, and greater susceptibility to viral and fungal infections. 6,[9][10][11][12] The production of less saliva results in greater susceptibility to mucositis, peeling, and ulcerations. 6 This report presents the complications of treatment with a Hass rapid maxillary expander (RME) in a patient with diabetes mellitus.…”

The impact of type 1 diabetes on the development of the craniofacial mineralised tissues (bones and teeth): literature review

“…It is supposed that another factor may be the increased bone resorbing activity. But here the results of the tests are ambiguous, as a decrease in osteoclast activity has also been noted [7].…”

The Effect of Type 1 Diabetes Mellitus on the Craniofacial Complex

“…Diabetes mellitus (DM) is one of the systemic diseases affecting a considerable number of patients (Bensch et al, 2003). Numerous experimental and clinical studies on the complications of diabetes mellitus have demonstrated extensive alterations in bone and mineral metabolism, linear growth, and body composition (Giglio and Lama, 2001).…”