Prevalence of Hypertension among Dental Patients with Diabetes Mellitus: An Institutional Study

Abstract

Diabetes mellitus and hypertension co-exists in many individuals as the pathogenic relationship between diabetes mellitus and hypertension is actually bidirectional. Extraction of teeth is a common procedure performed in Dentistry and the Co-existence of these systemic diseases in dental patients can cause many complications like delayed wound healing, infection or bleeding during dental extractions. The aim of the present study was to assess the prevalence of hypertension among dental patients with diabetes mellitus in south Indian population. A retrospective study was conducted from the data of 6682 dental patients who visited the outpatient Department of Oral and Maxillofacial Surgery, Saveetha Dental College, Saveetha University, Chennai, for dental extractions due to various reasons during the time period from June 2019 – to March 2020. Patients data was retrieved from the institutional digital data registry and statistically analysed. Among 6682 patients who underwent extractions, 904 [13.5%] patients had diabetes mellitus. Among 904 patients with diabetes mellitus, 419 [46.3%] patients had hypertension. Prevalence of hypertension was more in males than females and the results were statistically not significant [p=0.062, (>0.05)]. Prevalence of hypertension was more in 41-50 years age group and the results were statistically significant. [p<0.001, (<0.05)]. According to our study, a high proportion of patients with diabetes mellitus undergoing dental extractions had hypertension which can cause increased morbidity and mortality. Males and patients belonging to fifth decade of life were more affected by both diabetes mellitus and hypertension.

Medical profile of patients referred to an Australian postgraduate oral surgery clinic

“…The prevalence of psychiatric conditions in this study differs markedly from the results of the other studies that specifically examined patient medical profiles from outpatient oral surgery services in university settings, mainly in South Asia (Amado Cuesta et al, 2004 ; Kolte et al, 2014 ; Mahmood et al, 2020 ; Natarajan et al, 2019 ; Santhosh, 2020 ; Santhosh Kumar, 2021 ; Santhosh Kumar & Rajan, 2016 ; Siddiqi et al, 2016 ; Walia et al, 2017 ). Cardiovascular disease was generally the most prevalent disease category in them, and psychiatric conditions were barely mentioned, if at all.…”

“…Studies examining the medical profiles of patients undergoing minor oral surgery procedures at university teaching settings have been carried out in South Asia (Kolte et al, 2014 ; Mahmood et al, 2020 ; Natarajan et al, 2019 ; Santhosh, 2020 ; Santhosh Kumar, 2021 ; Santhosh Kumar & Rajan, 2016 ; Siddiqi et al, 2016 ; Walia et al, 2017 ) and Western Europe (Amado Cuesta et al, 2004 ). To date, this is the first study in the southern hemisphere specifically investigating the prevalence of medical conditions and medication types in patients referred to postgraduate oral surgery students.…”

Prevalence of type 2 diabetes mellitus and hypertension in patient’s visiting the conservative dentistry and endodontics department: a cross-sectional study in Surabaya City

“…Due to possible complications, endodontic therapy for patients with T2DM and HTN necessitates cautious management ( Santhosh Kumar et al, 2020 ; Ahirwar, Bhargava & Gupta, 2021 ; Rodríguez-Rodríguez et al, 2021 ). While HTN presents difficulties with intraoperative blood pressure spikes and vascular complications, uncontrolled type 2 diabetes mellitus hinders wound healing, raises the risk of infection, and impairs immunological function ( Zhang et al, 2023 ).…”