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Associação entre a diabetes mellitus tipo II e lesão periapical: revisão narrativa
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Abstract(s)
A Diabetes Mellitus é uma doença sistémica crónica, de origem endócrina caracterizada pela presença de hiperglicemia. A Diabetes Mellitus e a terapêutica associada, apresenta manifestações na cavidade oral, que envolvem predisposição inflamatória e infeciosa, incluindo prejuízos periodontais e aumento da incidência de cárie dentária. As infeções endodônticas envolvem a invasão e a multiplicação de microrganismos, com uma elevada diversidade, na polpa dentária e nos tecidos periapicais. Esta condição pode levar à aparição da periodontite apical.
O objetivo da realização deste trabalho científico é avaliar através da realização de uma revisão bibliográfica a possibilidade de existir uma associação entre a Diabetes Mellitus tipo II e as infeções endodônticas, identificar o seu impacto clínico e fisiopatológico sobre a polpa dentária, estabelecer a sua importância no desenvolvimento das lesões periapicais, bem como analisar a sua repercussão sobre a prática clínica em medicina dentária.
Procedeu-se ao levantamento de artigos nas bases de dados PubMed, Bon, Elsevier, Science Direct, considerando essencialmente os últimos 10 anos de publicação (2013 a 2023).
Tratando-se de uma patologia que representa um grave problema de saúde pública, importa que o Médico Dentista compreenda bem a sua fisiopatologia e as formas de atuar perante o paciente diabético. É necessária investigação adicional para fornecer mais maior evidência científica que sustentem esta associação.
Diabetes Mellitus is a chronic systemic disease of endocrine origin characterized by the presence of hyperglycemia. Diabetes Mellitus and the associated therapy, represents manifestations in the oral cavity, involving inflammatory and infectious predisposition, including periodontal damage and increased incidence of dental caries. Endodontic infections involve the invasion and multiplication of microorganisms, with a high diversity, in the dental pulp and periapical tissues. This condition may lead to the appearance of apical periodontitis. The aim of this scientific study is to assess, through a literature review, the possibility of an association between type II Diabetes Mellitus and endodontic infections, to identify its clinical and pathophysiological impact on the dental pulp, to establish its importance in the development of periapical lesions, and to analyse its repercussions on clinical practice in dentistry. A research of articles was developed in PubMed, Bon, Elsevier, Science Direct, considering essentially the last 10 years of publication (2013 to 2023). As this is a pathology that represents a serious public health problem, it is important that the dentist has a good understanding of its pathophysiology and the ways to act in the presence of the diabetic patient. Additional research is required to provide further scientific evidence supporting this association.
Diabetes Mellitus is a chronic systemic disease of endocrine origin characterized by the presence of hyperglycemia. Diabetes Mellitus and the associated therapy, represents manifestations in the oral cavity, involving inflammatory and infectious predisposition, including periodontal damage and increased incidence of dental caries. Endodontic infections involve the invasion and multiplication of microorganisms, with a high diversity, in the dental pulp and periapical tissues. This condition may lead to the appearance of apical periodontitis. The aim of this scientific study is to assess, through a literature review, the possibility of an association between type II Diabetes Mellitus and endodontic infections, to identify its clinical and pathophysiological impact on the dental pulp, to establish its importance in the development of periapical lesions, and to analyse its repercussions on clinical practice in dentistry. A research of articles was developed in PubMed, Bon, Elsevier, Science Direct, considering essentially the last 10 years of publication (2013 to 2023). As this is a pathology that represents a serious public health problem, it is important that the dentist has a good understanding of its pathophysiology and the ways to act in the presence of the diabetic patient. Additional research is required to provide further scientific evidence supporting this association.
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Keywords
Diabetes mellitus Periodontite apical Infeções endodônticas Inflamação periapical Tratamento endodôntico Lesão periapical Apical periodontitis Endodontic infections Periapical inflammation Endodontic treatment Periapical lesion