DİYABETLİ HASTALARDA ORTODONTİK TEDAVİ

Diabetes mellitus, pankreastaki beta hücrelerinin yetersiz fonksiyonu sonucu insülin salgısındaki bozukluk nedeniyle meydana gelen kronik metabolik bir hastalıktır. Tip 1 diyabet (insuline bağımlı diyabet) ve Tip 2 diyabet (insuline bağımlı olmayan diyabet) olmak üzere 2 ana tipi bulunmaktadır. Periodontal hastalıklar, ağız kuruluğu (kserostomia), çürük insidansında artış, iyileşme zamanında uzama diyabetin ağız içi bulgularındandır. Bu hastalarda, dikkatli bir medikal anamnez alınmalı, randevular uygun saatlerde olmalı, kontrollü kuvvet uygulanmalı ve iyi bir ağız hijyeni sağlanmalıdır. Bu derlemenin amacı diabetes mellitusu tanımlamak; sınıflaması, etiyolojisi, oral belirtileri, komplikasyonları ve diyabetli hastalarda ortodontik yaklaşım hakkında bilgi vermektir. Anahtar Kelimeler: Diyabet, ortodonti, tip 1 diyabet, tip 2 diyabet ORTHODONTIC TREATMENT IN PATIENTS WITH DIABETES MELLITUS ABSTRACT Diabetes mellitus is a chronic metabolic disease caused by a defect in insulin secretion due to insufficient function of the beta cells in the pancreas. There are two main types of diabetes including Type 1 diabetes (insulin-dependent diabetes) and Type 2 diabetes (non-insulin dependent diabetes). Oral findings of the diabetes are periodontal diseases, xerostomia, increased caries incidence and prolonged wound healing. A careful medical history should be taken, appointments must be at convenient times, controlled force should be implemented and a good oral hygiene should be provided in these patients. The aim of this review is to define diabetes mellitus; provide information about classification, etiology, oral symptoms, complications and orthodontic approach in diabetic patients Keywords: Diabetes, orthodontics, type 1 diabetes mellitus, type 2 diabetes mellitus

Anahtar Kelimeler:

Diyabet, ortodonti, tip 1 diyabet

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