Special aspects of healing wounds after tooth extraction in patients with diabetes mellitus

Abstract

Diabetes mellitus is a chronic endocrine disorder which gradually exhausts compensatory and adaptive capabilities of the body. Among other concomitant diseases and complications dental caries is increasingly met, therapeutic treatment of which is not always successful. Therefore, the proportion of patients with diabetes mellitus sooner or later and requires a dental surgery such as tooth extraction. Diabetes mellitus is a major problem for maxillofacial surgeons, as well as for other specialists. This is due to the fact that regenerative processes in all tissues are slowing down against the background of metabolic, hormonal disorders, diabetic angiopathy and polyneuropathy, compared with healthy persons of the same sex and age. Moreover, toothache, pain and tissue swelling after tooth extraction can lead to a patient's failure to eat, which is very dangerous, as dieting for patients with diabetes is an important factor in compensating for the disease. For uncomplicated healing of the wells, it is necessary to monitor blood glucose and stimulate reparative processes in the postoperative wound.