Peculiarities of tooth extraction in patients with diabetes

Abstract

Tooth extraction is one of the most common procedures in oral and dental surgery, and in the case of diabetic patients this procedure must be managed with greater care. Several soft and hard tissue disorders of the oral cavity have been reported to be associated with diabetes mellitus. These include periodontal diseases (periodontitis and gingivitis), salivary dysfunction leading to a reduction in salivary flow and changes in the composition of saliva and taste dysfunctions, neuro-sensory mucosal disorders, fungal and bacterial infections and also lesions of the oral mucosa in the form of stomatitis, geographic tongue, benign glossitis, fissured tongue, traumatic ulcer, lichen planus and angular cheilitis. Post-extraction complications such as delayed wound healing, increased risk of bleeding and wound infection have been reported in patients with diabetes. The present work intends to identify the impact of diabetes on dental extraction, in terms of post-extraction wound healing and the development of complications.