Dental status in patients with generalized parontitis on the background of diabetes mellitus

The article presents the dependence of negative changes in physicochemical parameters of mixed saliva in patients with insulin-independent diabetes mellitus combined with spilt (generalized) periodontitis on the extent of defects of tooth rows, age and duration of the disease. It was found that in diabetic patients with the loss of each tooth, pH decreases by 0.025 and salivary flow rates decrease by 0.017 ml/minute. At the same time, salivary relative viscosity (by 0.015), glucose concentration (by 0.052 mmol/l) and glucose excretion rate (by 0.006 mmol/l per minute) increased. The present study showed the obvious role of each tooth in maintaining oral homeostasis. Salivary glands of diabetic patients reacted to tooth loss by a wave-like decrease in secretion by 2 or more times, causing a gradual increase in oral fluid viscosity. With age and duration of the disease increased salivary acidity, glucose indicators in it, directly depending on the level of hyperglycemia. Loss of teeth in patients with diabetes mellitus leads to more pronounced changes in biochemical parameters of oral fluid than in persons without diabetes mellitus. The obtained results of negative changes in oral fluid parameters associated with tooth loss substantiate the necessity of timely restoration of dental integrity and inclusion of dental prosthetics in the rehabilitation program of patients with diabetes mellitus.