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Romanian Journal of Oral Rehabilitation Numarul 3 ERGONOMIC APPROACHES OF THE PROSTHETIC THERAPY FOR A PACIENT WITH INSULINO-DEPENDENT DIABETES, CORRELATED WITH OTHER COMORBIDITIES

ERGONOMIC APPROACHES OF THE PROSTHETIC THERAPY FOR A PACIENT WITH INSULINO-DEPENDENT DIABETES, CORRELATED WITH OTHER COMORBIDITIES

Iordache Cristina, Fatu Ana Maria, Antohe Magda-Ecaterina, Timofte Alexandru, Ancuța Codrina

ABSTRACT

In other ways, the dentist may be the first to notice these clinical signs and to make the diagnosis or refer the patient to the internist for clarification of the diagnosis.Diabetes is a chronic disease due to the inherited or acquired deficiency of insulin production by the pancreas or the inefficiency of the insulin produced.Insulin deficiency results in increased blood glucose levels, which affect many of the systems of the body, including the circulatory and nervous systems. The balanced distribution of the forces on the support surface of the prosthetic field was objectified by a careful study of the forces of masticatory pressure and the structure of the prosthetic field of the insulin-dependent diabetic patient.The remaining tooth-periodontal support, also affected by diabetes (cavities and periodontal disease), takes over some of these forces, reducing the amount of force acting on the mucosal support level.Precisely the existence of this mixed dento-periodontal and mucosal bone support ensures the prophylactic character regarding the resorption syndrome and bone atrophy through the therapy of the extended partial edentation. One of the most important problems related to the therapeutic variants used in the treatment of partial edentation in patients with diabetes mellitus consists in the use with discernment of the mucosal-bone and dento-periodontal support, by achieving a balanced dispersion of the pressure forces, taking into account the particularities of the diabetic field. It is particularly important for the dentist to recognize the oral signs and symptoms of undiagnosed or decompensated diabetes, thus providing oral cavity care that improves the quality of life. Dentists needs to improve their knowledge about systemic diseases, while general practitioners need to know more about dental conditions.

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