Relación del flujo salival, la enfermedad periodontal y cálculos dentales en pacientes comprometidos sistémicamente con diabetes tipo II

Abstract

Objective: to establish the relationship between salivary flow, periodontal disease and dental calculi in type II diabetic patients. Methods: a descriptive cross-sectional study was carried out in type II diabetic patients, evaluating sociodemographic variables, clinical history, xerostomia inventory, and oral burn in clinical histories of the "glycemic control and periodontal disease" project of the periodontics program of Santo Tomás and the metabolic control program of the Fundación Oftalmológica de Santander (FOSCAL). The flow was evaluated by unstimulated sialometry test during 5 minutes. The xerostomia and buccal burn inventory was used, which is evaluated on a scale of 1 (never) to 5 (very frequently). The level of oral burning was assessed through a visual visual scale where 0 was a sense of burning and 10 maximum of perceived burning. The analysis was performed in the STATA 14.2 program. Results: 52.5% of the evaluators were women, the average age was 63.2 years (SD ± 7). Within the systemic diseases, arterial hypertension was more frequent with (62.5%) and 70% consumed oral hypoglycemic agents. The salivary flow was low in 25% and very low in 27.5% of the participants and the differences between the salivary flow and the percentages of cancer and moderate or severe periodontal disease were not evident. The mean oral burn was associated with the total value of xerostomia (p = 0.001), oral burning score (p <0.001) and oral burning level (EAV) with (p <0.001). On the other hand, the non-effective salivary flow association was statistically significant with the variables under study (age, calculus, total xerostomia, buccal burning score, oral burning level (VAS) or periodontal disease (p> 0.05). Conclusion: A relationship between salivary flow, periodontal disease and dental calculi was found in type II diabetic patients.