Publication: Identificación en el gabinete dental, mediante parámetros clínicos y metabólicos, de la diabetes y prediabetes no diagnosticada
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2018-10-23
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Universidad Complutense de Madrid
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Abstract
El presente estudio se centra en la descripción, exposición y análisis de dos de las enfermedades crónicas más extendidas en la actualidad, la Diabetes Mellitus y la Enfermedad Periodontal, la interrelación existente entre ambas y en la intención de diagnosticar, desde el gabinete odontológico, la prediabetes y DM2 en pacientes no diagnosticados. En las últimas décadas, ambas enfermedades muestran un notable incremento en su prevalencia, con elevadas tasas de morbilidad y mortalidad asociadas a otras patologías. Por este motivo, cada vez adquiere mayor importancia la conexión entre las diversas ramas de las Ciencias de la Salud, estableciendo una interacción que permita la detección, si es posible precoz, de patologías ignoradas por el propio paciente. Desde esta perspectiva, consideramos que la Odontología, destinada a la consecución de la salud bucodental, está íntimamente ligada a otras muchas áreas de la medicina. Nos basamos en la hipótesis de que la DM2 y prediabetes no diagnosticadas pueden ser identificadas desde el gabinete odontológico, por medio de parámetros periodontales, en pacientes con factores de riesgo para su potencial desarrollo. Los objetivos fueron los siguientes: Valorar la influencia de parámetros periodontales, tales como profundidad de sondaje, sangrado al sondaje y pérdidas dentarias, en el diagnóstico precoz de la prediabetes y diabetes. Determinar, mediante análisis clínicos, los valores metabólicos y comprobar su relación con los parámetros evaluados. Demostrar la importancia de exámenes y tratamientos odontológicos en el diagnóstico precoz de enfermedades como la diabetes. Proponer el desarrollo de guías clínicas y protocolos para la detección de la diabetes y prediabetes no diagnosticadas, en pacientes dentales...
This study focuses on the description, explanation and analysis of two widespread chronic illnesses, Diabetes Mellitus and Periodontal pathology, and the relationship between the two for the purpose of diagnosing—at the dental clinic—prediabetes and DM2 in undiagnosed patients. Both illnesses have shown an increased prevalence rate in the last decades, with elevated morbidity and mortality rates associated with other diseases. or this reason the connection of diverse branches of Health Sciences is of growing importance, as it allows for the detection, in the best cases early detection, of diseases of which the patient would otherwise be unaware. From this perspective we consider Odontology, which seeks oral health, to be closely related to many other fields of medicine. The study is based on the hypothesis that undiagnosed DM2 and prediabetes can be identified within the dental clinic, by means of periodontal parameters, in patients with risk factors for their potential development. The objectives were as follows: To evaluate the strength of periodontal parameters, such as probing depth, bleeding on probing, and tooth loss for the early diagnosis or prediabetes and diabetes. To show the importance of dental examinations and treatments in the early diagnosis of diseases such as diabetes. To propose the the development of clinical guidelines and protocols for the detection of undiagnosed diabetes or prediabetes in dental patients...
This study focuses on the description, explanation and analysis of two widespread chronic illnesses, Diabetes Mellitus and Periodontal pathology, and the relationship between the two for the purpose of diagnosing—at the dental clinic—prediabetes and DM2 in undiagnosed patients. Both illnesses have shown an increased prevalence rate in the last decades, with elevated morbidity and mortality rates associated with other diseases. or this reason the connection of diverse branches of Health Sciences is of growing importance, as it allows for the detection, in the best cases early detection, of diseases of which the patient would otherwise be unaware. From this perspective we consider Odontology, which seeks oral health, to be closely related to many other fields of medicine. The study is based on the hypothesis that undiagnosed DM2 and prediabetes can be identified within the dental clinic, by means of periodontal parameters, in patients with risk factors for their potential development. The objectives were as follows: To evaluate the strength of periodontal parameters, such as probing depth, bleeding on probing, and tooth loss for the early diagnosis or prediabetes and diabetes. To show the importance of dental examinations and treatments in the early diagnosis of diseases such as diabetes. To propose the the development of clinical guidelines and protocols for the detection of undiagnosed diabetes or prediabetes in dental patients...
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Tesis inédita de la Universidad Complutense de Madrid de la Facultad de Odontología del Departamento de Estomatología III (Medicina y Cirugía Bucofacial), leída el 21 de Abril de 2017.