Avaliação do nível de glicose sanguínea e salivar, fluxo salivar e índice CPO-D em pacientes com diabetes tipo II.

Abstract

Diabetes mellitus (DM) is a heterogeneous group of metabolic disorders that have in common the hyperglycemia resulting from the insulin secretion disturb, insulin action or both. Diabetic patients present many changes in the oral environment, such as gingivitis, periodontitis, salivary dysfunction, xerostomia, glossodynia, erythema, taste disorders, increased acidity of the oral environment and tooth loss. The aim of this study was to characterize the association between the levels of blood and salivary glucose, changes in salivary flow and the CPO-D indices in patients with diabetes mellitus type II. The study was conducted with 95 patients, 45 diabetic and 50 nondiabetics. A questionnaire was conducted with questions related to general and oral health, as well as analysis of capillary glycemia, stimulated salivary flow, CPO-D and salivary glucose. All participants signed the Informed Consent Form. Data were analyzed using the unpaired Student's "t" test and Pearson's correlation test was used to evaluate the correlation. The results showed that the group of diabetic patients had significantly higher values of salivary glucose and CPO-D, and less stimulated salivary flow compared to the control group (non diabetic). Thus, it was concluded that diabetic patients had changes in salivary and blood that may affect their oral health.