Relación bidireccional entre diabetes mellitus y periodontitis apical.

Maria Andrea Quezada García, Ana Maria Palma Eyzaguirre

Resumen


Resumen: La Diabetes Mellitus es una enfermedad crónica que ha ido en aumento en las últimas décadas, por lo que cada vez es más probable que los odontólogos veamos pacientes con esta enfermedad. Múltiples estudios han evaluado la relación entre diabetes mellitus y patologías orales, ya que la diabetes produce un estado proinflamatorio permanente que altera la cicatrización y la respuesta del hospedero frente a las bacterias.  Por otro lado, la periodontitis apical, una de las patologías orales de mayor prevalencia en Chile, produce citoquinas que van a llegar al torrente sanguíneo, aumentando la inflamación y empeorando el control metabólico de esta enfermedad. El objetivo de esta revisión narrativa es entender los mecanismos por los que ocurre esta interacción y sus consideraciones terapéuticas.


Palabras clave


diabetes mellitus, hemoglobina glicosilada, endodoncia, tejidos periapicales, periodontitis apical, reacción inflamatoria.

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Referencias


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DOI: http://dx.doi.org/10.11565/arsmed.v43i3.1032



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