Abstract

POZZANI, VERA REGINA PEREIRA et al. Glucose control in diabetes type 2 after oral minor surgery procedures. RPG, Rev. pós-grad. [online]. 2012, vol.19, n.3, pp. 100-106. ISSN 0104-5695.

The aims of this study were to investigate if surgical removal of oral infectious foci has effect on metabolic glucose level control 30 days postoperatively, to evaluate post extraction healing and to validate the use of a capillary glucose monitor for glucose level assessment in oral surgery type 2 diabetic outpatients. Material and methods: Twenty type 2 diabetic patients underwent minor oral surgeries. Capillary and plasma glucose exams were taken from subjects in fasting and 2h post-prandial condition, before and after oral surgery, in four different clinical moments. Clinical characteristics of wound healing were recorded. A commercial self-monitor was used for capillary tests. Data were submitted to statistical analysis (level of significance ≤ 0.05). Results: Differences in capillary and plasma glucose level between the first visit and 30 days after oral surgery were statistically significant (p = 0.014 and p = 0.005). Differences between capillary and plasma glucose rate were between 4.48 and 6.5%. Wound healing was delayed in eight cases (40%). Conclusion: Infectious dental foci removal diminished blood glucose levels in type 2 diabetic patients. The capillary monitor showed to be adequate to assess immediate glucose level in oral surgery outpatients.

Keywords : Tooth extraction; Glucose; Hyperglycemia; Diabetes Mellitus; Periodontitis.