AMSTERDAM, Netherlands: November is diabetes awareness month at Curaden Academy. Diabetes mellitus is the third most common chronic disease in children and adolescents and requires constant monitoring and treatment in the form of insulin injections. Curaden’s Tom Huigen knows all about it. At 9 months old, his son Roef was one of the youngest patients in the Netherlands to be diagnosed with Type 1 diabetes. According to Tom, consistent follow-up is crucial, not only to ensure good systemic and oral health, but also to provide a structure in which a child can be a child. He spoke to Dental Tribune International about how the condition influences daily life for the whole family.
The dentist plays a major role, with other members of the health team, in helping a patient with diabetes maintain glycemic control by achieving optimal oral health. The inflammation associated with poor oral hygiene can generate systemic inflammatory response and in turn exacerbate diabetes, worsen cardiovascular outcomes, and increase mortality. In a series of free webinars organised by Curaden Academy, three experts will discuss exactly how dental professionals can set up their diabetic patients for optimal health.
KRIENS, Suisse : le SARS-CoV-2 a été détecté dans la salive de 91,7 % des personnes infectées par le virus. Cela signifie que les professionnels de la santé dentaire sont particulièrement vulnérables à l’infection et qu’il est recommandé que les patients se rincent la bouche avec un bain de bouche antiviral pendant 30 secondes avant toute forme de traitement. Des chercheurs de l’université de Lyon ont publié un document de synthèse indiquant les ingrédients qu’un bain de bouche devrait contenir pour réduire efficacement la charge virale au SARS-CoV-2 dans la bouche.
Management of type 1 diabetes patients in dentistry can be a challenge. Tailored dental care programme makes a difference. The main goal of the insulin-dependent diabetes care programme is to early classify the high-risk groups to improve general oral health and thus improve the quality of life of our patients.
Periodontal disease and diabetes share some life-style risk factors, like smoking, and there is a two-way relationship: patients with uncontrolled diabetes have a 3-fold higher risk to develop advanced periodontitis, while untreated periodontitis further dysregulates glycemic balance.
In patients with type 2 diabetes an inflammatory process is present. This inflammation is due to a pathological activation of the innate immune system, caused by metabolic stress and is partly governed by IL-1 signaling. We identified the role of IL-1β and insulin in the regulation of metabolism and immunity in response to food intake. Yet, as it becomes chronic, activation of auto-inflammatory processes may then become deleterious.