ADAPTATION TO REMOVABLE LAMINAR DENTURES IN PATIENTS SUFFERING FROM DIABETES MELLITUS: CLINICAL AND MICROBIOLOGICAL ASPECTS

Purpose: study of clinical and microbiological aspects of the processes of adaptation to removable acrylic dentures during treatment of dentition defects in patients with diabetes and determination towards their optimization.

Methods. There were observed 103 patients who made dental dentures. Of them there were 73 people suffering from diabetes. The study included patients with stage compensation and subcompensation both insulin-dependent and insulin-independent diabetes. All patients were divided into the following groups: 1st group (30 persons) — control (healthy, no defects of dentition); 2nd group (30 persons) — which were made dentures without a general comorbidity; 3rd group (36 persons) — diabetes patients where replacement was performed against basic hypoglycemic therapy; 4th group (37 persons) — in addition to the basic treatment receiving Echinacea tincture (30 drops three times a day).

Results. The data obtained from this study indicate to slow adaptation to removable dentures in patients with diabetes. It is subjective discomfort in the mouth, supported by figures of the prosthetic area, which was obtained as a result of the review. Slower adaptation is significantly associated with trophic disorders of the oral mucosa caused by diabetes, as confirmed by experimental results. Echinacea tincture optimizes processes of adaptation in general.

Conclusions. Echinacea tincture application in diabetes patients, in addition to the basic hypoglycemic therapy was accompanied by increased rates of adaptation, which was confirmed by both subjective and objective data.