Clinical, Cosmetic and Investigational Dentistry (Jul 2020)
Comparison of Extraction Socket Healing in Non-Diabetic, Prediabetic, and Type 2 Diabetic Patients
Abstract
Srikanth Gadicherla,1 Komal Smriti,2 Sreea Roy,1 Kalyana-Chakravarthy Pentapati,3 Jyotsna Rajan,1 Apoorva Walia1 1Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India; 2Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India; 3Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, IndiaCorrespondence: Kalyana-Chakravarthy PentapatiDepartment of Public Health Dentistry,Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, IndiaTel +91-991-603-6303Email [email protected]: To compare the healing of extraction socket among non-diabetic, prediabetic, and diabetic patients.Materials and Methods: A single-center prospective observational study was conducted. Glycated hemoglobin and random blood glucose were recorded for all the participants before the procedure. A trained and calibrated examiner evaluated the socket size on postoperative days 0 and 7. Postoperative pain (PoP), discharge, swelling, infection, erythema, dry socket, and the number of analgesics were also recorded.Results: A total of 100 participants completed this study with a mean age of 54.7± 12.11. There was no significant difference in the mean socket size among the three study groups on day 0 (P=0.101). However, there was a significant difference in the mean socket size on day 7 among the three groups. A post hoc test showed that the diabetic group had a larger socket size than the non-diabetic group (P=0.011). Complications like swelling and infection were more in the diabetic group. There was no significant difference in the mean number of analgesics among the three groups (P=0.169). The adjusted means for the socket size on postoperative day 7 was significantly higher for diabetic than the non-diabetic group.Conclusion: The socket dimension was larger on postoperative day 7 in people with diabetes which suggested delayed healing without persistent complications. Dental extractions can be performed safely in optimally controlled diabetic patients with minimal complications.Keywords: diabetes, delayed, extraction, healing, outcomes
