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Authors: Rahimi-Nedjat, Roman Kia
Sagheb, Keyvan
Sagheb, Kawe
Hormes, Maike
Walter, Christian
Al-Nawas, Bilal
Title: The role of diabetes mellitus on the formation of severe odontogenic abscesses : a retrospective study
Online publication date: 9-Aug-2022
Year of first publication: 2021
Language: english
Abstract: Objectives To analyze the correlation of diabetes mellitus and hyperglycemia with severe odontogenic abscesses. Materials and methods Records of all patients in the Department of Oral and Maxillofacial Surgery of the Medical Center of the Johannes Gutenberg-University who underwent inpatient treatment for severe odontogenic abscesses between 2010 and 2016 were evaluated retrospectively regarding diabetes anamnesis, maximum and fasting blood sugar count, and duration until discharge. In order to compare the numbers to a general maxillofacial group, all patients who received inpatient treatment in 2013 for any diagnosis other than an abscess of the head and neck region were analyzed as well, and the numbers were correlated. Results In total, 977 abscess patients were found in the analyzed period. 7.0% of the patients had a known diagnosis of diabetes mellitus type II and 0.6% of type I. Correlation with the general group showed that abscesses were significantly more likely in diabetics as well as patients with abnormal maximum and fasting blood sugar counts. These patients also needed significantly longer inpatient treatment. Conclusions Diabetics and patients with abnormal glucose tolerance show significantly higher numbers of severe odontogenic abscesses and might therefore benefit from earlier escalation of antibiotic medication. Clinical relevance Severe odontogenic abscesses are one of the most frequent diagnoses in maxillofacial practice. Adjusting the therapeutic approach for diabetics or patients with abnormal blood sugar counts might help to prevent the development of abscesses.
DDC: 610 Medizin
610 Medical sciences
Institution: Johannes Gutenberg-Universität Mainz
Department: FB 04 Medizin
Place: Mainz
Version: Published version
Publication type: Zeitschriftenaufsatz
License: CC BY
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Journal: Clinical oral investigations
Pages or article number: 6279
Publisher: Springer
Publisher place: Berlin u.a.
Issue date: 2021
ISSN: 1436-3771
Publisher DOI: 10.1007/s00784-021-03926-4
Appears in collections:JGU-Publikationen

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