Browsing by Author "Macas Malla, Luisa Gianella"

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    Diagnóstico clínico periodontal en pacientes con diabetes mellitus tipo 1 y tipo 2 atendidos en las Fundaciones DONUM y la Casa de la Diabetes de la ciudad de Cuenca en el periodo: enero a julio de 2015
    (2015) Macas Malla, Luisa Gianella; Avila Guazha, Julio Andrés; Carvajal Endara, Andrea Soledad
    Diabetes constitutes a group of disorders characterized by a state of hyperglycemia that affects the metabolism of carbohydrates, fats and proteins, due to the secretion and / or abnormal insulin action. Periodontitis is an inflammatory disease of the supportive tissues of the teeth; Being these two pathologies of high prevalence worldwide. It has been demonstrated that diabetes and periodontal disease have a bidirectional relation. Periodontal diagnosis and glycosylated hemoglobin test were realized in 101 patients with diabetes type 1 and type 2. OBJECTIVE: The objectives of this study were to determine the periodontal clinical diagnosis in patients with Diabetes Type 1 and Type 2 and relate it to the degree of metabolic control. RESULTS: It was found that 14.9% of diabetic patients presented gingivitis and 85.1% presented periodontitis, no patient had periodontal health and it was found a statistically significant difference between poor metabolic control and periodontal disease p = 0.016. CONCLUSION: A worse metabolic control, worse is the severity of periodontal disease, for which the interaction dentist-doctor should be strengthened to provide a better quality of life for diabetic patients
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    Prevalencia de periodontitis en diabéticos tipo 2 y su asociación con el control metabólico. Estudio transversal. Cuenca-Ecuador
    (2022) Macas Malla, Luisa Gianella
    Objective: to determine the prevalence of periodontitis in patients with type 2 diabetes and its association with metabolic control in patients who received medical care in two foundations in the city of Cuenca -Ecuador during the period of January-April 2015. Methodology: cross-sectional, descriptive-analytical study carried out with 95 patients with type 2 diabetes who were evaluated periodontally and in whom the level of metabolic control of diabetes was identified by means of the glycosylated hemoglobin test; in addition, we inquired about sex, age,duration of diabetes, time elapsed since their last medical check-up. Results: 86.32% of patients with periodontitis were identified, the majority of patients with type 2 diabetes had poor metabolic control (87.36%). A statistically significant association was found between the presence of periodontitis and the degree of metabolic control of diabetes (p=0.003), patients with poorly controlled diabetes (HbA1c ≥ 7.0%) presented a higher risk of presenting periodontitis (OR: 6.67; 95% CI: 1.72-26.08); likewise, a statistically significant association was found between the presence of periodontitis and the duration of diabetes (p=0.013), with a higher risk for patients who have had type 2 diabetes for 10 years or more (OR: 6.064; 95% CI: 1.26-29.08). Conclusion: the prevalence of periodontitis in patients with type 2 diabetes was 86.32%; associations were identified both with poor metabolic control of diabetes (HbA1c ≥ 7.0%) and with type 2 diabetes duration greater than 10 years