Diyabet ve Kök Kanal Enfeksiyonlarının İlişkisi

Year 2023, Volume: 9 Issue: 2, 77 - 83, 29.08.2023

Sevinç Aktemur Türker , Füsun Cömert

https://doi.org/10.21306/dishekimligi.1292997

Abstract

Giriş: Endodontik enfeksiyonlar, periapikal dokuların enfeksiyonu olarak tanımlanmaktadır. Kök kanalında bulunan mikroorganizmaların ya da bu mikroorganizmaların toksinlerinin, enzimlerinin ve metabolitik ürünlerinin kök dışına (periapekse) invazyonu sonucu sert doku rezorpsiyonu ve periodontal ligamentin yıkım ile karakterize periapikal lezyon (apikal periododontitis) gelişmektedir. Son yıllarda yapılan çalışmalarda oral/periodontal enfeksiyon ve inflamasyonun çeşitli sistemik hastalıkların ve durumların gelişimini ve şiddetini etkileyen birer risk faktörü olduğu bildirilmiştir. Diyabet oral enfeksiyonlardan etkilenen yaygın görülen bu sistemik hastalıklardan biridir. Diyabetin oral ve periodontal sağlık ile ilgili olan ilişkisi literatürde geniş bir şekilde araştırılmıştır. Fakat periodontal enfeksiyonlara benzer özelliklere sahip endodontik enfeksiyonların diyabetik hastalarda izlediği patogenez, ilerleme ve iyileşme süreci henüz kesin olarak belirlenmemiştir.
Sonuç: Diyabetin endodontik enfeksiyonlarla olan ilişkisini bilmek, kök kanal tedavisinin teşhis, tedavi ve takibinde büyük önem taşımaktadır.

Keywords

Diabetes Mellitus, Kök kanal enfeksiyonları, Mikroorganizmalar

Relationship between Diabetes Mellitus and Root Canal Infections

Abstract

Objective: Endodontic infections are defined as infections of the periapical tissues. Periapical lesion (apical periododontitis), characterized by the hard tissue resorption and destruction of the periodontal ligament, develops as a result of invasion of the microorganisms in the root canal or their toxins, enzymes and metabolite products out of the root (periapex). In recent studies, it has been reported that oral/periodontal infection and inflammation are risk factors that affect the development and severity of various systemic diseases and conditions. Diabetes mellitus (DM) is one of these common systemic diseases affected by oral infections. The relationship of diabetes with oral and periodontal health has been extensively studied in the literature. However, the pathogenesis, progression and healing process of endodontic infections, which have similar features to periodontal infections, in diabetic patients have not been determined yet.
Conclusion: Knowing the relationship between DM and endodontic infections is of great importance in the diagnosis, treatment and follow-up of root canal treatment.

Keywords

Diabetes Mellitus, Root canal infections, Microorganisms

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