REHABILITATION OF ORAL CAVITY DEFECTS IN ORTHOPEDIC STOMATOLOGY (PROSTHODONTICS)UNDER THE CONDITIONS OF DIABETES MELLITUS

Abstract

In case of  patients with diabetes mellitus for the purpose of stomatological rehabilitation  doctor has to apply following  policy of treatment – she/he has to define the type of patient’s diabetes mellitus and the degree of compensation together with the endocrinologist. The doctor has to explain in details to  the patient that it is essential to scrupulously follow the recommendations of endocrinologist and what kind of complications will they face in case of not following them.  For patients who suffer from compensated diabetes mellitus for a long time (1 year and more), it is recommended  to conduct  complete orthopedic treatment.In cases of subcompensated and decompensated forms it is advisable to conduct preventive treatments. Namely, occupational hygiene of oral cavity, antibacterial and anti-inflammatory therapy, eradication of traumatical occlusion, temporary prosthetics and splintage. Above mentioned manipulations should be carried out at the same time before  moving to compensated stage of diabetes mellitus (that may last for 1-1,5 years), at the next stage it will already be possible to produce full value orthopedic structures.