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Zahnheilkunde 27. April 2010

Clinical study of pulp capping in diabetes patients

Diabetes is, generally speaking, a contraindication for conservative treatment concerning caries with pulp exposure. In certain situations, we can successfully use the pulp capping if we assure some conditions (asepsis, young patients). I) This study shows the advantages and disadvantages of this kind of treatment. We studied 60 patients (34 female and 26 male) aged between 25 and 35 years old, diagnosed with type 2 diabetes and who are under control through treatment. We undertook 68 pulps capping on teeth with caries that were exposing the pulp chamber during the conservative treatment. Of the 68 cases 26 cases (38.2%) were successful, part of patients 17 cases (65.38%) aged between 25 and 30 years and 9 cases (34.6%) aged between 30 and 35 years. II) 31 cases (45.5%) unsuccessful part of them 10 cases (32.2%) aged 25–30 years and 21 cases (67.74%) aged 30–35 years. III) 11 uncertain outcome cases (16.3) aged 30–35. IV) Pulp capping can be successfully made in young patients 25–35 years with insulin-dependent diabetes, if we can obtain some conditions: optimal time for intervention, patient under adequate medication, patient with good oral hygiene, direct access to the teeth, the teeth is not good a candidate for prosthetic reconstruction, the patient is aware that the therapy may be unsuccessful.

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