COMPARISION OF HEALING OF THE EXTRACTION SOCKET IN DIABETIC VS NON-DIABETIC PATIENTS

Abstract

Objective:To compare the healing of the extraction socket following dental extraction in diabetic versus non-diabetic patients.
Material and Methods: This prospective clinical trial consists of two hundred patients that were recruited into two groups having 100 known diabetic (type 1 and type 2) and 100 non-diabetic. All Patients above ten years and both genders were included in this study through consecutive sampling. Patients with any other systemic illness and those on anticoagulants and steroids were excluded from the study. Atraumatic extraction was carried out for all patients under aseptic conditions, and these patients were recalled after one week for a clinical and radiological examination of the extraction socket assess its healing status.
Results:Out of total 200 patients n=95 (47.5%) were males and n=105 (52.5%) females. The mean age was 35.47±10.03 years. Among total 100 diabetic patients, 61 had controlled diabetes and n=39 had uncontrolled diabetes. Diabetic patients had significant greator abnormal healing of the extraction sockets than in non-diabetic patients (p=0.000). The frequency of non-healing of the extraction socket among Type 1 diabetic patients was more (38%) as compared to type 2 (2%) (p=0.000). Similarly, non-healing of the extraction sockets was seen more in uncontrolled than controlled cases of diabetes mellitus which was also statistically significant (p-value=0.003). Dry socket (alveolar osteitis) was abserved as common feature in abnormal healing.
Conclusions:Type 2 diabetic patients had a normal pattern of healing of the extraction sockets, while uncontrolled cases of type 1 diabetes had significantly abnormal healing.