Diabetes mellitus e um grupo de doencas metabolicas caracterizado pela hiperglicemia resultante da deficiencia absoluta ou relativa na secrecao de insulina pelo pancreas e/ou na acao deficiente da insulina nos tecidos-alvos. A manutencao da saude bucal, atraves de cuidados com a higiene, assim como o controle metabolico sao de extrema importancia para a saude geral dos pacientes diabeticos. O objetivo deste estudo foi de obter a relacao entre a biocompatibilidade das restauracoes de resina composta de nanoparticulas com diferentes formas de polimento, em lesoes de abfracao em dentes posteriores e anteriores, com os tecidos periodontais de pacientes portadores de Diabetes mellitus. Foram selecionados 20 pacientes sendo 10 pacientes portadores de Diabetes mellitus e 10pacientes nao portadores de Diabetes mellitus, mas com um total de 30 restauracoes em cada grupo, que receberam restauracoes de resina composta e que foram avaliados periodontalmente atraves: Indice de Placa; Indice gengival; Profundidade de sondagem; Nivel de insercao clinica e Sangramento a sondagem. Alem disso, as restauracoes receberao avaliacoes quanto aos criterios de adaptacao marginal, forma anatomica, descoloracao marginal, formacao de carie, sensibilidade pos-operatoria e retencao. O periodo total de realizacao do projeto foi de 90 dias. Os resultados demonstraram uma significativa melhora nos parametros periodontais avaliados (p<0,05) em ambos os grupos. Com relacao as avaliacoes das restauracoes pode-se observar que nao houve diferenca estatisticamente significante (p>0,05) entre todos os criterios avaliados no periodo de 90 dias. Logo, podemos concluir que em um periodo curto (90 dias) existe uma biocompatibilidade clinica das restauracoes de resina composta de nanoparticulas em lesoes de abfracao e os tecidos periodontais de pacientes portadores de Diabetes Mellitus, independente do tipo de polimento dessas restauracoes.
Diabetes mellitus is a set of metabolic diseases characterized by hyperglycemia resulting from absolute or relative deficiency in insulin secretion by the pancreas and / or impaired insulin action in target tissues. Oral health maintenance through health care, as well as metabolic control are important measures for the overall health of diabetic patients. The objective of this study was to determine the relationship between biocompatibility of composite resin restorations with different nanoparticles, polishing in abfraction lesions in anterior and posterior teeth with periodontal tissues in patients with diabetes mellitus. We selected 20 patients - 10 patients with diabetes mellitus and 10 patients without diabetes mellitus-, but with a total of 30 restorations in each group receiving composite resin restorations, who were evaluated for periodontal purposes: Plaque Index, Gingival Index ; Probing Depth, Clinical Attachment Level and Bleeding on Probing. In addition, the restorations will receive assessments according to criteria for Marginal Adaptation, Anatomical Shape, Marginal Discoloration, ormation of caries, Post-operative Sensitivity and Retention. The total period was 90 days. The results showed a significant improvement in periodontal parameters assessed (p <0.05) in both groups. With regard to assessments of the restorations, it was observed that there was no statistically significant difference (p> 0.05) among all criteria evaluated within the 90-day period. Thus, we conclude that in a short period (90 days) there is clinical biocompatibility of composite resin with nanoparticles restorations in abfraction lesions and periodontal tissues of patients with diabetes mellitus, regardless the type of polish these restorations receive.