Pulp Pathologies in Diabetic Patients at the Marc Sankalé Center in Dakar
Pathologies Pulpaires chez les Patients Diabétiques du Centre Marc Sankalé de Dakar
DOI:
https://doi.org/10.67260/hra.v4i7.7867Keywords:
Diabetes, pulpitis, pulp necrosis, Hyperglycaemia, oral hygiene, glycated haemoglobin, endodontics, Dakar, SenegalAbstract
Introduction. In Senegal, data on the relationship between diabetes and pulp pathologies remain scarce. This study aimed to determine the prevalence of pulp pathologies among diabetic patients and to identify their risk factors. Patients and Methods. This was a cross-sectional study conducted from August 5 to September 5, 2024, in the endocrinology department of the Marc Sankalé Center (Dakar). All patients with type 1 or type 2 diabetes present were included (n = 401). Medical data, oral examinations, and pulp diagnoses were collected. Results. Four hundred and one (401) patients were included, with a marked predominance of females (81%, female-to-male ratio = 4.35) and a mean age of 55.90 ± 12.44 years. The majority resided in the suburbs of Dakar (69.3%). Only 26.9% of patients had well-controlled blood glucose levels. Poor oral hygiene was found in 59% of patients. The overall prevalence of pulp pathologies was 65.8%, of which 50.9% were reversible pulpitis. Posterior teeth were the most affected. A statistically significant association was found between poor ODH and reversible pulpitis (p = 0.038). Glycemic imbalance and pulp pathologies were associated but did not reach statistical significance. Conclusion. The high prevalence of pulp pathologies among diabetic patients at this referral center highlights the importance of integrated oral health care and shared therapeutic education between endocrinologists and dentists. Strict glycemic control and rigorous oral hygiene are key priorities.
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