Cultura

The Contribution Of Dental Teams To Improving Oral Health Outcomes In Patients With Diabetes Mellitus In Saudi Arabia: A Narrative Review

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Seham Ageel Al-Enazi, Majedah Mohamed Al-Mukaliy, Ali Mohammed Alahmari, Sarah Mohysine Almuwallad, Hind Mohammed Abadi
Hanan Nafea Alharbi, Nawal Mamduh Alanazi, Fidaa Obaid Almutairi, Sabah Yousef Hassan Aljezani, Rawa Abdullah Alammari

Abstract

Background: Diabetes mellitus represents a major public health challenge in Saudi Arabia, with a high prevalence and substantial impact on systemic and oral health. Oral complications, particularly periodontal disease, are common among patients with diabetes and are closely linked to glycemic control through a bidirectional relationship. Dental teams play a critical role in addressing these complications; however, their contribution within the Saudi healthcare context has not been comprehensively synthesized.

Objective: This narrative review aimed to examine the contribution of dental teams to improving oral health outcomes among patients with diabetes mellitus in Saudi Arabia, with a focus on disease burden, oral health challenges, preventive care, and interprofessional collaboration.

Methods: A narrative review of relevant national and international literature was conducted, including studies published in peer-reviewed journals, reports from the Saudi Ministry of Health, and guidelines from international health organizations. The review focused on evidence related to diabetes prevalence in Saudi Arabia, oral health complications, and the roles of dentists, dental assistants, and dental hygienists in diabetic care.

Results: The reviewed evidence indicates a high prevalence of periodontal disease, dental caries, xerostomia, and oral infections among Saudi patients with diabetes, particularly those with poor glycemic control. Dental teams contribute significantly through periodontal management, preventive interventions, patient education, and coordination with medical professionals. Periodontal therapy and structured oral health education were associated with improved periodontal outcomes and enhanced patient awareness. However, challenges such as limited patient awareness, inconsistent interprofessional collaboration, and the absence of standardized national guidelines persist.

Conclusion: Dental teams play a vital role in improving oral health outcomes among patients with diabetes mellitus in Saudi Arabia. Strengthening their integration within diabetes care pathways, enhancing interprofessional collaboration, and implementing national guidelines are essential steps toward comprehensive and preventive diabetes management aligned with Saudi Vision 2030

Keywords : .
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty