Pathology of the red border of the lips and the oral mucosa itself is very often associated with metabolic syndrome (MS) and diabetes mellitus (DM).

OBJECTIVE

The aim of this work is to study the relationship of the components of metabolic syndrome with pathology of the red border of the lips and the oral mucosa.

MATERIAL AND METHODS

An observational complex dental survey of 105 patients with MS was conducted. The presence of xerostomia was confirmed by the sialometry method, the assessment of burning mouth syndrome was carried out based on the DN4 questionnaire. Three groups of patients were distinguished among them: patients with type 2 diabetes mellitus (n=52), with metabolic syndrome caused by carbohydrate metabolism disorder (n=26), with metabolic syndrome without disorders (n=27).

RESULTS

As a result, it was revealed that glossitis, candidiasis, burning mouth syndrome, xerostomia, and lichen planus prevail in patients with MS caused by carbohydrate metabolism disorder compared to the group with MS without glycemic control disorder. In terms of the frequency of oral mucosa and red border pathologies, the group of patients with MS with carbohydrate metabolism disorder approaches the frequency of their occurrence in patients with type 2 diabetes mellitus.

CONCLUSION

The revealed changes in the dental status in the form of the presence of pathology of the red border of the lips and the oral mucosa must be taken into account when developing and planning high-quality diagnostic measures, which will be the criteria for developing further treatment and preventive measures, together with an endocrinologist, therapist and neurologist.