Dental Management of Diabetic Patients : A Clinical Review

Abstract

Diabetes describes a group of metabolic diseases resulting from impaired insulin secretion, varying degrees of insulin resistance, or both. Management of the diabetic dental patients must take into consideration the impact of dental disease and dental treatment on the management of diabetes as well as an appreciation for the comorbidities that accompany long-standing diabetes. Those comorbidities include obesity, hypertension and dyslipidemia. Management of the diabetic dental patient should focus on periodontal health and the delivery of comprehensive dental care with minimal disruption of metabolic homeostasis and recognition of diabetic comorbidities.

Dental Treatment Effect on Blood Glucose Level Fluctuation in Type 1 Unbalanced Diabetic Children

“… 13 Sunita also recommends morning appointments to avoid the peak active time of insulin and since the endogenous cortisol levels are generally higher at this time. 14 …”

Latest Concepts in Endodontic and Periodontal Management of Diabetic Patients

“…Intravascular diffusion of microorganisms and their products into the body may occur following inflammation of periodontal tissues. In addition to periodontitis, other inflammations of the oral cavity, including tooth decay, salivary dysfunction, soft tissue pathology, dental infections, and sensory disturbances, have been associated with diabetes [ 18 - 20 ]. Before starting the treatment for a diabetic patient, the Endodontist should be aware of the important and specific considerations and the emergency treatments for these patients [ 21 ].…”