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Tooth Removal For Diabetic Patient

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Is Dental Implant Surgery An Option If You Have Diabetes

Can diabetic patient get his tooth extracted? | Precautions & Tips- Dr. Syed Yunus | Doctors’ Circle

Dental implant surgery is widely considered to be a safe and effective procedure, and its the gold standard method of tooth replacement.

Millions of implanted teeth are placed every year, but implant surgery isnt appropriate for every patient. Diabetes is one condition that poses concerns but that doesnt mean diabetics have to resort to bridges or dentures.

If you have diabetes and want to eliminate the gaps in your grin, dental implants can be an option. Heres what you need to know.

Dental Treatment Of Patients With Diabetes

In the dental treatment of patients with diabetes, the most important is to have good communication with the patient. Before treatment, the dentist needs to know which therapy is the patient taking, is the disease under control and whether there are complications on vital organs. If the disease is under control and the blood glucose level is within acceptable limits and the patient has no complications on vital organs, all dental procedures can be carried out normally.

For patients who are treated with insulin it is recommended to visit a dentist in the morning. It is necessary to take the usual dose of insulin and not to skip breakfast. Skipping meals increases the risk of hypoglycemia during dental procedure. If during the procedure the patient feels symptoms of hypoglycemia or dentist notices that the patient is disoriented, dizzy or looks like he was drunk, treatment should be discontinued and the patient immediately given sweetened drink, candy bar or another quick bite sugar.

Hypoglycemia is the most dangerous complication that can occur during dental treatment of patients with diabetes and needs to be recognized and treated because it can be fatal!

Although symptoms of hypoglycemia may resemble to symptoms of vasovagal reaction , the difference is that when it comes to hypoglycemia there is no improvement after patient is lowered to a horizontal position.

In patients with poorly controlled diabetes, wound healing is difficult and risk of infection is increased.

Tooth Extraction For A Diabetic Patient

Tooth extraction to be done but diabetes random is at 300 and fasting sugar levels 230. currently using zoryl 5mg twice a day but not using regularly, please suggest if tooth extraction is suggested or sugar levels to be lowered first. Hello there. I can understand your concern. It’s always advised to get the sugars in control before doing any procedure be it dental extraction or major surgery. But one thing which I don’t understand is you have mentioned that you aren’t taking medicines regularly, may I know why is that so? What’s your theory behind it? Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The internet is not a doctor and neither are you. Chat with a real doctor about your health.Continue reading > >

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Oral Changes Associated With Diabetes Mellitus

Poorly controlled diabetic patients are at risk for numerous oral complications such as periodontal disease, salivary gland dysfunction, infection, neuropathy, and poor healing. None of these complications are unique to diabetes. However, their presence may serve as an early clue to the possible presence of diabetes, prompting your dentist to perform or request further testing.

Periodontal Disease. Periodontal disease is a commonly observed dental problem for patients with diabetes. It is similar to the periodontal disease encountered among nondiabetic patients. However, as a consequence of the impaired immunity and healing associated with diabetes, it may be more severe and progress more rapidly . The potential for these changes points to the need for periodic professional evaluation and treatment.

Salivary Gland Dysfunction. Several changes to the salivary glands may occur in association with diabetes. The most commonly observed concern is dry mouth , but other findings may include gland enlargement, and an increased risk for developing salivary duct stones and gland infection.

Special Considerations for Patients with Diabetes in Need of Dental Care

You should see your dentist on a regular basis. Diabetic patients under good medical control are generally eligible and able to tolerate any and all types of dental care. One of the common complications your dentist wants to avoid having to manage is hypoglycemia .

You should always:

Dental Treatment For The Diabetic Patient

Patients who have diabetes should get tooth extraction or not

Diabetes mellitus is one of the worlds major chronic health problems. In the United States alone, this metabolic disorder affects an estimated 30.3 million people . Non-Hispanic black, Hispanic, and American Indian/Alaska Native adults are about twice as likely to have diagnosed diabetes as non-Hispanic white adults. 1 Among men and women over 65 years of age, where the rates of edentulism are highest, an estimated 18.4% of the individuals have some form of disease.2 Almost 27% of adults aged 20 and over adults have prediabetes.1

For people at risk of diabetes, good dental health and treatment is crucial.

Diabetes is a complex syndrome with more than one cause and is responsible for numerous complications affecting the entire body. Diabetes has been associated with dry mouth, increased levels of salivary glucose, swelling of the parotid gland, and an increased incidence of caries. Adult diabetics experience a higher risk of developing periodontitis than nondiabetics. 23 Diabetic patients seem to be more prone to infection. 456 Healing occurs more slowly, following surgery, exposing the tissues to complications such as tissue necrosis.7

Why is it important for diabetic patients to see a dentist regularly?

People with diabetes have a higher incidence of gum disease or periodontal disease than people without diabetes. Untreated periodontal disease can lead to worsening blood glucose control, because bacteria in the gum or bone. 3


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Dental Conditions In Relation With Diabetes

When an individual visits a dental clinic, they should be screened in order to ascertain their diabetes status. The dentists should go over the patients medical history, record essential symptoms and draw a conclusion from his examination, about dental signs and symptoms of inappropriately controlled diabetes. Some of the common things that result from uncontrolled diabetes are slow healing of a wound, more occurrences of chronic infections, burning sensation felt in the mouth, xerostomia, gingivitis, secondary infection with candidiasis, etc.

Individuals with diabetes usually recognize the signs and symptoms of hypoglycaemia and take action before any new thing occur. Dentists must also be able to detect the symptoms and take care of the patients blood glucose levels. In addition, every dental clinic should adopt the protocol of treating hypoglycaemia in individuals, either conscious or unconscious.

List Of Soft Diabetic Foods To Eat After Oral Surgery

Oral surgery can necessitate limited foods for a patient in the days and weeks following the procedure. This is typically done to avoid traumatizing the mouth or damaging any repairs. A physician typically orders a soft diet for a specific time period following surgery. For the diabetic patient, a soft-food diet should not be too difficult to follow, as there are many soft diabetic foods to eat after oral surgery.

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Is It Advisable To Undergo Teeth Extraction If You Are Diabetic

18 Dec 2020

Tooth are meant to last a lifetime, but sadly that is not the case always. Teeth are lost due to various reasons, some of them require that they are extracted to maintain oral health. Tooth decay, gum diseases, crooked teeth, too many teeth, improper alignment or trauma to the mouth can all result in tooth extraction. Tooth extraction is also required for children where the milk teeth give way to permanent teeth. Sometimes they do not fall off naturally, so they need to be pulled out. But this simple tooth extraction needs to be considered carefully if one is a diabetic.

Diabetes or diabetes mellitus is a condition in which there is a high blood sugar level. In a healthy body, insulin is secreted and this hormone converts the extra sugar into glucose for storage in the body. This forms the source of energy for the body. But in the case of diabetes, the insulin secretion is less and therefore the body is not able to convert excess sugar into glucose. Or it can also be that the insulin generated in the body is not able to function well. The common types of diabetes are diabetes 1 and diabetes 2. The former is an autoimmune system issue in which the cells that make the insulin are destroyed. In the type 2 situation, the body becomes immune to the insulin function and the sugar level builds up in the body.

Tooth Mobility And Bone Loss

Tooth Extraction Care in Diabetic Patient ?? When to extract and when to not ??

Soft and hard tissues that attach the tooth to the jaw deteriorate due to a lack of blood flow caused by the increase in glucose. The poor blood circulation causes stasis in periodontal tissues. The tissue is starved of oxygen and osteoclasts form. The jaw will then be absorbed into the body, and the teeth will loosen and fall out.

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Diabetes And Tooth Extraction

We all have bacteria all around us, in hundreds and thousands. Our mouth is no exception. Bacteria grow in good growth conditions which can be provided by high blood sugar. If your blood has higher sugar levels than required, these bacteria will thrive in your mouth and multiply which will affect your gums adversely. They will slowly destroy all the tissues, and also the fibres connecting teeth to gums. Eating away on soft tissue make them inflamed, and results loosened teeth and periodontal disease. Diabetic people are more prone to develop decayed teeth and periodontal disease than other people, because high blood sugar level affects immune system, making it ineffective. 22% of people who have been diagnosed with gum diseases have diabetes. Increasing age with uncontrolled blood sugar levels pose more risk developing gum problems in older people. Serious gum problems in turn will cause blood sugar to rise and the circle repeats. The gum disease makes diabetes more difficult to control because the person is unable to fight the bacteria in the gums, making it difficult to bring down sugar levels in blood.

It is vital that before extraction you take proper medication to bring blood sugar to optimum level. After the extraction it is essential to keep blood glucose in control so that healing takes place. In diabetic patients if blood glucose is under control, gingival tissues will react normally after tooth extraction.

Information On How To Use Your Diabetic Medications And Post

Following on from our previous post, this is article three in our Medication and Dental Surgery: How your medical history influences treatment decisions series. This article discusses diabetes and how it influences dental treatment with regards on how to take your diabetic medications.

If you are coming to NQ Surgical Dentistry to have an extraction or surgical procedure under local anaesthesia , you should take your normal medication and eat your normal food intake. There should be no need for any change to your diabetic medication. If you have a blood sugar monitor, please bring it with you to your surgical appointment to do a test both before and on completion of your procedure.

Some diabetic patients may have their surgery planned at the practice under a local anaesthetic with intravenous sedation. If this is the case, fasting is required before sedation and therefore diabetic medication dose may be altered. It is important to discuss this part of your care with Dr Priestland well before the date of surgery. If you have a blood sugar monitor, please bring it with you to your surgical appointment to do a test both before and on completion of your procedure.

Healing after surgery in diabetics need not be a problem if their blood sugar is stable. A patient with a widely fluctuating level will be far more likely to suffer from post-operative infection and delayed healing.

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Dental Surgery For Diabetics

Carrying out dental surgery on individuals with diabetes is a complex process. It is associated with the type of diabetes the person has and the several problems linked to the disease. The specific thing to take note of is to avoid sensitive incidents hyper-glycaemic or sub-glycaemic comas during the surgery and to maintain a post-surgery course that is smooth. Therefore, the main concern of the disease is not during the dental surgery process, but what may occur after the surgery has been carried out, during the healing time.

There are tendencies of some problems to arise such as slow wound healing, dry socket or osteomyelitis. If the diabetics cannot be controlled, the tooth that needs to be removed is often affected in a periodontal manner. The blood sugar level target of a diabetic patient should be optimal before a tooth surgery like an extraction can be done. This will help prevent post-surgery complications.

Uncontrolled diabetes is known to be a relative contraindication. So it is safer to not undergo any dental surgery when a patient is in an uncontrolled diabetic. This is because of the post-surgery symptoms that have been discussed above. Before treatment, the sugar level must be allowed to reduce to normal. On the other hand, it is safe for a controlled diabetes patient to undergo tooth extraction because its safety is almost as that of a dental patient with no diabetes. This should not serve as an excuse for not taking care of the wound until it is healed.

Can Tooth Extraction Be Performed On A Diabetic Patient

The role of dental care for diabetic patients

Getting a dental treatment when youre experiencing a dental problem or maintaining your oral health, is the right to do. However, getting the wrong type of treatment that doesnt suit you can bring in complications later. This is why it is best to seek advice from your dentist before undergoing a particular dental treatment. You might be wondering why this is important. Well, you will know more about this after reading this article.

Tooth extraction is the total removal of a tooth due to pains and discomfort caused by a tooth infection. After a tooth extraction has been performed on a patient, they dont feel the pain anymore because the pain goes away with the infected tooth unless in rare cases when multiple teeth are infected and only one was removed. An oral and maxillofacial surgeon is specialized in performing tooth extractions as well as other dental procedures that include the teeth roots and bones around the dental region. However, a dentist can perform tooth extraction but then, they are not as deeply involved in the procedure as an oral and maxillofacial surgeon. It is important to know if you are the right candidate for tooth extraction. Before we go further into explaining how dental extractions might or might not be suitable for diabetic patients, we need to understand what diabetes is and why this medical condition might cause complications during or after dental extractions.

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Preop Intraop And Postop Diabetic Patients

How do we deal with the diabetic patient preoperatively, intraoperatively, as well as postoperatively? Preoperatively, I typically recommend a fasting period by removing access to food somewhere in the range of 10 p.m. to midnight, with access to water throughout the night. For patients who are receiving long-acting subcutaneous injectable insulin every 12 hours, I usually recommend the patient receive a half dose of the usual morning dose. I try to schedule my diabetic patients as the first cases of the day whenever possible. Bloodwork on the morning of the procedure may consist of a blood glucose level, electrolytes, venous pH, hematocrit, BUN, and creatinine. Depending on what the mornings blood glucose level showed, I might repeat a blood glucose test once again during the procedure and every few hours postoperatively to assess how to adjust the afternoon/evening dose of insulin. An intraoperative intravenous dose of ampicillin or clindamycin may be warranted.

I generally keep my diabetic patients overnight if theyve had significant oral surgery for serial glucose monitoring, intravenous opioid administration, possible intravenous antibiotic administration, and assessment of appetite on the morning after surgery. Occasionally, I will send a diabetic cat home on the day of the procedure if I feel that the patient is too stressed and will do better at home.

Oral Hygiene Tips For People With Diabetes

In addition to getting your diabetes under control, caring for your teeth at home is an integral part of your dental treatment.

  • Brush your teeth at least twice a day for about two or three minutes each time.
  • Use a toothbrush with a built-in tongue cleaner. Many of the bacteria found in your mouth are actually on your tongue, so cleaning it is a must.
  • Floss daily by wrapping an 18-inch piece of floss in a C-shape around each tooth to remove plaque or biofilm.

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Diabetes And The Toll On Your Oral Health

According to the American Dental Association, diabetes can affect your mouth in five different ways if untreated or uncontrolled. Here’s what you need to know about each possible condition and the best dental care for diabetic patients.

Dry Mouth

Studies have shown that people with diabetes have less saliva, leading to a condition known as dry mouth. How can you fight it? By drinking plenty of water. You can also try sugar-free gum. Ensure the gum doesn’t contain sugar because any extra sugar combined with dry mouth can lead to cavities. Another essential part of dental care for people with diabetes is remembering to brush twice a day to keep cavities away.


People with diabetes are more likely to develop thrush. Also known as oral candidiasis, thrush is a fungal infection of the mouth. Signs of thrush include white or red patches inside your mouth that can be quite painful. What is a good diabetes dental care strategy to avoid getting thrush? Keep your glucose in check and practice good oral hygiene habits.

Poor Healing

Do you get cold sores in your mouth that don’t seem to heal? This could also be a condition brought on by diabetes. The right blood sugar levels help heal cold sores or cuts, whereas if your blood sugar levels aren’t under control, your injuries will not heal quickly or properly. The best dental care for a diabetic patient in this situation would be to consult with a dental professional.

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