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IS DENTAL TREATMENT OF DIABETICS RISKY?
The decreased immune system and the difficulty of recovery associated with diabetes also negatively affect dental treatments. Your dentist and your doctor who monitors your sugar should be in touch.
There is a risk of various oral complications such as periodontal (gum) disease, salivary gland disorder, infection, nerve disease and poor healing in poorly controlled diabetics. Diabetes mellitus (diabetes) is a common chronic abnormal disease of carbohydrate, fat and protein metabolism that affects about 20 million people in the United States, a third of whom have not been diagnosed.
There are two known important types, Type 1 and Type 2. Both are characterized by inappropriately high blood sugar levels (hyperglycemia). In type 1 diabetes, the patient cannot produce the hormone insulin, while Type 2 diabetics produce insulin but cannot use it properly. About 90 percent of diabetics have Type 2 diabetes. The causes of diabetes are multiple, and both genetic and environmental factors contribute to its development. The genetic predisposition to type 2 diabetes is very strong, and various environmental factors such as nutrition, sedentary lifestyle, and being overweight are also known to increase a person’s risk of diabetes.
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MORE RISK OF INFECTION
Diabetes is a dangerous disease that affects all the body’s, and diabetes; diabetes compared to patients without heart attack, hypertension, stroke, kidney failure, blindness, nerve disease and infection risk. In diabetics, there is also a disorder of recovery compared to healthy individuals. This is partly due to the dysfunction of certain white blood cells that fight infection. The most common test used to diagnose diabetes is fasting blood sugar. This test measures glucose levels over a period of time. It is generally accepted that by keeping blood glucose levels within normal limits, a person can delay or even prevent some of the complications associated with diabetes. Measures to combat diabetes include behavioral modification (proper nutrition, exercise) and drug treatments (oral hypoglyc decics, insulin replacement).
In the prescribed treatment option, the type and severity of the disease and the suitability of the patient are taken into account. Another commonly used test is the hemoglobin A1c (HbA1c) test, which is a representative indicator used to evaluate blood glucose levels over a long period of time (two to three december). This test gives the doctor a good picture of the patient’s glucose levels over time. In poorly controlled diabetics, there is a risk of various oral complications such as periodontal disease, salivary gland disorder, infection, nerve disease, and poor recovery. None of these complications is specific to diabetes. But their presence gives an early hint about the possibility of diabetes, with the appointment or request of your dentist for additional tests.
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WHAT IS PERIODONTAL DISEASE?
Periodontal disease is a dental problem that is commonly observed in people with diabetes. It is similar to decadal disease, which is encountered among patients without diabetes mellitus. But as a result of reduced immunity and recovery associated with diabetes, it can be more severe and progress faster. The potential of these changes indicates the need for periodic professional evaluation and treatment.
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SALIVARY GLAND DISORDER
Several changes in the salivary glands can develop in relation to diabetes. The most commonly observed condition is dry mouth, but other signs may include increased gland growth and an increased risk of developing salivary duct stones and gland infection dec
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INFECTIONS
Poorly controlled diabetes can lead to various tissue infections. The most common yeast fungus infection (Candida) is dry mouth, which further increases a person’s risk. Typically, the affected areas are more red in color than the surrounding tissue, and commonly affected areas include the tongue, decate, cheeks, gums, or corners of the mouth. There are conflicting data on the risk of caries in diabetics, but the risk of caries formation is clearly higher in those who complain of dry mouth.
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DO NOT CHANGE YOUR MEDICATION TIME
You should see your dentist regularly. Diabetes patients who are under good medical control are usually competent and able to tolerate all types of dental care. One of the common complications that your dentist will ask you to avoid is hypoglycemia (low blood sugar).
You should always do the following:
You should have your usual meal before the appointment.
You should take all your medications on time.
You should bring your glucometer with you when you come to your dental appointment.
You should follow all the post-operative instructions given by your dentist and take the prescribed medications.
If you feel unwell, you should inform your dentist, reschedule your appointment and check with your doctor if necessary.
Every time you visit your dentist, you should inform him of changes in your medications or complications related to your disease.
You should ask your dentist about your blood sugar and how to keep track of your current condition.
There are no special changes in the implementation of dental care in routine dental procedures (for example, examinations, simple fillings, routine cleaning). However, more complex procedures, such as extensive surgery or the treatment of serious infections, can interfere with your normal management of diabetes. In such cases, your dentist will cooperate with your doctor to make sure that the most appropriate care is provided.
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For example, if a surgical procedure is required that will temporarily prevent you from eating, special changes to nutrition and medication dosage may be applied.
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Finally, if you notice any abnormal changes in your mouth (such as swelling, pain, red areas), you should check with your dentist as soon as possible. These changes can be indicative of the presence of an infection that can put your normal blood sugar control at risk and lead to a worsening of your fight against infection.
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TYPE 2 DIABETICS ARE DIAGNOSED LATE
I have type 2 diabetes. Are my dental problems different from those experienced by Type 1 diabetes patients? No. All diabetics have an increased risk of developing dental disease. What is different in type 2 patients is that it tends to progress more slowly than in Type 1 patients. Therefore, most Type 2 diabetes patients are diagnosed late. Remember, there is no dental disease specific to diabetics. Uncontrolled or poorly controlled diabetes puts your body’s ability to control existing diabetes at risk.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.