Dental Care for Diabetic Patients

Dental Care for Diabetic Patients
Diabetes, is a group of metabolic diseases in which a person has high blood sugar, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced.

There are three main types of diabetes:
Type 1 diabetes: results from the body's failure to produce insulin, and requires the person to inject insulin.
Type 2 diabetes: results from insulin resistance, a condition in which cells fail to use insulin properly, sometimes combined with an absolute insulin deficiency.
Gestational diabetes: is when pregnant women, who have never had diabetes before, have a high blood glucose level during pregnancy. It may precede development of type 2 DM.

Oral Manifestations

1. Gingival and periodontal disease
· Patients with diabetes are more prone to develop periodontal disease.
· The patients may exhibit a fulminating periodontitis with periodontal abscess formation and inflamed painful abscess .This may lead to tooth mobility.
· Gingival fluid in the diabetes has more glucose level which favours the growth of micro flora.
· Insulin dependent diabetic children tend to have more destruction around the first molars and incisors than else where
2. Median rhomboidal glossitis
· Diabetes is considered to be factor for median rhomboidal glossitis as frequency of abnormal blood glucose level in diabetes.
· There is also impairment of blood supply to dorsum of tongue due to arteriosclerosis changes in blood vessels supplying the area.
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From: http://pediatricdentists.blogspot.com/2012/01/dental-care-for-diabetic-patients.html#.TwGRyTUPslw.pingfm