Dental management of patients with diabetes.
Diabetes is a disease of metabolism 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. Central to the management of diabetes is the intensive regulation of plasma glucose along with management of comorbidities comprising the "metabolic syndrome." 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.
McKenna
Samuel J
SJ
Oral and Maxillofacial Surgery, Vanderbilt University School of Medicine, 1623 The Vanderbilt Clinic, Nashville, TN 37232-5225, USA. samuel.mckenna@vanderbilt.edu
D001786:Blood Glucose / Q000032:analysis; D003190:Comprehensive Dental Care; D017742:Dental Care for Chronically Ill; D048909:Diabetes Complications / Q000503:physiopathology; D003920:Diabetes Mellitus / Q000503:physiopathology* / Q000628:therapy; D003922:Diabetes Mellitus, Type 1 / Q000503:physiopathology; D003924:Diabetes Mellitus, Type 2 / Q000503:physiopathology; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D010510:Periodontal Diseases / Q000517:prevention & control
D001786:Blood Glucose; D007004:Hypoglycemic Agents