6 Doubts of who has diabetes on oral health
Oral health care should be part of the care routine of all people, especially those with diabetes. This is because the disease causes an increase in glycemia, and high levels of glucose reach the circulatory system, which may favor bacterial proliferation in the mouth.
"There is a strong interrelationship between diabetes and oral health. may worsen the condition of the patient with diabetes, as well as uncontrolled glycemia may favor the development or worsening of periodontal disease, "says dental surgeon Flávia Aldarvis (CRO 96.147).
Oral health is important to ensure greater control of secondary oral problems associated with diabetes. "Patients are more prone to a dry mouth, which causes pain and can progress to ulcers, infections and caries lesions," says endocrinologist Mariana Farage (CRM 52.78812-0).
Because there is a close relationship between diabetes, and some conditions that mainly affect the gums, experts recommend that these patients give extra dedication to the mouth and see a regular visit to a dentist as part of their routine treatment.
the oral health of people with diabetes:
What are the most common oral diseases in people with diabetes?
There is a very characteristic condition of patients with diabetes: ketone breath (similar to the odor of a past apple).
Gingival diseases are the most frequent in patients with diabetes because they are more difficult to react to inflammatory and infectious processes. According to SOBRAPE (Brazilian Society of Periodontology), 76% of patients who do not perform a good glycemic control have periodontal disease in some degree of development. (1)
Who has diabetes can take the same medications to relieve mouth pain as patients without the disease?
"Analgesics can be used without problems by patients with diabetes, but anti-inflammatories should be avoided, because they attack the kidneys, which are often already compromised by the disease, "says Mariana. It is best to consult your doctor if you need to take anti-inflammatory pain medications.
In non-emergency treatment (ie to clean teeth, fillings, channels, etc.), the dentist needs to be specialized in diabetes?
Not required. If the practitioner is not specifically specialized in diabetes, it is recommended that he be a specialist in periodontics, due to the problems characteristic of the aforementioned gums.
In case of emergency, the patient with diabetes can extract a tooth in a dental emergency room ?
"If diabetes is compensated (well controlled glucose, below 180), it can be treated like any other patient," says Mariana.
Does the endocrinologist need to previously authorize oral treatments of the patient with diabetes?
The ideal is that there is always communication between the endocrinologist and the dentist. "And even the endocrinologist can refer the patient with diabetes for oral treatment as part of the treatment of the disease," says dental surgeon Bruno Gomes (CRO 112304).
It is important that the two specialists have openness to discuss cases which may lead to more invasive and more complex procedures. If there is no such channel of communication, a written authorization from the endocrinologist can be helpful.
Who has diabetes needs to do extra tests before undergoing more invasive oral treatment?
Like all patients, regardless of their diseases, those who have diabetes must be on routine exams. For general surgeries (grafts, implants, periodontal procedures and extraction of teeth), it is necessary to order other tests such as hemogram and glycated hemoglobin.1 - //sobrape.org.br/wp/doencas-periodontais/diabetes-e-doenca-periodontal/
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