Clinical knowledge of dental treatment and in Diabetic patient

1. Diabetes
And
Dental Treatment
Dr.Sunil Kumar
Instagram - doc_sunil_kumar

2. India is the Diabetic Capital of the world
72.9 Million people suffering from Diabetes
(2019 INDIAB Data)
8%

5. Diabetes
● What ,if patient lies?

6. Q1.
Polyurea,
Polydypsia,
Polyphagia

7. Q2. Wound healing?

8. Stiff Hand Syndrome- 50% old patient

9. Examine the oral cavity
3 most common features in
diabetes
● Gingivitis,periodontitis
● Dental caries
● Xerostomia
Ketonic smell from oral
cavity(Earliest sign of
diabetes)

10. If you still have doubt
● Go for RBS(Random blood sugar)Test

11. Considerations for Diabetic patient
● Sugar level should be taken prior to treatment
(Fasting sugar < 100-180) (HbA1C < 10%)

12. Considerations for Diabetic patient
● Consult their endocrinologist prior to treatment

13. Considerations for Diabetic patient
● Give Morning appointments
(Because endogenous cortisol levels are higher at
morning and cortisol increase blood sugar level so the
risk of hypoglycemia is less)

14. Considerations for Diabetic patient
● Pt. Should had eaten normally prior to appointment

15. Contraindication
● Epinephrine,Antagonise the
insulin and may result in
Hyperglycemia (1:100,000)
● Glucocorticoids increase the
blood glucose level

16. Question for you

17. If pt. Is allergic to both
anesthesia(amide and
ester)
What will you give as
anesthesia?

18. Thank you
Instagram-@doc_sunil_kumar