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                                                        DR. DAN PETERSON

                                                                      1415 SAGE STREET ~ GERING, NEBRASKA 69341 
                                                             
      Call: 308-436-3491       www.dentalgentlecare.com           

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Dental Care Guidelines for the Diabetic

We have early morning hours because morning hours are the best time for dental treatment for the individual with diabetes.

Morning hours are the best time for dental treatment!

    

Diabetes is the sixth leading cause of death in the US.  Diabetes can cause: burning sensations, overgrowth of gum tissue, abnormal wound healing, tooth decay, periodontal disease, and fungal infections, fruity (acetone) breath, dry mouth, thickness of saliva.  These problems are related to some of the oral changes that occur in people who have diabetes.

Factors affecting blood sugar levels and dental treatment:

bulletDawn phenomenon. is an elevation in circulating blood sugar in the morning due to physiological factors.    Due to the net effect of the Dawn Phenomenon, morning medication dosing and a sound breakfast make the morning hours the safest time to provide dental treatment for a diabetic patient.
bulletSystemic Illnesses-an insulin dependent diabetic with an acute dental abscess may require closer measurement of blood glucose levels and may need antibiotics for an adequate period of time when oral infection is present.
bulletStress of a dental appointment can raise blood sugar levels before, during or after treatment.
bulletFood intake is to be assured before treatment is delivered to prevent hypoglycemia.
bulletExercise.  If they exercise before treatment and don't eat they could lower blood sugar levels prior to treatment.
bulletMenstruation and pregnancy affect when treatment should be given.
bulletMedications taken to control blood sugar levels.  Verify medications were take as directed by doctor.

Dental treatment

  1. Your dentist may request a test of blood sugar to see whether the diabetes is under control. Normal blood sugar levels should be 80 to 140 mg/dL.  This is to be done to determine if your blood sugar levels are stable or unstable.  These conditions will affect your dental care.
  2. Antibiotics may prescribe to minimize your risk of infection during dental treatment.
  3. Morning appointments are the best time to tolerate dental procedures.

    It is important for you to know how well your diabetes is controlled and to tell your dentist this
     information at each visit:
    bullet

    Tell them current symptoms.

    bullet

    Frequency of  low blood sugar episodes

    bullet

    Medications used, dosage and frequency.

    bullet

    When your last meal before the appointment occurred and the type of carbohydrate consumed.

    bullet

    How often you have glucose testing and what your latest lab and self monitored glucose
    levels were.

    bullet

    Any changes you have notice in your mouth since the last appointment.

     

  4. Ask for shorter appointment rather than longer
  5. Dental procedures that create the potential for delayed healing may require modifying your diet and medication regimen. 
  6. Treatment considerations of the use of a bathroom.
  7. We have small snacks and glucose tablets available to help you control your blood sugar levels.
  8. Consider soft and/or liquid food for the next meal after treatment.
  9. We have many comforts to help you relax to reduce your stress. 
  10. Drugs used for dental treatment can have an effect on  controlling glucose.  Inform your dentist of any drugs or over the counter medications your are taking.*
  11. You may need to be premedicated:
bullet Amoxicillin 2g, 1 hour preoperatively, followed by amoxicillin 500 mg, three times daily for 4 days.
bullet Those allergic to penicillin: clindamycin 600mg, 1 hour preoperatively, followed by clindamycin 150 mg, four times daily for 4 days.

The best defense against these complications of diabetes is good blood sugar control, combined with daily brushing and flossing and regular dental check-ups.

Source: The Care of Dental Patients with Diabetes Mellitus. Dr. Rothstein.  
           Dentistry Today, March 2001. pg 71-77

 
Anti-Diabetes Mineral
Toss a half-cup of spinach into your green salad for extra protection against diabetes.

Spinach is a great source of magnesium, a mineral that is essential to many cellular processes. Now, new research suggests magnesium might have a protective effect against diabetes. In a study, adequate magnesium was associated with a lower risk of developing type 2 diabetes.

RealAge Benefit: Eating a diverse diet that includes 5 servings of vegetables per day can make your RealAge as much as 4 years younger.

Diabetes Public Health Information Index, CDC.

February 06, 2008

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          If you have any questions please e-mail me at: drdpeterson@scottsbluff.net
                                                                                 308-436-3491 Office number

PLEASE NOTE: The information contained herein is intended for educational purposes only.  It is not intended and should not be construed as the delivery of dental/medical care and is not a substitute for personal hands on dental/medical attention, diagnosis or treatment.  Persons requiring diagnosis, treatment, or with specific questions are urged to contact your family dental/health care provider for appropriate care.
This site is privately and personally sponsored, funded and supported by Dr. Peterson.  We have no outside funding.
Confidentiality of data including your identity, is respected  by this Web site. We undertake to honor or exceed the legal requirements of medical/health information privacy that apply in Nebraska.

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