Dental Concerns

See also Dental Concerns for Insulins. General

1. Obtain a thorough medication/health history.

2. Morning and shorter appointments may be necessary for anxious patients.

3. Patients on chronic drug therapy may develop blood dyscrasias. Symptoms include fever, sore throat, and bleeding, and poor wound healing.

4. Frequent recall may be necessary in order to evaluate healing.

5. Vital signs may be necessary with some antidiabetics because of cardiovascular side effects (i.e., glipizide, glyburide).

6. Assess patient's knowledge of di abetes; compliance with therapy and dietary regimen.

7. Patients with diabetes may be more susceptible to infection and delayed wound healing.

8. Determine if patient is self-monitoring his/her antidiabetic therapy; including blood glucose values, finger sticks, or urine glucose monitoring. Elevated blood glucose levels put the patient at risk for dental caries.

9. Avoid prescription and over-the-counter aspirin-containing products. Consultation with Primary Care Provider

1. Patients with symptoms of blood dyscrasias should be referred to their primary care provider for complete blood counts. Treatment should be postponed until the results are known.

2. Consultation may be required to determine level of disease control.

3. Consultation may be necessary in order to obtain information regarding the patient's blood glucose levels including glycosolated hemoglobin (Gb) or HbA1-C testing. Client/Family Teaching

1. Review the importance of good oral hygiene in order to prevent soft tissue inflammation.

2. Review the proper use of oral hygiene aids in order to prevent injury.

3. Avoid alcohol-containing mouth rinses and beverages.

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