Diabetes: A Multifaceted Syndrome Treatment Considerations in Dentistry
COURSE NUMBER: 93
Credit Hours:
2 Hour(s)
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Recognized as a major global public health problem and the seventh leading cause of death in the U.S., proper management of diabetes will positively impact a patient’s oral health, especially as it relates to risk for periodontal disease. ...
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Overview
Recognized as a major global public health problem and the seventh leading cause of death in the U.S., proper management of diabetes will positively impact a patient’s oral health, especially as it relates to risk for periodontal disease. Determining whether or not medical issues warrant immediate care before elective dental procedures is an important part of patient protocol and needs to be instituted by dental practitioners. Better overall communication and ongoing interaction between medical and oral healthcare providers is needed to improve the overall health of individuals with diabetes.
Diabetes is a complex, chronic illness that requires ongoing medical care with strategic risk reduction strategies beyond glycemic control. Patients require self-management education and support to prevent acute complications and reduce the risk of long-term complications. A range of evidence-based interventions are available to improve diabetes outcomes.1
With an aging population and an increasing number of overweight adolescents, teenagers, and adults, the U.S. and other countries are experiencing a rapid increase in the prevalence of the disease, particularly type 2 diabetes. Oral healthcare professionals might make a difference in the 35-50% of undiagnosed cases of diabetes by focusing on the clinical recognition of short and long-term diabetes-related symptoms at dental visits. Proper management of diabetes will positively impact a patient’s oral health, especially as it relates to risk for periodontal disease. Determining whether or not medical issues warrant immediate care before elective dental procedures is an important part of patient protocol and needs to be instituted by dental practitioners. Better overall communication and ongoing interaction between medical and oral healthcare providers is needed to improve the overall health of individuals with diabetes.
Intended Audience:
Dental Assistants, Dental Hygiene Students, Dental Hygienists, Dental Students, Dentists, Dental Assistant Students
Date Course Online:
Dec 10, 2006
Last Revision Date:
Oct 8, 2015
Course Expiration Date:
Oct 7, 2018
Cost:
Free
Method:
Self-instructional
AGD Subject Code(s):
Learning Objectives
Upon completion of this course, the dental professional should be able to:
- Define metabolic abnormalities related to diabetes.
- Differentiate between the pathophysiology of type 1 and type 2 diabetes.
- Distinguish between DKA and HHS.
- Determine the appropriate protocol to prevent a medical emergency during dental treatment for a patient with type 1 and type 2 diabetes.
- Analyze the dental management suggestions related to patients with uncontrolled diabetes.
- List five questions that might be appropriate to help determine a patient’s glycemic control or disease management.
- Explain why blood glucose levels should be less than 200 mg/dl before invasive dental treatment.
- Describe several strategies for stabilizing blood glucose levels for dental patients.
- Define normoglycemia in a way that a patient will understand.
- State the three psychological factors that have been identified with successful patient education outcomes.
- Name the two most important risk factors that are associated with increased susceptibility to periodontal disease.
- Discuss the potential of a bidirectional relationship between diabetes and periodontal disease.
- Identify the various environmental factors that impact periodontal disease associated with diabetes.
- Examine the prevalence of systemic and periodontal disease(s) in the Pima Indian population group based on longitudinal study data.
- Contrast the inevitability of risk factors for periodontal disease in type 2 diabetes with strategies to prevent periodontal disease.
- Describe two common oral health complications of diabetes besides periodontal disease.
- Debate the presence of oral candidiasis with different levels of glycemic control.
- Provide recommendations to a patient with diabetes following a dental procedure that may impact their ability to eat.
- Examine the role of parotid glands in diabetes-associated xerostomia.
- Describe specific guidelines that dental professionals can recommend to patients following dental procedures that affect blood glucose control and/or eating ability.
Disclaimers
Participants must always be aware of the hazards of using limited knowledge in integrating new techniques or procedures into their practice. Only sound evidence-based dentistry should be used in patient therapy. Note: Registration is required to take test.
Submission Information
Recognition
Approved PACE Program Provider
THE PROCTER & GAMBLE COMPANY
Nationally Approved PACE Program Provider for FAGD/MAGD credit.
Approval does not imply acceptance by any regulatory authority or AGD endorsement.
8/1/2021 to 7/31/2027
Provider ID# 211886
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