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Dental Management of Diabetic Patient
Dental Management of Diabetic Patient
diabetic patient
Presented by: Jamal .Q.
Ahmed
Oral Red Flags
(Suggest the need for medical evaluation
for possible diabetes)
Multiple or recurrent
periodontal abscesses
Extensive periodontal bone loss
(especially in a younger
individual or with a lack of
etiologic factors)
Rapid alveolar bone destruction
Delayed healing
Oral Manifestations of
DM
• None are
pathognomonic
• Commonly
associated
conditions:
– xerostomia
– enlargement of
parotid
glands
– burning
mouth/tongu
e
– altered taste
– candidias
– periodontal
disease
Oral manifestations and
complications
• Periodontal disease
– Microangiopathy altering antigenic challenge.
– Altered cell-mediated immune response and
impairment of neutrophil chemotaxis.
– Increased Ca+ and glucose lead to plaque formation.
– Increased collagen breakdown.
Oral manifestations and
complications
• Salivary glands
– Xerostomia is common, but reason is unclear.
– Tenderness, pain and burning sensation of tongue.
– May secondary enlargement of parotid glands with
sialosis.
•
• Dental caries
– Increase caries prevalence in adult with diabetes.
(xerostomia, increase saliva glucose)
– Hyperglycemia state shown a positive association
with dental caries.
Oral manifestations and
complications