A diabetic patient suffers from high blood sugar, and this is a major cause of dry mouth, as sugar is abundant in saliva, which greatly affects the salivary glands responsible for secreting saliva in the mouth in a weak manner, which leads to exposure of the gums and teeth to disorders. And it is a suitable environment for bacteria to grow and multiply and lead to the occurrence of tooth decay and gingivitis in their various forms, which causes a defect in the supporting tissues, including the gums and the alveolar bone, which threatens the fall of the teeth on their own in some cases, and the presence of sugar in the blood helps to delay tooth decay. Wound healing and healing, especially after surgical intervention.
Therefore, the diabetic patient must increase attention and dental care, and these concerns are summarized as follows:
• The balanced nutrition helps to reduce the demolitions that may affect the teeth.
• Visiting the dentist periodically helps to detect the disease early, which facilitates its treatment.
• The use of a toothbrush and toothpaste prescribed by the doctor and the use of toothpicks help prevent multiple diseases in the mouth.
• The use of medical rinses or water, salt, and dental floss to remove food residues is one of the factors that help reduce dental caries and gum disease.
• If a diabetic patient eats some sweets and sugars, he should immediately increase his interest in the elements of prevention and not leave sweets in his mouth for a long time.
• In the event that a diabetic patient visits the dentist’s office, it is advised to inform his doctor that he is diabetic.
• Periodically cleaning and removing deposits from between the teeth helps maintain healthy gums and teeth.
Precautions when treating a diabetic patient in the dentist’s office:
• The request for a recent diabetes test and knowing the patient’s number, which determines whether or not the diabetes is under control.
• The patient’s psychological factor, his complete satisfaction with the treatment, and his psychological relationship with his doctor help in the success of any intervention.
• Adrenaline is a component of local anesthesia in the mouth, so it is not recommended to give a diabetic patient anesthesia that contains it because adrenaline causes a rise in blood sugar.
• It is recommended to extract one or two teeth for a diabetic patient in one session, not more than that, for fear of repeated bleeding.
• It is advised not to use caustic drugs, which sometimes affect the arteries, for people with diabetes, including: acetic acid, nitrogen, chromium, salicylic acid, silver nitrate, and so on.
With the development of scientific and international research, it has been concluded that the dentist can implant teeth for a diabetic patient if the sugar is completely controlled and within the normal limits of 70-120.
• The use of antibiotics before and during the recovery phase is one of the main factors in the success of implantation and other surgical interventions in the jaws.
• The use of lotions or medical rinses that contain germ-killing and mouth-cleansing materials also helps in the success rate of dental interventions.
• The patient’s own cooperation, awareness and oral care help the success of dental operations.
• The use of insulin helps in the process of fusion.
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