Diabetes mellitus is one of the most frequently encountered pathologies by dentists as a result of its high prevalence worldwide. It is diagnosed by obtaining a fasting plasma glucose levels of 126 mg/dl or higher or glycosylated hemoglobin of 6.5% or higher. Diabetes (especially, if it is uncontrolled) is associated with a greater risk of periodontal disease, which is the most frequent complication. Other commonly reported manifestations are sialadenosis, xerostomia, and burning mouth syndrome. Dental caries, oral lichen planus, and candidosis, based on recent studies, are not significantly higher incidence in these patients. For dental treatment, the type of diabetes suffered, the treatment given for the disease, and the glycemic control status (using the glycosylated hemoglobin test) should be known. Patients should receive short early morning appointments to reduce stress and anxiety. The dentist has to be aware of the possible occurrence of an acute complication (hypoglycemia or hyperglycemia). Furthermore, these patients suffer from delayed wound healing and major susceptibility to infections.
1 Department of Prosthodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India,
2 Department of Prosthodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
*Corresponding author:Dhanraj Ganapathy, Department of Prosthodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai - 600 077, Tamil Nadu, India.