Dental treatments in diabetic patients
In diabetes mellitus disease, it is necessary to receive insulin treatment, if necessary, and follow a special diet program under the supervision of doctor. At this point, the oral and dental health of a diabetic patient should be complete in order to be able to maintain the quality of life. Because one of the most important complications of diabetes is the reduced quality of life due to tooth loss and limited function.
A reduction in chewing function also affects the dietary habits that are effective in glycemic control of the disease. Numerous studies have shown a strong correlation between reduced chewing function and the amount of vegetable, fruit, meat and bread intake of toothless patients. Decreased intake of healthy foods causes an impairment in the diet of vitamin, mineral, fiber and protein. This condition is compensated by toothless patients with a diet rich in cholesterol and fat. Therefore, it is important for diabetic patients to regain oral health and the lost teeth functionally for nutrition and diet control.
I am a diabetic patient, can I have implant?
In diabetic patients, the first parameter to be examined before surgery is the value of the HbA1c test. If these values are within acceptable limits, an intraoral examination may be carried out for implant surgery. The first thing to pay attention during the intraoral examination is the presence of inflammation. If inflammation is still present in the mouth after tooth loss, or oral hygiene is insufficient, implant treatment would not be right for a diabetic patient who already has a low healing capacity. The factor that causes tooth loss will also cause him/her to lose the implants.
After the systemic control and intraoral sterilization and health are obtained in diabetic patients, the operation decision can be made. During the operation, we can also benefit from PRF (thrombocyte-rich fibrin) applications, which are obtained from the patient's own blood and contain growth factors, in order to contribute to the long-term stability of implants.
In a study conducted in 2009, it has been showed that patients with type 2 diabetes were not different from non-diabetic patients in terms of bone density and fracture formation.