SPECIAL CONSIDERTIONS IN DENTAL TREATMENT

MORNING APPOINTMENTS
DIABETIC PATIENTS ARE MORE STABLE IN THE MORNING BECAUSE MOST DIABETIC REGIMENS INCLUDE THE USE OF MEDICATION EXERCISE AND PRESCRIBED BREAKFAST IN THE MORNING
DENTAL CARE THEREFORE SHOULD BE PROVIDED IN THE MORNING
APPOINTMENT SHOULD BE SHORT.
MEDICATIONS
STABLE DIABETICS SHOULD TAKE THEIR MEDICATION AT USUAL TIME.
UNSTABLE DIABETICS DO REQUIRE PHYSICIAN-GUIDED ALTERATION IN MEDICATION.
DIET:
STABLE DIABETICS SHOULD TAKE THEIR NORMAL DIET PRIOR TO ENTAL CARE
UNSTABLE DIABETICS REQUIRE COUNSELLING WITH REGARD TO NUTRITIONAL INTAKE BEFORE AND AFTER DENTAL TREATMENT.
STRESS REDUCTION
FOR ALL DIABETICS STRESS MUST BE REDUCED
IF NECESSARY, PREMEDICATION AND/OR ANALGESICS TO CONTROL PAIN SHOULD BE CONSIDERED.
STRESS RELEASES ENDOGENOUS EPINEPHRINE AND CAN LEAD TO MOBILIZATION OF GLYCOGEN FROM THE LIVER AND CAUSE AADITIONAL HYPERGLYCEMIA
OPPURTUNITIES TO USE BATHROOM AND AVAILABILITY OF SMALL SNACKS GREATLY IMPROVE THE PATIENTS FEELING OF WELL BEING. THEY ALSO REDUCE LEVEL OF STRESS.