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The Role of the Oral Healthcare Provider assess the stability and level of control, and 7. Shang R, Gao L. Impact of hyperglycemia on

The dentist’s role in treating diabetic patients be well-versed in how to manage the disease the rate of implant failure and peri-implant pa-
rameters in patients with type 2 diabetes melli-
is multi-faceted. We have the opportunity along with medications prescribed. All of tus: Systematic review and meta-analysis. J Am
this should be an integral part to develop-
for screening patients for diabetes by rou- Dent Assoc. 2021 Mar;152(3):189-201.e1. doi:
tinely reviewing medical history. Educating ing your treatment plan for the patient. Plan 10.1016/j.adaj.2020.11.015. PMID: 33632408.
ahead to avoid complications.
patients as to the oral manifestations of dia- 8. Dowell S, Oates TW, Robinson M. Implant success
betes is another responsibility. Dentists and in people with type 2 diabetes mellitus with varying
their team should be knowledgeable in be- Future articles will address the medical risk glycemic control: a pilot study. J Am Dent Assoc.
assessment and management of the poorly
ing able to assess the level of control, medi- 2007 Mar;138(3):355-61; quiz 397-8. doi: 10.14219/
cal risk and consider both when developing controlled diabetic patient in the dental set- jada.archive.2007.0168. PMID: 17332041.
ting, as well as consideration of diabetic med-
the patient’s treatment plan. The well-con-
trolled diabetic, as well as those with predi- ications and their side effects and interactions. Debra Ferraiolo is a
abetes, have no limitations or modifications Clinical Assistant Pro-
with dental treatment. If controlled, the di- References: fessor at NYU College
abetic patient has no limitations as to treat- 1. https://www.cdc.gov/diabetes/basics/diabetes. of Dentistry in the De-
ment planning - procedures such as scaling html. Last accessed June 2022. partment of Oral Maxil-
2.https://www-uptodate-com.ezproxy.med.
and root planing, periodontal and oral sur- nyu.edu/contents/overview-of-general-med- lofacial Pathology, Ra-
gery should be considered just as you would ical-care-in-nonpregnant-adults-with-diabe- diology and Medicine.
in the non-diabetic patient. A recent system- tes-mellitus. Last accessed June 2022. She is in private prac-
atic review published in JADA found that 3. Little, James W., Falace, Donald, Miller, tice in Totowa, NJ and she is a member
although bleeding on probing was increased Craig, and Rhodus, Nelson L. Dental Manage- of the NYSAGD.
in diabetic patients, hyperglycemia did not ment of the Medically Compromised Patient -
impact implant failure. In comparison with EBook. 9th ed. Philadelphia: Mosby, 2017. Web. Dr. Analia Veitz- Keenan
nondiabetic patients, failure was similar. 5-8 4. www.ada.org American Diabetes Association. is a Clinical Professor
Last accessed June 2022. at NYU College of Den-
This article focused on refreshing the oral 5.https://www-uptodate-com.ezproxy.med.nyu. tistry in the Department
healthcare provider on the pathophysiology edu/contents/overview-of-gingivitis-and-peri- of Oral Maxillofacial
odontitis-in-adults. Last accessed June 2022.
behind diabetes as well as the importance 6. Teshome A, Yitayeh A. The effect of peri- Pathology, Radiology
that all dentists be aware of their role in odontal therapy on glycemic control and fasting and Medicine and Ep-
caring for the diabetic patient. The key to plasma glucose level in type 2 diabetic patients: idemiology and Health Promotion De-
appropriate care is the same as that with any systematic review and meta-analysis. BMC Oral partment. She is in private practice in
other disease process: be knowledgeable Health. 2016 Jul 30;17(1):31. doi: 10.1186/ Brooklyn, NY. Dr. Veitz-Keenan is the
about the disease and, if it requires manage- s12903-016-0249-1. PMID: 27473177; PMCID: 2022 President-elect of the NYSAGD.
ment from an oral healthcare prospective, PMC4967318.

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