Glycemic control and dietary therapy are important for diabetic patients. Their recovery can be delayed due to a lack of ability in multiplication of cells. As a result, more systematic and professional management are required for diabetic patients.
Diabetes is one of metabolic diseases with insufficient insulin and often found in people with high blood pressure raising glucose concentrations in the blood. Diabetic patients need a professional management to receive dental implant. This is because the degradation of white cell’s ability deteriorates immunity and alveolar bones are prone to be destroyed by germ. As a result, diabetes increases the chance of developing gums diseases.
Impact of diabetes on teeth
High glucose concentration in saliva of diabetic patients creates favorable environment for proliferation of bacterial plaque. Diabetic patients are two times more likely to have gums disease than others. On top of this, as the migration of white blood cells declines, resistance against gem infection reduces. After all, it is easy to be caught by germ diseases and they make rapid progress. Diabetes also effects on salivary gland. As salivary gland secretion does not take place properly, bacterial toxicity inside mouth gets severe.
Impact of diabetes on dental implants
Hyperglycemia undermines proliferation and growth of cells and causes abnormality of function in metabolic activity of cells. Wound healing is delayed due to decreasing the ability of multiplication of cells or collagenesis. As a result, diabetic patients need more time until dental implant is firmly fixed and the gums is recovered. In addition, diabetic patients have more bacteria in mouth and weak immune system so that they are highly likely to have the secondary infection or gums disease at the treated area. This is why they need professional care.
The current dental condition should be examined first. For treating diabetic patients, the level of diabetes control and the information about medicine drugs will be collected.
Gums disease treatment and a tooth extraction are performed after controlling the blood glucose by taking medicine and dietary therapy.
It is important to maintain gums healthy by treating inflammation at gums after a tooth extraction. Patients need to pay special attention to controlling the blood glucose in a preparation for dental implant operation.
Dental implants are performed at the place where a tooth was extracted. Patients wait until the implants are firmly engrafted to alveolar bone. Controlling the blood glucose during the period is critical for the reproduction and proliferation of cells and reducing bacterial infection.
Once the implants are firmly fixated on the alveolar bone, prosthetics are mounted on the implants to finish the operation.
1.How to control the blood glucose before receiving implant operation?
Strict dietary therapy and drug control are desirable and they help diabetic patients earn good results. So the series of blood glucose levels for 1~2 weeks before the operation should be checked whether the levels remain at stable. If necessary, a physician can join in the treatment.
2. What should be done for special care after the operation?
Patients must not skip meals to maintain glucose level in the blood during and after the operation. Patients take antibiotics before and after the operation as a measure of prevention. It is important for the diabetic patients to give special care for oral hygiene management for one month after operation. Controlling glucose in blood should be the priority so they have to receive a blood sugar test under the direction of physicians.