Diabetes and Dental Treatment — NDEB AFK MCQ

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EasyMedical Emergencies in DentistryDiabetes and Dental TreatmentNDEB AFK

A patient with well-controlled type 2 diabetes mellitus (HbA1c 55 mmol/mol) can safely undergo which of the following dental procedures without special precautions beyond standard care?

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Correct answer: E — Routine scaling and polishing

Patients with well-controlled diabetes (HbA1c <64 mmol/mol, ideally <53 mmol/mol) can safely undergo routine dental procedures including scaling, restorations, extractions, and minor surgery without special precautions beyond standard care (morning appointments, confirm patient has eaten and taken medication, have oral glucose available). Poorly controlled diabetes (HbA1c >75 mmol/mol) is associated with increased infection risk, delayed wound healing, and periodontal disease progression. Elective surgical procedures should be deferred until glycaemic control is improved.

Reference: Malamed – Medical Emergencies in the Dental Office, 8th ed., 2022