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Uncontrolled Diabetes Dental Modification — NDEB AFK MCQ

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ModerateMedical Emergencies in DentistryUncontrolled Diabetes Dental ModificationNDEB AFK

In a patient with uncontrolled type 1 diabetes mellitus (HbA1c 108 mmol/mol), which dental treatment modification is most appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Defer elective dental treatment until glycaemic control improves; provide emergency treatment only with appropriate precautions

In uncontrolled diabetes (HbA1c >75-86 mmol/mol), elective dental procedures should be deferred until glycaemic control improves because: (1) wound healing is significantly impaired; (2) infection risk is increased; (3) periodontal disease progresses more rapidly; and (4) hyperglycaemia increases susceptibility to post-operative complications. Emergency treatment (pain relief, drainage, acute infection management) should not be delayed but requires additional precautions (antibiotic coverage, close monitoring, consultation with the patient's physician).

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