Patients with Endocrine Disease and Importance of Oral Care
Patients with endocrine diseases such as diabetes, Addison's disease, Cushing's disease, and hyperthyroidism or hypothyroidism require special attention to their oral health. If appropriate attention is not paid to their oral health, patients with these conditions may suffer complications, such as an increased risk of infection.
In general, patients with well-controlled diabetes can receive normal dental care, provided that they are treated when their glucose levels are elevated, such as after an insulin injection. However, patients who have not been diagnosed with diabetes or who are experiencing severe problems may suffer from complications such as advanced periodontal disease or fungal infections such as candidiasis. it is important for patients with diabetes to follow their treatment routine precisely to avoid these complications.
Patients with Addison's disease may experience oral mucosal change, such as patchy brown pigmentation. In addition, if the patient is suffering from adrenal insufficiency, undergoing dental treatment can make the adrenal insufficiency worse. Patients may need to take supplemental steroids before they seek dental care, as well as for 24 hours after receiving dental care. Patients with Cushing's disease require similar consideration.
Those with hyperthyroidism or hypothyroidism do not require additional consideration as long as their conditions are well managed. However, patients with uncontrolled conditions require special precautions to prevent complications. patients with uncontrolled hyperthyroidism should not receive a local anesthetic with epinephrine, nor should they be treated with an epinephrine impregnated cord. Patients with uncontrolled hypothyroidism should be monitored for excessive bleeding.
Despite the potential for complications from receiving dental care, it is important that patients with these conditions visit our dentist in Northridge, regularly for a checkup. Our dentist can identify and treat complications associated with these conditions before they cause severe problems with the patient's oral health.
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