Diabetes Mellitus and Oral Health An Interprofessional Approach

Diabetes Mellitus and Oral Health: An Interprofessional Approach is a practical tool for dentists and dental hygienists providing oral health care to patients with diabetes mellitus. Firmly grounded in the latest evidence, the book addresses medical considerations, dental considerations, and case scenarios from clinical practice in three easily accessible sections.

The first section on medical considerations reviews the definition of diabetes and discusses underlying pathologic mechanisms, classification, diagnosis, and medical complications of the disease. It also promotes the comprehensive management of patients with diabetes in the dental office, with a thorough discussion of lifestyle changes and medications used to treat diabetes.

The second section on dental considerations provides guidance on how treat patients with diabetes. Oral complications will be covered in detail, with a focus on management and treatment strategies that can be used in the dental office.

The third section includes multiple case studies illustrating common complications and how-to instruction on appropriate patient management.

Ideal for all members of the dental team, Diabetes Mellitus and Oral Health is an essential tool for providing optimal clinical care to patients with diabetes.

Contributors ix

Acknowledgments xi

Introduction xiii

Section 1 Medical considerations 1

1 Etiology of diabetes mellitus 3
Ravichandran Ramasamy and Ann Marie Schmidt

2 Classification, epidemiology, diagnosis, and risk factors of diabetes 27
Jeffrey M. Curtis and William C. Knowler

3 Medical complications of diabetes mellitus 45
Lewis W. Johnson and Ruth S. Weinstock

4 Glycemic treatment of diabetes mellitus 69
Harpreet Kaur and Ruth S. Weinstock

Section 2 Dental considerations 97

5 Management of the patient with diabetes mellitus in the dental office 99
Brian L. Mealey

6 Periodontal disease as a complication of diabetes mellitus 121
George W. Taylor, Dana T. Graves, and Ira B. Lamster

7 The influence of periodontal disease on glycemic control in diabetes 143
Dana Wolf and Evanthia Lalla

8 Non-periodontal oral complications of diabetes mellitus 157
Ira B. Lamster

9 Identification of dental patients with undiagnosed diabetes 191
Evanthia Lalla, Dana Wolf, and Ira B. Lamster

Section 3 Case reports 203

Case 1 A patient with type 1 diabetes mellitus is seen for dental care 205
Ira B. Lamster, Nurit Bittner, and Daniel Lorber

Case 2 A patient with type 2 diabetes mellitus requires oral surgery 209
Ira B. Lamster, Nurit Bittner, and Daniel Lorber

Case 3 A patient with diabetes mellitus has a hypoglycemic episode in the dental office 215
Ira B. Lamster, Nurit Bittner, and Daniel Lorber

Case 4 The patient with diabetes mellitus and xerostomia 221
Ira B. Lamster, Nurit Bittner, and Daniel Lorber

Case 5 A patient diagnosed with diabetes mellitus after comprehensive prosthodontic rehabilitation 229
Ira B. Lamster, Nurit Bittner, and Daniel Lorber

Case 6 Prosthodontic treatment for the newly diagnosed patient with type 2 diabetes mellitus 237
Ira B. Lamster, Nurit Bittner, and Daniel Lorber

Index 247

Ira Lamster, D.D.S., M.M.Sc. is Professor of Health Policy & Management at the Columbia University Mailman School of Public Health, and Dean Emeritus of the Columbia University College of Dental Medicine. Prior to becoming Dean, he served as director of the Division of Periodontics at Columbia. Dr. Lamster has extensive experience in oral health research, particularly in the area of oral health and systemic disease. He has served on the editorial boards of the Journal of Periodontology and Journal of Clinical Periodontology and is a Diplomate of both the American Board of Periodontology and the American Board of Oral Medicine. Dr. Lamster has published numerous peer-reviewed articles and the book, Improving Oral Health for the Elderly.