Learning Objectives

Upon completion of this course, the dental professional should be able to:

  • Define metabolic abnormalities related to diabetes.
  • Differentiate between the pathophysiology of T1D and T2D.
  • Distinguish between DKA and HHS.
  • Determine the appropriate protocol to prevent a medical emergency during dental treatment for a patient with T1D and T2D.
  • Analyze the dental management suggestions related to patients with uncontrolled diabetes.
  • List five questions that might be appropriate to help determine a patient’s glycemic control or disease management.
  • Explain why blood glucose levels should be less than 200 mg/dl before invasive dental treatment.
  • Describe several strategies for stabilizing blood glucose levels for dental patients.
  • Define normoglycemia in a way that a patient will understand.
  • State the three psychological factors that have been identified with successful patient education outcomes.
  • Name the two most important risk factors that are associated with increased susceptibility to periodontal disease.
  • Discuss the potential of a bidirectional relationship between diabetes and periodontal disease.
  • Identify the various environmental factors that impact periodontal disease associated with diabetes.
  • Examine the prevalence of systemic and periodontal disease(s) in the Pima Indian population group based on longitudinal study data.
  • Contrast the inevitability of risk factors for periodontal disease in T2D with strategies to prevent periodontal disease.
  • Describe two common oral health complications of diabetes besides periodontal disease.
  • Debate the presence of oral candidiasis with different levels of glycemic control.
  • Provide recommendations to a patient with diabetes following a dental procedure that may impact their ability to eat.
  • Examine the role of parotid glands in diabetes-associated xerostomia.
  • Describe specific guidelines that dental professionals can recommend to patients following dental procedures that affect blood glucose control and/or eating ability.
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