[{"@context":"https:\/\/schema.org\/","@type":"BlogPosting","@id":"https:\/\/nqsurgicaldentistry.com.au\/diabetic-medications-dental-procedures\/#BlogPosting","mainEntityOfPage":"https:\/\/nqsurgicaldentistry.com.au\/diabetic-medications-dental-procedures\/","headline":"Diabetic Medications and Dental Procedures","name":"Diabetic Medications and Dental Procedures","description":"[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;3.22&#8243; background_color=&#8221;#ffffff&#8221; custom_padding_tablet=&#8221;0px|0|0px|0||&#8221; custom_padding_phone=&#8221;&#8221; custom_css_main_element=&#8221;z-index: 0;&#8221; transparent_background=&#8221;off&#8221; padding_mobile=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221;][et_pb_fullwidth_header title=&#8221;Diabetic Medications and Dental Procedures&#8221; button_one_text=&#8221;Book a Consultation&#8221; 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content_max_width=&#8221;none&#8221; _builder_version=&#8221;4.9.4&#8243; background_color=&#8221;#0aaaaf&#8221; hover_enabled=&#8221;0&#8243; custom_css_main_element=&#8221;height: 80px; padding: 1px;&#8221; button_one_letter_spacing_hover=&#8221;0&#8243; button_two_letter_spacing_hover=&#8221;0&#8243; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;on&#8221; button_one_letter_spacing__hover=&#8221;0&#8243; button_two_letter_spacing__hover_enabled=&#8221;on&#8221; 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_builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;3.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; use_border_color=&#8221;off&#8221;]Information on how to use your Diabetic Medications and Post-Op TreatmentFollowing on from our previous post, this is article three in our \u201cMedication and Dental Surgery: How your medical history influences treatment decisions\u201c\u00a0series. This article discusses diabetes and how it influences dental treatment with regards on how to take your diabetic medications.If you are coming to NQ Surgical Dentistry to have an extraction or surgical procedure under local anaesthesia (oral injections), you should take your normal medication and eat your normal food intake.\u00a0 There should be no need for any change to your diabetic medication.\u00a0 If you have a blood sugar monitor, please bring it with you to your surgical appointment to do a test both before and on completion of your procedure.If you are going to be treated at a day surgery unit and receiving a\u00a0general anaesthetic for the extraction or surgery and you have been told to fast for 6 hours before your general anaesthetic, your usual medication dose will have to be modified to ensure your blood sugar level does not become too low when you fast.\u00a0 In most cases, diabetic patients are treated at the start of the morning operating list to make their blood sugar management less complex.\u00a0 The majority of diabetic patients will have an understanding of their diabetic management and will know their usual blood sugar values.\u00a0 It would be best to discuss the management of blood sugar with Dr. Priestland well before the date of surgery.\u00a0 For longer procedures, Dr Priestland will involve the anaesthetist in your diabetic management around the time of your surgery and you will then be assured of a stable blood sugar despite the need for a period of fasting.Some diabetic patients may have their surgery planned at the practice under a local anaesthetic with intravenous sedation.\u00a0 If this is the case, fasting is required before sedation and therefore diabetic medication dose may be altered.\u00a0 It is important to discuss this part of your care with Dr Priestland well before the date of surgery. If you have a blood sugar monitor, please bring it with you to your surgical appointment to do a test both before and on completion of your procedure.It is important that diabetic patients perform home monitoring of their blood sugar level after surgery.\u00a0 While the level will fluctuate during the day and night and after food, it is best to limit the range of this fluctuation.\u00a0 A stable and well-controlled blood sugar is safer and will place a diabetic patient at less risk of health complications.Healing after surgery in diabetics need not be a problem if their blood sugar is stable.\u00a0 A patient with a widely fluctuating level will be far more likely to suffer from post-operative infection and delayed healing.Avoiding an infection is therefore especially important for diabetics. For this reason, Savacol mouthwash (containing Chlorhexidine 0.2%) must be used as a gentle mouth bath for 2 minutes every morning and night after brushing the teeth for 3 days before surgery (if possible) and for 10 days after surgery.\u00a0 This will help to control the vast numbers of bacteria that exist in the mouth and thereby reduce the chance of infection.It is best not to \u201cswish\u201d the mouthwash around the mouth vigorously.\u00a0 If you \u201cswish\u201d around you may open up the stitches or disturb the surgical site and the blood clot that has formed.\u00a0 If the blood clot is lost from the extraction socket, then the tooth socket can become a food trap.\u00a0 Consequently, bacteria and food accumulate and an infection may occur leading to a \u201cdry socket\u201d.\u00a0\u00a0 A dry socket is characterised by increasingly severe pain, usually arising 3-7 days after surgery.\u00a0 Usually, the gum surrounding the extraction site is very tender.Dry sockets are easy to treat but you will need to call the practice (normal working hours from Mon to Thu 0800-1730 call 4725 1656) or call Dr Priestland\u2019s mobile number outside these hours (his number is to be found on the post-operative instruction leaflet you were given at your consultation appointment and on the practice business and appointment cards).You will need to make an appointment to return as soon as we can see you to gently flush out any accumulated food particles and then Dr Priestland will place a dry socket dressing called Alvogyl, into the infected tooth socket.\u00a0 Within 30 minutes much of the pain will have been eliminated and over the next 24-48 hours, the dressing will treat the infection.We advise all diabetic patients to follow the advice they will have received from their own doctor and from their diabetic nurse concerning the management of their diabetes.\u00a0 Diet is an important part of diabetic control and medication is a support therapy to maintain health.\u00a0 But good dietary decisions are the foundation of successful diabetic management.If you are a diabetic patient unsure of any of these instructions or worried about developments since your treatment please contact the friendly team at NQ Surgical Dentistry today on\u00a0(07) 4725 1656 or call in to see us at\u00a0183 Kings Rd, Pimlico QLD\u00a0Other posts in this seriesMedication and Dental Surgery: How your medical history influences treatment decisionsOsteoporosis medication influences dental extractions and dental surgeryDiabetes and dental treatment or surgeryDental extractions and surgery after radiation therapy of the head and neckKnee or hip replacement surgery influences future dental managementThe influence of cardiac disease on dental managementAnticoagulant and anti-platelet medications influence management of dental extractions and dental surgeryAngina (heart-related chest pain) medications and dental treatmentCodeine sensitivity or allergyPatients who routinely take steroid medications[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; 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