Biomedical Sciences

Question 1

A patient with uncontrolled diabetes (HbA1c 10.2%) presents for the extraction of tooth #30. The patient reports slow healing from previous dental procedures. What should you do?

Answer 1

• Explain delayed healing due to impaired immune response in uncontrolled diabetes
• recommend medical clearance prior to ext
• antibiotic therapy may be indicated depending on infection severity
  -stress importance of glycemic control for post-op outcomes

Question 2

What specialist do you refer a diabetic patient to who shows signs of uncontrolled disease?

Answer 2

endocrinologist

Question 3

what is the ideal A1c range for diabetes

Answer 3

5.7-7

Question 4

Explain delayed healing due to impaired immune response in uncontrolled diabetes

Answer 4

1. Poor circulation
2. immune system weakness
3. neuropathy
4. inflammation