The link between diabetes and periodontitis/peri-implantitis – how can we apply the evidence to clinical practice?
Dr.AnnaTrullenque Eriksson, Specialist in Periodontology
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Quiz
You must achieve a passing score of 80% on the ten content questions related to the course you just viewed. If you do not pass on the first try, you do have the opportunity to try again. Please email info.usa@tepe.com if you have any questions.
1. Which statement best describes the relationship between diabetes and periodontitis?
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Diabetes and periodontitis are unrelated
The relationship is bidirectional
Periodontitis only affects patients with type 1 diabetes
Diabetes prevents periodontal inflammation
2. Why is periodontitis particularly important in patients with diabetes?
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It may contribute to poorer glycemic control
It prevents patients from taking diabetes medication
It causes type 1 diabetes
It always results in tooth loss
3. What does HbA1c primarily provide information about?
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A patient's current blood pressure
Average blood glucose control over the previous several months
Current periodontal pocket depth
Daily plaque accumulation
4. Which patient should raise greater concern for periodontal complications?
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A patient with well-controlled diabetes and stable periodontal health
A patient without diabetes and no periodontal disease
A patient with healthy gingiva and good oral hygiene
A patient with poorly controlled diabetes and periodontal inflammation
5. Periodontal treatment in a patient with diabetes may:
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Have no relationship to diabetes management
Contribute to improved glycemic control
Cure diabetes
Replace diabetes medication
6. Diabetes may also be associated with an increased risk of:
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Peri-implantitis
Supernumerary teeth
Dental fluorosis
Tooth eruption
7. A dental professional identifies a patient with periodontal disease who may be at risk for undiagnosed diabetes. What is an appropriate next step?
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Ignore the finding because diabetes is outside dentistry
Encourage appropriate medical evaluation or diabetes screening
Diagnose diabetes based solely on periodontal findings
Begin diabetes medication
8. Which approach is most appropriate for patients who have both diabetes and periodontitis?
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Manage each condition completely independently
Coordinate oral healthcare with the patient's overall diabetes management
Delay all periodontal treatment indefinitely
Avoid discussing diabetes during dental appointments
9. Why should dental professionals ask patients with diabetes about their glycemic control?
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Diabetes reduces dental plaque
Periodontal disease cannot recur after treatment
Maintenance is only needed for patients without diabetes
Diabetes can increase susceptibility to periodontal inflammation and disease progression
10. What is an important take-home message for dental professionals from this lecture?
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Diabetes should not be considered during periodontal assessment
Periodontal and peri-implant health should be considered as part of the care of patients with diabetes
Dental professionals should independently manage a patient's diabetes medications
Implant therapy is never appropriate for patients with diabetes
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