Hi, I’m Emily. I’m 24 and I’m supposed to get my wisdom teeth removed soon. I was so relieved when I found out I can be sedated for this! The problem I have though is I’m a type-2 diabetic on insulin. I have a continuous glucose monitor and keep my levels in a healthy range. Will I have to go a long time though without eating before my surgery? Am I even a candidate for this?
I am glad you reached out. Being diabetic, whether type 1 or type 2, brings its own set of considerations when it’s time for surgery. Poorly controlled diabetes can affect the entire body’s ability to heal, including the mouth, by inhibiting circulation. If your blood glucose levels are typically steady and your home care and insulin treatments are effective, you should be able to adequately tolerate the surgery. The sedation dentist will have a consultation to go over everything with you before your procedure is scheduled.
If you choose, you may request oral sedation, which is a medication taken by mouth to relax you. You will be required to have someone to drive you to and from your appointment, as well as stay with you until you are lucid and steady on your feet. Unlike general anesthesia, you may eat your regular meal before your appointed time. In fact, it is important so be sure not to skip this important step, as well as drink plenty of fluids. Take your regularly scheduled dose of insulin as well. Typically we suggest bringing a glucometer with you to your appointment, but your continuous meter makes keeping track of your levels a breeze!
At your intake, all of your vitals will be recorded. This would be a great time to let your dentist know your most recent HbA1c levels. After your procedure is complete, take all medications as prescribed, and follow your home care instructions diligently. Keep watch for any signs of infection during healing. this is a higher risk for diabetics. Some indications of infection are redness, swelling, or increased discomfort. Contact your dentist quickly if any questions or concerns appear.
Remember, diabetic patients are seen every day for their dental needs. The better you care for yourself leading up to your appointment, the better your healing will be.
This blog is brought to you by Lexington cosmetic dentist Dr. Fred Arnold.