OPEN WEEKDAYS 9:00 AM TO 5:00 PM   |     Email   |     Bne: (07) 3878 2519   |     S'Cst: (07) 5444 2800
  • Sunshine Coast
  • West Brisbane
  • North Brisbane
  • हिन्दी

Foundation Dental Services

  • WHAT WE DO
    • Periodontics
    • Dental Implants
    • Minor Oral Surgery
    • Oral Medicine & Oral Pathology:
    • Hindi Dental Services
  • OUR TEAM
    • Dr John Carrigy
    • Dr Simon Moore
    • Dr James Carrigy
    • Dr Sweta Paliwal
    • Dr Tyng Tyng Lee
    • Dr We-Ju Chen
  • LOCATIONS
    • Mountain Creek
      (Sunshine Coast)
    • Tewantin (Sunshine Coast)
    • West Brisbane Periodontics (Taringa)
    • North Brisbane Periodontics (Strathpine)
    • Consultation Clinics (Brisbane City & Regional)
    • Brisbane CBD
    • Sunshine Coast North
  • ABOUT
    • Our Mission
    • We Work with Your Dentist
    • Do I Need a Referral to See a Periodontist?
    • What is Contemporary Periodontics?
    • For Our Referrers / Health Professionals
    • Video Library
  • REFERRALS
  • BLOG
  • CONTACT
Refer Patient
  • Home
  • Blog
  • Blog
  • Latest News
  • Periodontal treatment and the diabetic patient

BLOG

FDS Admin
Foundation Dental
Tuesday, 22 July 2014 / Published in Latest News, Periodontics Brisbane

Periodontal treatment and the diabetic patient

Article by Dr John Carrigy MDSc (Melb), BDS (Syd) Hons, MRACDS (Perio)

DOWNLOAD: Dr John Carrigy Periodontist Talk Notes

TAKE HOME POINTS

The treatment of Periodontitis follows a set path of clinical action. These “phases” of treatment may differ in their name and number – but the goals of each step are almost universally accepted :

  1. SYSTEMIC PHASE
  2. HYGIENIC PHASE
  3. Formal Review
  4. Additional Therapy
  5. CORRECTIVE PHASE
  6. SUPPORTIVE PHASE

This systematic approach to the treatment of periodontitis means that the dental clinician is in an ideal position to assist in the identification of the patient suffering from “incipient” or “pre-diabetes” as well as assist in the education and management of the patient already diagnosed with the condition. Early diagnosis and management of diabetes is critical to limit the myriad of systemic complications that result from chronic hyperglycemia. These include a range of macro-vascular and micro-vascular effects as well as ‘up regulation’ of many inflammatory mediators. Numerous studies in the dental literature have confirmed that poorly controlled diabetics are more likely to develop periodontitis, and that the disease is more severe.

Conversely, in a well controlled diabetic – the response to periodontal therapy is non-diabetic clinician is in an ideal position to assist in the identification of the patient suffering from “incipient” or “pre-diabetes” as well as assist in the education and management of the patient already diagnosed with the condition. Early diagnosis and management of diabetes is equivalent to a patient.

In a reciprocal manner, it has also been confirmed that well treated and ‘stable’ periodontal health will assist a diabetic patient in achieving glycemic control.

SIGNS & SYMPTOMS

What to look for – what to ask

Although differing in their aetiology – both periodontitis and diabetes have chronic inflammation as a central feature of their pathogenesis. So it is not surprising that periodontal disease may be the first sign that ‘all is not well’. The clinician should be particularly on alert if :

  • The onset of the periodontal issues have been relatively rapid
  • Symptoms are acute (eg. multiple periodontal abscesses)

Symptoms that may also alert the clinician to a possible underlying diabetic condition include :

excessive thirst, dry mouth / cramps, fatigue, polyuria, hunger, unexplained weight changes, feeling unwell / dizzy, slow healing, persistent skin infections, blurred vision, Irritability / mood swings or headaches.

If diabetes (or pre-diabetes) is suspected then the importance of further investigation by their medical practitioner must be EMPHASISED STRONGLY to the patient – as the morbidity (and mortality) from diabetes is significant (eg. cardiovascular disease, nephropathy, retinopathy, neuropathy).

ACUTE COMPLICATIONS

Although “Diabetic Ketoacidosis” and a “Hyperglycemic hyperosmolar state” are life threatening emergencies for the diabetic patient (and every dental clinician should be aware of their symptoms) – they usually develop over a longer time frame of days or weeks and are therefore less likely to come to a crisis in the dental chair. By far the most frequent complication seen in the dental setting from diabetes is Hypoglycemia. Signs and symptoms of hypoglycemia include : confusion, shakiness (tremors), agitation, tachycardia, dizziness and nausea (eventually progressing to panic, loss of consciousness and seizures)

Anxiety about a dental procedure or ‘skipping a meal’ before a dental appointment are two common reasons this problem is seen in the dental chair. Also, the clinician should be aware that adrenalin in many local anesthetics may mimic or mask the above hypoglycemic symptoms. Patients who have been a diabetic for many years and are “well controlled” are particularly susceptible to ‘missing’ the signs of developing hypoglycemia.

Treatment for a mild hypoglycemic episode can be delivered at the chair side. This involves getting a simple carbohydrate (15 – 20 g) into the patient. Usually a high sugar content fruit juice or soft drink with a straw is the easiest approach. Glucose sweets or jelly beans are another option. All dental clinics should have these on hand for such emergencies.

If the patient cannot take oral sugar – then 30-40 ml of a 50% dextrose solution may need to be injected intravenously or a subcutaneous or intramuscular injection of glucagon given. In any event, this may be better administered by paramedics – and thus an ambulance should be called.

PERIODONTAL TREATMENT STEPS

Definitions:

Diabetes mellitus – is a clinically and genetically heterogeneous group of metabolic disorders manifested by abnormally high levels of glucose in the blood.

1.1 million Australians are currently diagnosed with Diabetes – many more remain undiagnosed.

Periodontitis:

Periodontal Disease – is the term that diseases that affect one or more of the periodontal tissues. The most is often used to describe a “group of common of these is the “plaque induced inflammatory conditions”

Australian Research Report no. 50 – 2010. Confirmed 24.2% of Australians suffer from moderate to severe periodontitis, This is just under 5 1⁄2 million people.

  • Tweet
Tagged under: Brisbane Dental Implants, Brisbane Implants, Brisbane Periodontist, Dental Implants Brisbane, Dental Specialist, Dr John Carrigy, Foundation Dental Services, Periodontal disease, Periodontics Brisbane, Sunshine Coast Dental Implants, Sunshine Coast Implants, Sunshine Coast Periodontist

What you can read next

What is a Periodontist?
Beware the effect of soft drink on your teeth
Dr Carrigy lecturing the final year students
Cambodian Trip June 2013

Recent Posts

  • Periodontics – Dental Implants – Minor Oral Surgery

    Periodontics – Dental Implants – Minor Oral Sur...
  • Hervey Bay Flier 2023 Service

    Periodontics – Dental Implants – Minor Oral Sur...
  • Coorparoo Flier

      Periodontics – Dental Implants – Minor O...
  • Meet Dr Paliwal FDS Coorparoo

    THANK YOU FOR YOUR REFERRALS ! It is greatly ap...
  • Our other Periodontists & “Shared Care” team

    At FDS we don’t have any in-house hygienists – ...

Categories

  • Affordable Dental Implants
  • Brisbane Dental Implants
  • Dental Health
  • Dental Implants Brisbane
  • Dental Implants Sunshine Coast
  • Dental Tips
  • Latest News
  • Periodontics Brisbane
  • Periodontist Brisbane
  • Periodontist Sunshine Coast

FOUNDATION DENTAL

We work in close consultation with our referring general dentists & allied health practitioners to achieve the best possible treatment outcomes - with a healthy, stable mouth the ultimate goal.

RECENT NEWS

VIEW ALL
  • Periodontics – Dental Implants – Minor Oral Surgery

OUR LOCATIONS

Main Practices:

  • Brisbane CBD: Ground Floor Alexandra House, 201 Wickham Terrace, Brisbane City
  • Strathpine (BNE North): 1/520 Gympie Road, Strathpine
  • Taringa (BNE West): 2/180 Moggill Road Taringa
  • Sunshine Coast: 1/128 Golf Links Road, Mountain Creek
  • Tewantin/Noosa: Cooloola Centre, Level 1, 97 Poinciana Avenue, Tewantin

Consultation Clinics:

  • Fraser Coast – Scarness, 2 Freshwater Street
  • Brisbane East – Coorparoo – Shop 3/377 Cavendish Rd, Coorparoo Q4151

CONTACT DETAILS

Phone & Email (Click to Call):

  • Brisbane / Taringa: (07) 3878 2519
  • Sunshine Coast: (07) 5444 2800
  • Email: admin@foundationdental.com.au

Office Details:

  • View Our Locations
  • Monday - Friday: Open 9am - 5pm
  • Refer a Patient Online
Copyright © 2020 Foundation Dental Services Periodontics & Dental Implants. All rights reserved.
Privacy  |  Cookie Policy  |  Website Terms  |  Website by Marketing theProduct
Google Rating
4.8
Foundation Dental Services
Foundation Dental Services
4.8
Gerd Haberkern
Gerd Haberkern
03:59 23 Jul 16
Having had two implants done by Dr John Carrigy 12 years ago and absolutely no issues with them since, I didn’t hesitate to request a referral to Foundation Dental and Dr Carrigy when I needed another implant recently. Once again, I was most impressed with the preparation and care taken to ensure a sterile environment for the procedure, which was very reassuring. Furthermore, John explains what he is doing and why throughout. He takes the trouble to understand his patient and fully answer any questions or concerns. There was minimal pain or discomfort in the days after the procedure, and two weeks later everything has healed perfectly. I would recommend John Carrigy to anyone considering an implant. It beats all other options and the professionalism shown by Dr Carrigy is outstanding.
360 Results
360 Results
09:08 22 Dec 14
Fantastic team and definitely NOT your average dentist! It was a JOY to visit them.
Julie Sawyer
Julie Sawyer
08:29 13 Aug 13
Great experience. Cant recommend highly enough!
Adrian Brand
Adrian Brand
03:10 21 Jul 19
Last time I had periodontal treatment I had to do two treatments with a huge general anaesthetic needle in my gums where each time I was in agony for days after.This time with Dr Carrigy I had one session where I had numbing gel applied to my gums and was out eating lunch with my friends an hour after treatment.Total cost this time was less than a third of the last treatment's cost and my out of pocket cost was only a few hundred dollars compared to thousands last time because I didn't blow all of my major dental health fund's cover like last time.I was really dreading going through perio treatment again but seeing someone who uses modern techniques with modern equipment is nowhere near as awful as my experience last time.
Abdullah alsharik
Abdullah alsharik
00:42 15 Feb 22
I have known dr Carrigy for years ,words can not describe how amazing he is .He is very respectable ,honest ,modest and explain everything in simple empathetic language .He has had done a great job with gum longstanding disease and have amazing result and improvement .I highly recommended him if you need any thing related to gum or any relevant matter to his field
Glenn Jones
Glenn Jones
04:34 27 May 22
Just had two implants commenced wit Dr. John Carrigy. Absolutely painless and done with skill and professionalism. I would absolutely recommend Foundation Dental to anybody seeking quality dental care. Dr. CARRIGY’s experience in dealing with DVA and his teamwork with Dr. Justin BOULTON (prosthedontist) is top shelf.
Brent McCracken
Brent McCracken
03:45 30 Aug 23
Excellent service and treatment.I have had a series of dental treatments from Dr Sweat Paliwal. She is a highly skilled dentist providing excellent service. Dr Paliwal has an open and friendly manner, guiding me through each step of the procedure in as very kind and supportive manner. Her work has result in a great outcome outcome for me I would highly recommend her to anyone seeking her specialist dentistry skills.
Robert Tilley
Robert Tilley
22:17 10 May 24
Dr John Carrigy is a perfectionist. I had quite invasive implant work carried out and I can honestly say that I felt no pain or discomfort. He takes the time to explain the procedure, the equipment and fittings used in great detail. The Doctor put me at ease immediately. Healing was complete in two weeks, again with no pain or discomfort. I thoroughly recommend Dr Carrigy and his professional team for any dental work.
Jonathan Croasdale
Jonathan Croasdale
23:01 03 Feb 25
Dr Carrigy and his entire team are extremely professional and caring. After two failed implants at a different business, Dr Carrigy managed a successful implant for me. The process was painless, and I couldn't recommend him highly enough. Thank you so much to the team at foundation dental!
Ken Lifu
Ken Lifu
09:31 25 Jun 16
Dr Carrigy was very professional & pleasant when explaining the procedure which made me comfortable in proceeding with such a major procedure. In short,not as painful in more ways than one would normally expect!
Aaron Moxham
Aaron Moxham
00:08 14 Aug 15
Was made to feel calm and safe throughout the procedure excellent service
Next Reviews Write a review
powered by Google
TOP
We use Cookies to give you the best experience on our site OK, Thanks!
Privacy & Cookies Policy

Privacy Overview

This website uses cookies to improve your experience while you navigate through the website. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. We also use third-party cookies that help us analyze and understand how you use this website. These cookies will be stored in your browser only with your consent. You also have the option to opt-out of these cookies. But opting out of some of these cookies may have an effect on your browsing experience.
Necessary
Always Enabled
Necessary cookies are absolutely essential for the website to function properly. This category only includes cookies that ensures basic functionalities and security features of the website. These cookies do not store any personal information.
Non-necessary
Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. It is mandatory to procure user consent prior to running these cookies on your website.
SAVE & ACCEPT