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My next patient is diabetic: what are the implications for the dental treatment I provide?

(Peer-reviewed content that will appear in the JCDA OASIS “point of care” searchable database at www.jcdaoasis.ca – which will be introduced at the beginning of 2013. Diabetes Mellitus Diabetes mellitus (DM) is a disease of glucose, fat, and protein metabolism characterized by hyperglycemia, which results from impaired insulin secretion or varying degrees of insulin resistance, or both. • Types: Type 1 DM, Type 2 DM, Gestational DM Local Anesthetic Precautions  Use vasoconstrictors with caution: Routine use of local anesthetic with 1:100,000 epinephrine is generally well tolerated. However, epinephrine has a pharmacologic effect that is opposite to that of insulin, so blood glucose could rise ...

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Managing the patient claiming to be allergic to dental materials

I recently sent the following message to the members of the JCDA Restorative Dentistry Expert Panel Question A lady called the CDA office today distraught because she has called 21 dental offices seeking treatment, and all have refused her. She tells us that she is allergic to 9 different materials using in dental offices. She claims that because of the complications she would present to a general dental office, they are refusing to treat her.   Do you have any advice that we could give her please? Is there any practical “next steps” advice that we can pass on to ...

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