What types of complications are there for diabetics getting wisdom teeth pulled?

Question

Diabetics with Type 1 need to maintain blood sugar levels, if the stress of an oral surgery (i.e. sedated, not being able to eat or drink to maintain certain blood glucose levels), how are these cases handled?

Answer 1

I had to have 4 taken out. First, go to an expert...an oral surgeon, not a regular dentist (if your insurance will coveer it- it should, since you have more risks).... And make sure he schedules you as the 1st patient in the am...that way you can go home and eat lunch on time.



Secondly, I had two teeth on one side taken out one day & after it healed, had the other two removed. This takes care of "not being able to eat normally" afterward .



Stress: The oral surgeon will use gas (knocks you out fast) and injection to numb jaw if you ask him. The actual removal of the teeth takes no time at all. The surgeon said mine were out in 10 minutes- only one was impacted (not a long enough time for my blood sugar to be doing anything wild).



Went home with a numb side, but was able to eat on the other side of my mouth no problem. Sugar was up a little (I had taken my normal NPH insulin but not my Humalog (short acting) because I didn't have breakfast that am.



The biggest complication diabetics face is healing. Even though mucous membranes heal rather fast in the "typical" population, we may heal slower (depending on age, control, and length of time we have had the diabetes).



I had pain in one socket healing (it had been impacted). Went back to the surgeons office and he put a sterile clove (you heard right...a "sterile clove") into the small depression where my tooth had been...and it killed the pain.

(I was amazed).



I was in my 30's and had Type I for 22 years when I had mine out. I was pleasantly surprised that it wasn't as big a deal as I had thought it would be.

Answer 2

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Answer 3

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Answer 4

When I had mine removed (they were cut not pulled) I had a glucose I.V. during the surgery to keep my blood sugars up. It's been a while, but I remember my numbers being a little elevated for a few days. I wasn't eating too much but still taking my insulin and I still was running high. Now we have a lot better tools for monitoring and regulating blood sugars so depending on the insulin regimen, with MDI or an insulin pump, I would think you could get back to appropriate numbers pretty quickly.

Answer 5

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Answer 6

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RE:

What types of complications are there for diabetics getting wisdom teeth pulled?

Diabetics with Type 1 need to maintain blood sugar levels, if the stress of an oral surgery (i.e. sedated, not being able to eat or drink to maintain certain blood glucose levels), how are these cases handled?

Answer 7

With the newer types of insulin these days, diabetic diets aren't necessarily as restrictive as they used to be. Read here https://tr.im/WoLAv

As with any medicine or diet change, you should discuss it with your doctor. Fruits, both fresh and dried, have a natural sugar in them that will raise blood sugar levels, so be careful about eating too much. Not sure about the nuts. Moderation is always the key. I've been diabetic for 18 years and just recently changed insulin types. I love it because it gives me more freedom in when and what I eat.

Answer 8

Diabetes And Tooth Extraction

Answer 9

I am on Lantus and Humalog, so when mine were pulled, I still took my normal Lantus and lower my humalog to what I was eating which wasnt much. I didn't really have any complications at all. Just watch your sugars and adjust insulin.

Answer 10

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Answer 11

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Answer 12

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