Preoperative HbA1c and Blood Glucose Measurements in Diabetes Mellitus before Oral Surgery and Implantology Treatments

Int J Environ Res Public Health. 2023 Mar 8;20(6):4745. doi: 10.3390/ijerph20064745.

Abstract

Diabetes mellitus has become a worldwide epidemic and is frequently accompanied by a number of complications proportional to the duration of hyperglycemia. The aim of this narrative review is to assess the most up-to-date guidelines on DM provided by both diabetes and dental associations. Furthermore, to gather evidence on the uni/bidirectional relationships of elevated HbA1c levels on dental surgery, implantology, bone augmentation, and periodontology and to demonstrate the importance of measuring HbA1c levels before invasive dental treatments. HbA1c and blood glucose measurements are a minimally invasive method for preventing complications in diabetes mellitus. The authors conducted a literature review to determine which oral conditions are affected by diabetes mellitus. MEDLINE served as a source with the use of a specific search key. Regarding oral complications of diabetes, prevention is the most vital factor. With this publication, we hope to assist physicians and dentists to make prompt diagnoses and to help in recognizing various oral manifestations of diabetes and follow the existing guidelines.

Keywords: HbA1c; blood glucose; diabetes; implantology.

Publication types

  • Review

MeSH terms

  • Blood Glucose
  • Diabetes Mellitus* / diagnosis
  • Diabetes Mellitus, Type 2*
  • Glycated Hemoglobin
  • Humans
  • Hyperglycemia*
  • Oral Surgical Procedures*

Substances

  • Blood Glucose
  • Glycated Hemoglobin

Grants and funding

This research received no external funding.