MANAGEMEN PASIEN DIABETES MELLITUS DI PROSTHODONSIA

Abstract

Diabetes mellitus is one of major chronic health problems and the prevalence increases every year. Poor blood glucose control or uncontrolled hyperglycemia condition is the major reason diabetes mellitus can cause some complication in oral. As of this condition, numerous diabetes mellitus sufferers have poor quality of life because inadequate in mastication. For improving quality of life diabetic patients, they need denture to help them in mastication process. However, there some debates about denture for diabetic patients; because diabetes mellitus can be contraindication in prosthodontic treatment. Aim this study is to know the management in prosthodontic treatment of diabetic patients as rehabilitation and final treatment in dentistry. Diabetes mellitus patient management in prosthodontic are generally as followed medical history, check up blood glucose level, stress management, intra oral and radiography examination, oral and denture hygiene, diet consultation and denture elective. All of type of dental prosthesis can be considered to diabetic patients principally. Type of dental prosthesis that can be worn by diabetic patients are removable denture (partial and complete), fixed denture, overdenture, and implant. Pre treatment before making and inserting dental prosthesis must be finished. If there is dental caries, dental caries must be restored by appropriate restoration, such as filling, endodontic treatment, rigid restoration, etc. Moreover, the dentist must do plaque and calculus removing. The conclusion of this review is diabetes mellitus could be considered to take prosthodontic treatment, but the dentist must consider their blood glucose level.