Oral Complications of Diabetes

Course #54964-


Study Points

  1. Outline the prevalence of diabetes in the United States.
  2. Review the physiology of the oral cavity.
  3. Identify the mechanisms that influence the development of oral complications in patients with diabetes.
  4. Describe the link between periodontal disease and other diabetes-related complications.
  5. Discuss the options for treatment and prevention of diabetes-related oral complications.

    1 . As of 2023, how many Americans have diabetes?
    A) 9.3 million
    B) 12 million
    C) 40.1 million
    D) 52.3 million

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    2 . Of the following, the prevalence of diabetes is greatest among
    A) Black Americans.
    B) White Americans.
    C) Asian Americans.
    D) American Indian/Alaskan Natives.

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    3 . The external layer of the tooth, consisting mainly of hydroxylapatite, is the
    A) pulp.
    B) dentin.
    C) gingiva.
    D) enamel.

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    4 . Both diabetes and periodontal disease share a common pathogenesis that involves
    A) impaired glycemic response.
    B) increased vascular reactivity.
    C) an increase in endothelium-derived nitric oxide production.
    D) enhanced inflammatory response at the local and systemic levels.

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    5 . The oral complications of diabetes are generally the result of
    A) impaired healing.
    B) increased fibrinolysis.
    C) increased vasodilation.
    D) accumulation of glycation end products in the gingiva.

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    6 . The prevalence of oral lesions and periodontal disease in individuals with poorly controlled diabetes is increased
    A) 2- to 3-fold.
    B) 5-fold.
    C) 10-fold.
    D) 25-fold.

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    7 . Which of the following statements regarding the relationship between periodontal disease and cardiovascular disease is TRUE?
    A) Dental infection has not been associated with coronary atherosclerosis.
    B) Periodontal disease does not contribute to the advancement of type 2 diabetes.
    C) Bacterial DNA from periodontal infections has been identified in atherosclerotic plaques.
    D) Periodontal disease is not a predictor of death among individuals with diabetes and associated ischemic heart disease.

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    8 . Diabetes-related peripheral and autonomic neuropathies are independent risk factors for
    A) tooth loss.
    B) alteration of oral sensations.
    C) temporomandibular disorders.
    D) All of the above

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    9 . The treatment of choice for patients with diabetes and advanced periodontal disease is
    A) dental surgery.
    B) watchful waiting.
    C) tooth extractions.
    D) systemic antibiotics.

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    10 . Patients with diabetes who have or are at risk for periodontal disease should be
    A) encouraged to see a dental professional once per year.
    B) assessed for signs of oral infection, halitosis, or poor oral sensations.
    C) referred to a nurse for assessment of sore, swollen, or bleeding gums.
    D) None of the above

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