What is the recommended approach for a poorly controlled diabetic with gum disease?

The recommended approach for a poorly controlled diabetic with gum disease emphasizes the importance of addressing the overall health of the patient before initiating dental treatment. Consulting with a physician is crucial in this case for several reasons.

Individuals with poorly controlled diabetes often have elevated blood glucose levels, which can significantly affect healing and increase the risk of infections. By referring the patient to their physician, healthcare providers can ensure that the patient's diabetes management plan is optimized. This may include adjustments in their medication, dietary recommendations, or other interventions to stabilize their glucose levels.

Once the patient's diabetes is better controlled, dental treatments such as restorative procedures or periodontal therapy can be performed more safely and effectively. This collaborative approach prioritizes the patient's overall health and reduces the risk of complications during dental interventions.

While other options, such as starting antibiotics, performing cleanings, or immediate restorative work, might seem appealing, they do not adequately address the underlying issue of poor glycemic control, which is foundational in managing both diabetes and associated periodontal diseases.