Supplements & Special Reports

Diabetes and Oral Health Supplement Continuing Education

To answer the questions below, print out the answer sheet for this supplement.

Update on Diabetes Diagnosis and Management | PDF File/129k

1. What is the approximate number of undiagnosed cases of diabetes mellitus in the United States?

1. 1 to 2 million
2. 4 to 5 million
3. 6 to 7 million
4. 9 to 10 million

2. Which one of the following is not one of the classic symptoms of diabetes?

1. polydipsia
2. polyuria
3. polyphagia
4. agitation and restlessness

3. What is the recommended peak postprandial plasma glucose level for a nonpregnant adult patient?

1. less than 180 milligrams/deciliter
2. 180 to 220 mg/dL
3. 220 to 240 mg/dL
4. 240 to 260 mg/dL

4. Which one of the following interventions was not described by the authors as part of the initial treatment for patients with type 2 diabetes?

1. supplemental insulin therapy
2. healthful meal planning
3. exercise
4. weight loss (when appropriate)

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Dental Considerations for the Treatment of Patients With Diabetes Mellitus | PDF File/139k

1. Approximately what percentage of primary diabetes cases are represented by type 1 diabetes mellitus?

1. no more than 5 percent
2. 15 to 20 percent
3. 20 to 30 percent
4. 30 to 40 percent

2. In current medical therapy, how many times per day should a diabetic patient perform self-monitoring of blood glucose with a glucometer?

1. once per day
2. twice per day
3. three times per day
4. four to six times per day

3. Which one of the following medications was recommended by the author as a topical treatment for oral candidiasis that does not contain sugar?

1. clotrimazole
2. nystatin
3. fluconazole
4. ketoconazole

4. Which one of the following is not a constituent of the antifungal creams recommended by the author for treatment of angular cheilitis?

1. clotrimazole
2. acyclovir
3. miconazole
4. ketoconazole

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The Influence of Diabetes on the Periodontal Tissues | PDF File/114k

1. What is the estimated prevalence of periodontal disease in juveniles with type 1 diabetes mellitus?

1. less than 1 percent
2. 3.1 percent
3. 5.7 percent
4. 9.8 percent

2. In a study cited by the authors, what proportion of patients with type 1 diabetes mellitus with poor metabolic control had attachment loss of 5 millimeters or more?

1. less than 5 percent
2. about 10 percent
3. more than one-quarter
4. about one-half

3. How much higher was the rate of tooth loss among Pima Indians with type 2 diabetes relative to those without diabetes?

1. two times higher
2. three times higher
3. 10 times higher
4. 15 times higher

4. What odds ratio was cited for the risk of developing severe periodontal disease among patients with “better-controlled diabetes” if they were smokers?

1. 1.2
2. 1.5
3. 2.3
4. 2.9

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The Effects of Periodontal Treatment on Diabetes | PDF File/133k

1. Which one of the following was a finding from Aldridge and colleagues’ randomized clinical trial of the effect of periodontal treatment on glycosylated hemoglobin, or HbA1c, levels?

1. Levels were reduced for patients with type 1 diabetes.
2. Levels were not reduced for patients with type 1 diabetes.
3. Levels were reduced for patients with type 2 diabetes.
4. Levels were not reduced for patients with type 2 diabetes.

2. In the type 2 diabetes study by Grossi and colleagues, which treatment was associated with significant reductions in HbA1c concentration?

1. ultrasonic scaling
2. systemic doxycycline
3. povidone-iodine irrigation
4. chlorhexidine irrigation

3. For patients with type 2 diabetes studied by Stewart and colleagues, what reduction in HbA1c levels was associated with periodontal treatment?

1. 5.6 percent
2. 10.6 percent
3. 17.1 percent
4. 22.2 percent

4. What was the mean HbA1c level three months after periodontal treatment for patients with type 2 diabetes studied by Iwamoto and colleagues?

1. 5.5 percent
2. 6.8 percent
3. 7.1 percent
4. 8.2 percent

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