Medical Emergencies · single question
A diabetic patient with HbA1c of 9% presents with a small periapical radiolucency and NO pain. What is the appropriate management?
Show answer and explanation
Correct answer: B. Refer to physician first
✓ B) Refer to physician is correct.
HbA1c of 9% indicates POORLY CONTROLLED diabetes (normal < 5.7%; good control for diabetics < 7%). In poorly controlled diabetics: impaired wound healing, increased infection risk, poor post-surgical outcomes, and higher risk of complications. Before elective dental surgery, patients with HbA1c > 8–9% should be referred to their physician for glycemic optimization. Simple extractions can be considered after glucose control improves. Asymptomatic lesion = non-emergency, allowing time for medical optimization before treatment.
HbA1c of 9% indicates POORLY CONTROLLED diabetes (normal < 5.7%; good control for diabetics < 7%). In poorly controlled diabetics: impaired wound healing, increased infection risk, poor post-surgical outcomes, and higher risk of complications. Before elective dental surgery, patients with HbA1c > 8–9% should be referred to their physician for glycemic optimization. Simple extractions can be considered after glucose control improves. Asymptomatic lesion = non-emergency, allowing time for medical optimization before treatment.
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