Medical Emergencies · single question

Which of the following is NOT a recognized oral manifestation or association of diabetes mellitus?

  1. Parotid hypertrophy (sialadenosis)
  2. Hyposalivation / xerostomia
  3. Increased caries rate
  4. Improved periodontal healing
Show answer and explanation

Correct answer: D. Improved periodontal healing

Diabetes is associated with impaired healing, not improved healing. Diabetic patients have reduced neutrophil function, microvascular disease, and altered collagen metabolism — all of which worsen periodontal outcomes. Parotid hypertrophy (bilateral, painless sialadenosis) and hyposalivation/xerostomia ARE recognized associations with diabetes. Poorly controlled DM also increases caries risk due to elevated glucose in saliva.

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