Glyburide
Antihyperglycemic (sulfonylurea)
Brand names: DiaBeta, Glynase
Oral health effects
Hypoglycemia risk
Sulfonylurea with a meaningful hypoglycemia risk.
Clinical management: Confirm recent food intake; have glucose on hand.
Indirect periodontal/caries risk via glycemic control
These agents do not act directly on the mouth, but the underlying diabetes (and how well it is controlled) strongly influences periodontal disease, healing, and infection risk.
Clinical management: Reinforce that good glycemic control supports periodontal health; coordinate care and note HbA1c.
Sources
- Adverse drug events in the oral cavity. Yuan A, Woo SB. Oral surgery, oral medicine, oral pathology and oral radiology, 2015.