Insulin
Antihyperglycemic (hormone)
Brand names: Humalog, Lantus, Novolog
Oral health effects
Hypoglycemia risk during appointments
The main chairside concern is a hypoglycemic episode, especially if a patient skipped a meal before treatment.
Clinical management: Confirm the patient has eaten; keep oral glucose available; schedule to avoid peak insulin action.
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.