Dental OSCE (Objective Structured Clinical Examination) Practice Exam

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What is the recommended action when performing dental treatment on a patient with uncontrolled diabetes?

  1. Proceed with standard treatment without precautions

  2. Consult with a medical doctor before proceeding

  3. Delay treatment until the patient is stable

  4. Give insulin before treatment

The correct answer is: Consult with a medical doctor before proceeding

Consulting with a medical doctor before proceeding with dental treatment for a patient with uncontrolled diabetes is crucial for several reasons. Uncontrolled diabetes can significantly affect a patient's ability to heal, increase the risk of infections, and lead to potential complications during and after dental procedures. A medical professional can provide insights into the patient's current health status, medication regimen, and any specific precautions that may need to be taken. Collaboration between dental and medical professionals ensures that the patient's overall wellbeing is prioritized. For instance, they may discuss adjusting insulin doses or monitor blood glucose levels before and after treatment. This coordinated approach helps ensure safe and effective care, minimizing risks associated with performing dental procedures on a patient who is not well-controlled. In contrast, proceeding with standard treatment without precautions could pose serious risks to the patient's health. Delaying treatment until the patient is stable could also be valid in certain contexts, but it is ultimately essential to engage with the patient's medical team for the best outcome. Giving insulin before treatment might not be appropriate without proper guidance from a healthcare provider, as it requires careful consideration of the patient's condition and current medications.