Chronic complications.
The possible cardiovascular complications of diabetes should be properly assessed
before dental treatment. Autonomic neuropathy can predispose
to orthostatic hypotension, respiratory arrest or
hemodynamic instability. If the patient has renal complications,
a dose adjustment of the drugs should be performed,
using the creatinin clearance (1). It is recommended
to associate antibiotic treatment when mechanical
periodontal treatment is performed, and also administer
an antibiotic prophylaxis (7, 25). Osteoporosis present
in type 1 DM requires great care when performing surgery,
in order to prevent iatrogenic fractures (4). Due to
the delayed healing response in diabetic patients (8, 25),