Management of Medically Compromised Prosthodontic Patients

Table 6

Implant procedure plan according to postprandial blood glucose level [4].

Risk	Blood sugar level	Implant procedures
Low	<140 mg/dl	Stress reduction protocol, maintain glucose level
Low/medium	140–180 mg/dl	Stress reduction protocol, maintain glucose level; Patients with neuropathy, nephropathy, peripheral vascular disease, history of coronary disease, or may be at higher risk.; Medical consultation may be appropriate (relative contraindication)
Medium high	180–215 mg/dl	Patients without any secondary manifestations, medical consult may be obtained (relative); Patients with coronary disease or other diabetic-related conditions require medical consult (relative/absolute)
High risk	>215 mg/dl	Medical referral and better glycemic control (absolute contraindication)