Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

Which oral complication of diabetes is NOT typically included in the list of complications?

1. Periodontitis and tooth loss

2. Gingivitis

3. Dental abscesses

4. Dental caries

The correct answer is: Dental caries

Dental caries, commonly known as tooth decay, is not typically classified as a direct oral complication of diabetes, although people with diabetes can experience it at higher rates due to factors such as dry mouth, dietary habits, and elevated glucose levels that can promote decay. However, the other options, including periodontitis, gingivitis, and dental abscesses, are considered direct complications associated with diabetes management and are closely linked to the patient's overall periodontal health. Periodontitis and tooth loss are significant concerns as diabetes can increase the risk and severity of gum disease, leading to inflammation and tissue breakdown. Gingivitis, the early stage of periodontal disease, is also more prevalent in individuals with diabetes due to impaired immune responses. Dental abscesses can arise from untreated infections and are similarly heightened in those with diabetes. These conditions illustrate how diabetes can exacerbate oral health issues, making them integral to the discussion about diabetes-related complications, unlike dental caries, which is more influenced by dietary and hygiene factors.