A poorly controlled diabetic patient presents with caries and poor oral hygiene. What is the best course of action?

In the case of a poorly controlled diabetic patient presenting with caries and poor oral hygiene, referring the patient to their physician for condition control is the most appropriate course of action. Diabetes can significantly affect oral health, leading to increased susceptibility to infections, poor wound healing, and exacerbated periodontal disease. Before undertaking any dental procedures such as restorative work or periodontal cleaning, it is crucial to stabilize the patient's diabetes to minimize the risk of complications during and after treatment.

By addressing the underlying medical condition first, dental interventions can be more effective and safer for the patient. Once the patient's diabetes is under better control, they can then receive appropriate dental care tailored to their needs, such as restorative dentistry and periodontal treatments. This approach emphasizes the importance of a multidisciplinary strategy in managing patients with systemic health issues that impact oral health.