How Does Diabetes Affect My Teeth and Gums?

Diabetes is a lifelong (chronic) disease where there’s a high level of sugar in the blood. Insulin is a hormone produced by the pancreas inside your body. A deficiency of insulin production, resistance to insulin, or both can consequently cause diabetes.

To understand diabetes, it is important to first understand the normal process where food is broken down and used by the body for energy. Several things happen when food is digested:

A sugar called glucose is absorbed into the bloodstream. Glucose is a source of fuel for our body. Insulin is today produced by the body. The role of this insulin is to move glucose from the bloodstream into muscle, fat, and liver cells, where it could be stored. Diabetics have elevated blood sugar because their body cannot move sugar into fat, liver, and muscle cells to be stored for energy.

Why does this occur?

Their pancreas does not make enough insulin or the body cells don’t respond to insulin generally. Both the above can also occur

There are 3 Big Kinds of diabetes:

Type 1 diabetes can occur at any age, but it is most often diagnosed in children, teens, or young adults. In this disorder, the body makes little or no insulin. Daily injections of insulin are needed to control this. The precise reason is unknown.

Type 2 diabetes makes up most diabetes cases. It most frequently occurs in adulthood, but teens and young adults are now being diagnosed with it because of high obesity rates. Many people with type 2 diabetes don’t know they have it. In this Kind of Diabetes, the body’s cells need the blood glucose to clean

Gestational diabetes is high blood glucose which develops at any time during pregnancy in a woman who doesn’t have diabetes.

Complications of Diabetes:

Periodontitis: Periodontitis is a disease of the supporting structures of the teeth ie, the Alveolar bone that the ligaments as well as the gingiva at the top. Uncontrolled diabetics show increased amounts of gum infections which results in premature loss of the teeth. In uncontrolled diabetics, there is increased production of advanced glycation end products. these Don’t Allow the collagen to be implanted therefore the hydration tends to crack down at the slightest infection resulting in multiple abscesses from the gums

Diabetic cardiomyopathy: damage to the center, resulting in diastolic dysfunction and eventually heart failure.

Diabetic nephropathy: harm to the kidney that may lead to chronic renal failure, eventually necessitating dialysis. Diabetes mellitus is the most common cause of adult kidney failure worldwide from the developed world. Visit DeerValley Dental Care today!

Diabetic neuropathy: Unusual and diminished sensation, usually in a glove and stocking’ distribution beginning with the toes but potentially in different nerves, later frequently fingers and hands. That this may result in a foot when combined with damaged blood vessels. Other forms of neuropathy may present as mononeuritis or autonomic neuropathy. Diabetic is muscle weakness due to neuropathy.

Diabetic retinopathy: the growth of friable and poor-quality new blood vessels in the retina in addition to macular edema (swelling of the macula), which can result in serious vision loss or blindness.

Is there an association between gum disease and Diabetes?

For the almost 50 million Indians that have diabetes, many might be surprised to learn about Periodontitis being an unexpected complication associated with this condition. Research proves that there is an increased prevalence of advanced gum disease called periodontitis among those with diabetes, ” The American Diabetic Association has added periodontitis into the list of other 5 based complications related to diabetes, macrovascular diseases such as heart disease, microvascular diseases, retinopathy, nephropathy (renal disease) and neuropathy.

If I’ve gum disease such as Periodontitis will I have more diabetes?

Research is revealing that when gum disease/ periodontitis is current it results in increased levels of TNF-alpha. The capability of the body to respond to insulin decreases the individual demands a dose of insulin or oral hypoglycemic medication to control their increasing blood sugar levels. Research has shown that once this gum disease is controlled the amount of medication reduces. See: Dental Emergencies | Deer Valley Dental Care | SE, Calgary

Can There Be a Two-Way Street?

Yes, the relationship between serious gum disease and diabetes is two-way. Not only are people with diabetes susceptible to gum disease that is serious, but severe gum disease may have the potential to affect blood sugar control and contribute to the progression of diabetes. Research suggests that people with diabetes are at greater risk for oral health issues, such as gingivitis (an early stage of gum disease) and periodontitis (severe gum disease). Individuals with diabetes are at a higher risk for gum disease since they are more vulnerable to bacterial disease, also have a decreased ability to fight germs which invade the teeth.

Diabetics must get their periodontal health tested by a periodontist every 6 weeks.

If I Have Diabetes, am I at Risk for Dental Problems?

If your blood glucose levels are poorly controlled, you’re more likely to develop serious gum disease and shed more teeth than non-diabetics. Like all infections, serious gum disease may be a significant factor in causing blood sugar to rise. Other problems associated with diabetes include thrush, an infection and dry mouth which can cause cavities, ulcers, infections, and soreness.

How Can I Help Prevent Dental Issues Associated with Diabetes?

First and foremost, control your blood glucose level. Get regular blood tests to take good care of gums and your teeth, along with routine checkups every six weeks.

Flossing daily helps prevent the build-up of plaque or tarter which results in gum disease. Care should be taken not to snap the floss between the teeth since it will harm the gums.

Brushing should be done two times a day and attention ought to be taken to reach all areas of the mouth or you can ask your physician to fix your own method.

Some dental patients complain of excessive dryness that this can result in caries and bacterial infections our experts provide gels to prevent this dryness.

To restrain thrush, a fungal infection, maintain good diabetic control, prevent smoking and, if you wear dentures, remove and clean dentures every day.

Should I Tell My Dental Professional About My Diabetes?

Yes, most people with diabetes have special needs. Please notify us of any medication you may be taking and changes in your condition. If your blood glucose is not in control postpone any non-emergency dental procedures.

The most frequent complication for diabetics on the dental chair is hypoglycemia, due to the hypoglycemic medications. Please do not come empty belly for appointments.

Prior to any major dental appointment, it is required to acquire a glycated hemoglobin test done. This test tells us the blood sugar levels over a period of 3 months

With appropriate attention and consciousness on the part of the patient and doctor, Diabetes can be defeated.