Diabetes: the Dental Aspect

People with diabetes are three to four times likely to develop gum disease as the general population. This happens when diabetes is not well controlled.

Too much or too little sugar in the blood can compromise your small blood vessels, which bring nourishment to all parts of your body including your gums. It also affects your white blood cells which fight infection. Problems in your mouth that may result from this can be a burning sensation, overgrowth of gum tissue, tooth decay and fungal infection (thrush). But also, if you have a periodontal infection, in turn, it is difficult to then control your blood sugar. It can be a vicious circle.

How do you know if you have damage to your teeth or gums?

• Red, sore swollen gums;
• Bleeding gums;
• Gums pulling away from your teeth so your teeth look long;
• Loose or sensitive teeth;
• Bad breath;
• A bite that feels different;
• Dentures (false teeth) that are not fitting well.

Periodontal disease can damage the gum and bone that hold your teeth in place and may lead to painful chewing problems. You could even lose your teeth.

Getting your gum disease under control may actually help improve your control of your blood sugar levels. See your dentist and hygienist frequently, keep them well informed of your condition, your medications, glucose levels, frequency of episodes, and of course, any changes your have noticed in your mouth.

Ways to help keep your teeth and gums healthy are:

• Keep your blood glucose levels as close to normal as possible;
• Use dental floss at least once a day EVERY DAY;
• Brush your teeth after each meal and snack;
• Keep false teeth clean;
• Call your dentist right away if you have a problem;
• See your hygienist twice a year for a professional cleaning and a thorough exam by the dentist;
• Have recommended treatment taken care of right away.

Together with your dentist you can formulate an oral care plan that best protects your mouth, and supports the ongoing care of your condition through proper diet and medication.

For more information contact Dr. John Rohm, DMD at (724) 695-2100 and schedule a convenient time to sit and discuss your concerns. You can also contact Dr. Rohm via e-mail.