Gum Disease & Diabetes
People who suffer from diabetes are more susceptible to developing infections than non-diabetes sufferers. It is not widely known that gum (periodontal) disease is often considered the sixth complication of diabetes; particularly when the diabetes is not under proper control.
Gum disease is a progressive condition that often leads to tooth loss if treatment is not promptly sought. Gum disease begins with a bacterial infection in the gingival tissue which surrounds the teeth. As the bacteria colonise, the gum pockets become deeper, the gums recede as tissue is destroyed and the periodontitis eventually attacks the underlying bone tissue.
Ways in which diabetes and periodontal disease are linked:
Increased blood sugar
Moderate and severe periodontal disease elevates sugar levels in the body, increasing the amount of time the body has to function with high blood sugar. This is why diabetics with periodontitis have difficulty keeping control of their blood sugar. In addition, the higher sugar levels found in the mouth of diabetics provide food for the very bacteria that worsen periodontal infections. ?
Blood vessel thickening
The thickening of the blood vessels is one of the other major concerns for diabetes sufferers. The blood vessels normally serve a vital function for tissues by delivering nutrients and removing waste products. With diabetes, the blood vessels become too thick for these exchanges to occur. This means that harmful waste is left in the mouth and can weaken the resistance of gum tissue, which can lead to infection and gum disease.
Tobacco use does a great deal of damage in the oral region. Not only does tobacco use slow the healing process, it also vastly increases the chances of an individual developing periodontal disease. For diabetics who smoke, the risk is exponentially greater. In fact, diabetic smokers aged 45 and over are twenty times more likely to develop periodontal disease.
Poor oral hygiene
It is essential for diabetics to maintain excellent levels of oral health. If daily brushing and flossing does not occur, the harmful oral bacteria can ingest the excess sugar between the teeth and colonise more freely below the gum line. This exacerbates the metabolic problems that diabetes sufferers experience.
Diagnosis and Treatment
People suffering from any type of diabetes need to see the dentist at least twice yearly for checkups and professional cleanings.
Studies have shown that simple non-surgical periodontal treatments can lower the HbA1c (hemoglobin molecule blood test) count by as much as 20% in a six month period.
The dentist will use medical history, family history and dental X-rays to assess the risk factors for periodontal disease and determine the exact condition of the gums, teeth and underlying jawbone. If necessary the dentist will work in conjunction with other doctors to ensure that both the diabetes and the gum disease are being managed and controlled as effectively as possible.
Non-surgical procedures performed by the dentist and dental hygienist include deep scaling, where calculus (tartar) will be removed from the teeth above and below the gumline, and root planing, where the root of the tooth is smoothed down to eliminate any remaining bacteria. Antibiotics may be applied to the gum pockets to promote healing.
Before and after periodontal treatment, the dentist and hygienist at The Lucan Clinic will recommend proper home care and oral maintenance as well as prescribing prescription mouthwashes which serve to deter further bacteria colonisation.
If you have questions or concerns about diabetes or gum disease, please contact us.