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How Does Diabetes Affect The Mouth
People with diabetes are at a notably higher risk of developing periodontal disease and dental caries. Periodontal disease is a serious gum infection that damages the soft tissue, which can destroy the bone that supports the teeth if not treated properly. The link between oral health problems and diabetes is the levels of high blood sugar. If your blood sugar is poorly controlled, oral health problems such a periodontal disease are more likely to take place. This is because diabetes weakens white blood cells, which are the bodys principal defense against bacterial infections. There are also a few diabetes medications that can put the patient at risk for dental issues, such as caries. People with diabetes face higher risks of facing oral problems such as:
- Dry mouth Uncontrolled diabetes can cause saliva flow to decrease. Dry mouth can lead to issues such as soreness, infections, ulcers, and tooth decay.
- Gum Inflammation and Periodontitis Diabetes causes blood vessels to thicken, slowing the flow of nutrients body tissues, including the mouth. This makes the body less able to fight infections, thus more susceptible to more severe gum diseases.
- Poor healing People with diabetes take longer to heal from things like oral surgery and other dental procedures.
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Can Diabetes Cause Your Teeth To Fall Out
Can diabetes cause your teeth to fall out? Unfortunately, the answer is yes.
Diabetes is a disease that seems to be affecting more and more of us as time goes on. Between our diets and the constant monitoring of glucose levels, there are a lot of changes that occurs in our lives. Did you know that diabetes can affect your smile as well? Its true. When gum disease progresses to periodontitis, your gums begin to pull away from your teeth, forming pockets. If left untreated, the infection goes on to destroy the bone around your teeth. The teeth may start to move or get loose. Your teeth may fall out or need to be pulled. For the nearly 30 million Americans who have diabetes, there is an increased prevalence of gum disease among those with diabetes.
Not only are people with diabetes more susceptible to serious gum disease, but serious gum disease may have the potential to affect blood glucose control and contribute to the progression of diabetes. Research suggests that people with diabetes are at higher risk for oral health problems because they are generally more susceptible to bacterial infection, and have a decreased ability to fight bacteria that invade the gums.
If you have questions or concerns about how diabetes can affect your dental health, make a dentist appointment today with Dr. Farlessat 336-282-2868 or visit our website atwww.gsodentist.com.
How Can I Prepare For Dental Work
High blood glucose increases the risk for infections after mouth surgery and can also take your mouth longer to heal. Tell your doctor if you will be having oral surgery or other extensive dental work. To help you prepare for and heal after the procedure, ask your doctor
- how often you should check your blood glucose before and after the procedure
- what, if any, changes you should make to your medicines, such as changing the dose or the time you take a medicine
- how to best treat any soreness after the procedure
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How Did I Get Periodontal Disease
Diabetes with poor control , combined with poor brushing and flossing habits can lead to periodontal disease. Plaque build-up under the gum line occurs first. Then your gums will become irritated, swollen and may be reddened. You may notice that they bleed when you are brushing your teeth or flossing.
This is just the first stage of periodontal disease, called gingivitis. This is also often called halitosis, or simply, bad breath. This can be treated with daily brushing and flossing, and regular dental check-ups, and is not so severe. Many people have had a case of gingivitis.
When gingivitis is allowed to thrive in your mouth, the second stage, called periodontitis occurs. It is the infection of the gums that are underneath the teeth, and wrap around each tooth to hold it in place sets in. This is not a good thing, because the infection gets into little pockets of the gum, and causes plague to build up and harden deep under the gum surface. If it goes so deep as to affect the bone, tooth loss is possible. Remember when your mother said that you only get one set of teeth so you had better take care of them? This is what she was talking about.
With periodontal disease, there isnt any warning, because pain, abscesses, or tooth loss do not occur until the very advanced stages. Regular brushing, flossing and visits to the dentist will not be enough to treat periodontitis.
The Diabetesgum Disease Link
From causing sickly sweet breath to yellowing tooth enamel, high blood sugar and diabetes-related inflammation can quickly lead to bigger problems in your mouth: gum disease.
Those with diabetes are up to three times more likely to develop advanced gum disease than those without diabetes5. The less under control your diabetes is, the more at risk you are for developing gum disease.
- Gingivitis is the earliest stage of gum disease. Changes in your mouth along with diabetes-related inflammation in the gums cause gum tissue to pull back and expose teeth. This leaves you at greater risk for cavities, oral infections, and tooth loss. Early treatment from an MDA dentists team and good daily at-home routines can help prevent gingivitis from advancing.
- Periodontitis is an advanced form of gum disease. It causes severe deterioration of gum tissue, increased oral infections, jawbone loss, and total tooth loss. This disease often takes hold as diabetes advances and gets worse as blood sugar gets harder to control6. This stage of gum disease requires extensive treatment from an MDA dentist or MDA periodontist.
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What Are Misconceptions About Oral Health Problems And Diabetes
People with diabetes are at greater risk for dental cavities
There are two schools of thought on this topic. One school believes that high glucose levels in the saliva of people with uncontrolled diabetes helps bacteria thrive. This leads to the development of caries and gum disease. Also, people with diabetes tend to eat smaller, more frequent meals throughout the day. This increases the chance for bacteria to grow and cavities to develop.
The other school believes that people with diabetes know more about what to eat and the need to closely monitor their sugar intake. They don’t eat many foods containing cavity-causing sugar.
The fact is that people whose diabetes is well-controlled have no more tooth decay or periodontal disease than people without diabetes. Good oral hygiene and good blood sugar control are the best protections against cavity formation and periodontal disease.
People with diabetes lose their teeth more often and sooner than people without diabetes
Many factors play a role in the loss of teeth in people with diabetes. First, people with uncontrolled diabetes are more prone to the development of gingivitis and periodontal disease. If the infection persists, it can spread to the underlying bone that anchors the teeth. Complicating this situation is the fact that infections dont resolve as quickly in people with diabetes.
Last reviewed by a Cleveland Clinic medical professional on 08/29/2019.
What Should I Do If I Have Mouth Problems From Diabetes
See your dentist right away if you notice any signs or symptoms of mouth problems. Your dentist is an important ally in keeping your mouth healthy and treating mouth problems before they become serious.
If you have diabetes
- tell your dentist about your diabetes, including how long youve had the disease, any diabetes-related problems you may have, and any medicines you take
- keep your dentist updated on any changes to your health, including any increase in your blood glucose levels
- ask how often you should come in for regular cleanings and checkups
- follow your dentists advice on how to prevent and treat mouth problems from diabetes
If you feel nervous about visiting the dentist, tell your dentist and the staff about your feelings. Your dentist can adapt the treatment to your needs.
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Diabetes And Tooth Loss
You probably know that people with diabetes typically have poor blood sugar control, but did you know that poor blood sugar control can increase the risk of developing gum disease? If your diabetes is not controlled correctly, higher blood sugar levels in the mouth will help bacteria grow. Diabetes also compromises your resistance to infections. The combination of these two factors can make people with diabetes, especially susceptible to gum disease. If left untreated, it can lead to tooth loss or your teeth falling out.
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How Does Diabetes Affect Your Teeth
If you or a loved one is living with diabetes, then youre probably familiar with the common practices used to manage the disease. Even so, its possible to overlook the oral health conditions often associated with diabetes. The important thing to remember is that improved oral health has a positive effect on the disease, and vice-versa.
These warning signs may indicate that your oral health is suffering due to diabetes, whether or not it has been diagnosed:
- Frequent infections in the mouth
- Slow healing of mouth wounds
- High incidence of cavities
- Diabetes tooth loss due to weakened bone structure
Diabetes affects the bodys ability to process sugar, specifically as a result of insulin deficiency. Insulin is responsible for carrying sugar to the cells in the body. When insulin is not produced in sufficient amounts, glucose becomes more concentrated in the blood. High blood sugar levels have damaging effects on major body systems, including the oral cavity. Diabetics have the additional problem of a depressed immune system, which makes it harder for the body to fight off bacteria. That means a build-up of plaque, which leads to a higher incidence of cavities and gum disease.
Can A Diabetes Medication Cause Tooth Loss
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