Diabetic Patients
Millions of Americans have been diagnosed with diabetes. there are many health problems that may result from this condition, which can lower the body's resistance to infection and can slow the healing process. This is a concern especially when you are trying to keep your teeth and gums healthy.
If you have been diagnosed with diabetes, if there has been any other change in your medical history, or if you are taking prescription or over-the-counter drugs, let us know. We will want to update your medical records.
The most common dental problems associated with diabetes are:
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tooth decay;
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periodontal (gum) disease;
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salivary gland dysfunction;
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fungal infections;
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lichen planus and lichenoid reactions (inflammatory skin disease);
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infection and delayed healing;
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taste impairment.
Periodontal Disease
Plaque that is not removed can eventually harden into calculus, or tartar. When tartar collects above the gumline, brushing and cleaning between teeth become more difficult. This can create conditions that lead to chronic inflammation and infection in the mouth.
Because diabetes reduces the body's resistance to infection, the gums are among the tissues likely to be infected. If you notice any of the following warning signs of periodontal diseases see us immediately.
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gums that bleed easily;
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red, swollen or tender gums;
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gums that have pulled away from the teeth;
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pus between the teeth and gums when the gums are pressed;
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persistent bad breath or bad taste;
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permanent teeth are loose or separating;
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any change in the way your teeth fit together when you bite;
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any change in the fit of partial dentures.
It is possible to have periodontal disease and not have all these warning signs. And for persons with diabetes, an impaired metabolism may make the gum tissue more susceptible to some types of bacteria. Periodontal diseases appear to be more frequent and more severe among persons with diabetes. Because the disease may compromise or impair the healing process, periodontal abscesses can develop. That's why regular dental checkups and periodontal examinations are important.
Salivary Gland Dysfunction
Xerostomia, or dry mouth, is a common complaint among diabetic dental patients. When your mouth produces saliva, it helps wash away food particles. Without saliva , bacteria continue to colonize. The constant dryness irritates the soft tissue in the mouth, often making them inflamed and painful. And this condition causes tooth decay and periodontal disease to become more prevalent.
We may recommend a saliva substitute that can be used for relief from dry mouth discomfort. These products are available at local pharmacies. Using sugarless gum, sugarless mints, taking frequent sips of water or using melting ice chips may help alleviate a dry mouth. Restricting intake of caffeine and alcohol also can help. Thorough dental care at home is critical if you want to help reduce the risk of tooth decay, periodontal disease and other oral infections.
Dental Treatment
Advise us about your medical condition before dental treatment. We may request a test of blood sugar to see whether the diabetes is under control and may prescribe antibiotics to minimize your risk of infection during dental treatment. Dental procedures that create the potential for delayed healing may require modifying your diet and medication regimen.
Several drugs used for dental treatment can have an effect on controlling glucose. Prior to any dental treatment, let us know all of the medications you currently take, including over-the-counter products.
Be on the lookout for signs and symptoms of oral disease and contact our office immediately when a problem arises. Practice good oral hygiene at home, follow your physician's dietary and medication instructions and schedule regular dental checkups for a healthy smile.
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