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Can Type 2 Diabetes Affect Your Teeth

Diabetes And Dental Complications

Diabetes And Dental Complications

It has long been known that having diabetes increases the risk of severe periodontal disease. For example, people with poorly controlled type 2 diabetes are more likely to develop periodontal disease than those with well-controlled diabetes. Studies have found that poorly controlled diabetes respond differently to bacterial plaque at the gum line than do people with well-controlled diabetes and people without the disease. Also, people with poorly controlled diabetes have more harmful proteins (cytokines) in their gingival tissue, causing destructive inflammation of the gums. In turn, beneficial proteins (growth factors) are reduced, interfering with the healing response to infection. Lastly, people with diabetes tend to lose collagen, a protein that supports gums, skin, tendon cartilage, and bone, in their gum tissue, thus hastening periodontal destruction. Vascular disorders (caused by diabetes), such as reduced circulation in tiny blood vessels in the gums, interfere with nutrition and healing in the gum tissues. Young people with type 1 diabetes, especially those with poor control, are very vulnerable to early-onset periodontal disease as they reach puberty. Studies on Diabetes and Dental Problems A study published in the September 2002 issue of Diabetes Research and Clinical Practice looked at 102 patients, average age 65 with type 2 diabetes. In this Swedish study, the researchers conducted a comprehensive dental examination and then compared these results with the same battery of tests given to a control group without diabetes but otherwise the same in terms of age and gender. The results indicate that subjects with diabetes had more pockets between teeth, which indicate moderate to advanced gum disease. They also had deeper pockets. The group with diabetes had mo Continue reading >>

Is Diabetes Causing Tooth Loss?

Is Diabetes Causing Tooth Loss?

Dental health is a real concern for many people with diabetes, but it does not get the attention it deserves. I am glad that you are bringing it up. Diabetes is linked to tooth loss primarily because people with diabetes are more susceptible to periodontal disease. Periodontal diseases are infections, inflammations, and loss of tissue in the gums and other tooth-supporting structures such as bone. Individuals with diabetes, especially those who have poor glucose control, have a blunted defense mechanism against infections. Minor infections in the mouth, therefore, can linger on or worsen, causing chronic inflammation and erosions. Along with poor glucose control, smoking and alcohol use also cause and aggravate periodontal disease. And this isn't just a problem in adults with diabetes. Diabetic children, too, often have extensive periodontal disease by the time they reach adolescence. Keep in mind that periodontal diseases are preventable and can be treated. It is very important to do so not only to prevent tooth loss but also because periodontal disease is linked to heart attacks and strokes. In the past few years, we have come to understand that individuals who experience heart attacks and strokes also tend to have periodontal disease. People with diabetes should maintain normal glucose levels, get regular dental care, floss at least daily, refrain from smoking, and drink in moderation. Learn more in the Everyday Health Type 2 Diabetes Center. Continue reading >>

The Diabetes Side Effect You've Never Heard Of

The Diabetes Side Effect You've Never Heard Of

Something to chew on: The 8.3% of Americans suffering from diabetes are also at greater risk for tooth loss—especially those over age 50, finds a new study published in the Journal of the American Dental Association. A team of New York-based researchers analyzed national data on more than 2,500 people age 50 and up. Here’s what they discovered: Diabetics—including those with type 1 and type 2 diabetes—were missing an average of nearly 10 teeth at the time of oral examination compared to non-diabetics, who were short fewer than seven teeth. And that’s not all: Diabetics were also twice as likely to suffer from edentulism, a complete absence of teeth; twenty-eight percent of diabetes sufferers were toothless, compared to just 14% of those without diabetes. The study authors say there may be several ways to explain the connection between diabetes and tooth loss. One theory is that hyperglycemia—or high blood sugar—disrupts the delivery of nutrients and removal of waste products from the tissue in the gums. Over time, that leads to periodontal disease and, eventually, to tooth loss. While those who have poorly controlled diabetes are most likely to experience tooth decay, even well-managed diabetics are more likely to suffer from periodontal disease. What should diabetics do to protect themselves? Apart from brushing twice a day and flossing regularly, some diabetics may need to visit their dentist four times a year for a professional tooth and gum cleaning, says study co-author Jayanth Kumar, DDS, MPH, of the New York State Department of Health’s bureau of dental health. Gum disease starts when bacteria on your teeth harden into tartar, and only your dentist can clear that tartar away. Avoid sugary snacks, which are well-known tooth decayers, and reach for Continue reading >>

Periodontal Disease In Diabetic Patients Can Lead To Tooth Loss

Periodontal Disease In Diabetic Patients Can Lead To Tooth Loss

by Donna Pleis Diabetes is a very deceptive disease with some surprising statistics. It affects approximately 25.8 million people, according to the Centers for Disease Control and Prevention, and one-third of people with diabetes have severe periodontal (gum) disease. Periodontal disease in diabetic patients can ultimately result in the loss of one or more teeth. In fact, the American Dental Association published a recent study that linked one in five cases of total tooth loss to diabetes. Understanding Periodontal Disease Like diabetes, periodontal disease can be sneaky and develop slowly without a lot of warning. As detailed by the National Institute of Dental and Craniofacial Research, gum disease starts when bacteria in your mouth forms a sticky plaque biofilm that adheres to your teeth, especially around the gum line. If not removed regularly and thoroughly, the bacteria in the plaque creates toxins that cause inflammation of your gums. Symptoms of this first stage of gum disease, called gingivitis, are red, swollen and bleeding gums. If untreated, gingivitis progresses into periodontitis. As more plaque forms on your teeth, at the gum line and under your gums, it eventually hardens into tartar. This causes your gums to pull away from your teeth and form loose pockets. The bacterial toxins create an infection within the pockets that starts to destroy the bone and ligaments surrounding your teeth. Without bone and strong connective tissue to support your teeth, they will begin to loosen, and you may eventually have to have teeth removed. The Diabetes-Periodontal Disease Connection If you are diabetic, you know that high blood sugar levels put you at risk for problems with your kidneys, eyes and heart. In addition, diabetes causes your healing process to be slower an Continue reading >>

Can Diabetes Affect Your Teeth And Gums?

Can Diabetes Affect Your Teeth And Gums?

Did you know that trouble keeping your blood sugars in control could lead to an infection? That infection could be in your gums. That’s right. People with diabetes have a higher incidence of gum disease or periodontal disease than people without diabetes. In this article, we will look at the link between diabetes and periodontal disease. We will look at what it is, what are the prevention and treatment options available, some other oral problems that are also linked to diabetes, and more. Just like high blood glucose makes it easier for you to get an infection in other places in your body, high blood glucose levels also make it easier to get a gum infection, or other infection in your mouth. Decaying teeth and poor oral habits contribute to periodontal disease, as does smoking. We will take a look at all of that here. First, let’s see why Martin contacted TheDiabetesCouncil. Martin was interested in learning more about his high blood sugars and their effects on his teeth. He had been trying to get his blood sugar levels down, but nothing he seemed to do with diet, exercise, or medications helped in aiming his target range for blood sugars or in an A1C range that he was comfortable with. He was due to pay a visit to his dentist since his last visit was over a year ago. Martin’s dentist told him that he was at the start of a periodontal disease, and in addition, he had a gum infection. He wondered if the infection in his gums may be a reason for why he was unable to keep his blood glucose in a good range. An infection anywhere in your body could be a reason for unruly blood glucose. Let’s see if we can answer Martin’s question in depth. What is periodontal disease? Periodontal disease is an infection that develops of the gum, and underlying bone, that holds the Continue reading >>

Prevent Diabetes Problems, Keep Your Teeth And Gums Healthy

Prevent Diabetes Problems, Keep Your Teeth And Gums Healthy

What are diabetes problems?Too much glucose in the blood for a long time causes diabetes problems. This high blood glucose can damage many parts of the body, such as the heart, blood vessels and kidneys. Diabetes problems can be scary, but there is a lot you can do to prevent them or slow them down. Use this page to learn about tooth and gum problems caused by diabetes. You will learn the things you can do each day and during each year to stay healthy and prevent diabetes problems. Back to Back to Top What should I do each day to stay healthy with diabetes? Follow the healthy eating plan that you and your doctor or dietitian have worked out. Eat your meals and snacks at around the same times each day. Check your blood glucose every day. Each time you check your blood glucose, write the number in your record book. Call your doctor if your numbers are too high or too low for 2 to 3 days. Back to Top How can diabetes hurt my teeth and gums? Tooth and gum problems can happen to anyone. A sticky film full of germs (also called plaque [PLAK]) builds up on your teeth. High blood glucose helps germs (bacteria) grow. Then you can get red, sore and swollen gums that bleed when you brush your teeth. People with diabetes can have tooth and gum problems more often if their blood glucose stays high. High blood glucose can make tooth and gum problems worse. You can even lose your teeth. Smoking makes it more likely for you to get a bad case of gum disease, especially if you have diabetes and are age 45 or older. Red, sore and bleeding gums are the first sign of gum disease. This can lead to periodontitis (PER-ee-oh-don-TY-tis). Periodontitis is an infection in the gums and the bone that holds the teeth in place. If the infection gets worse, your gums may pull away from your teeth, mak Continue reading >>

Why Dental Problems Make It Hard To Control Blood Glucose

Why Dental Problems Make It Hard To Control Blood Glucose

The nearly 30 million people living with type 2 diabetes may be surprised to learn about another unintended difficulty: dental problems, namely gum disease. People with diabetes are at an increased risk for serious gum disease, or what's known as periodontitis, because they are generally more susceptible to bacterial infection, and have a decreased ability to fight bacteria that invade the gums. On the flip side, serious gum disease may have the potential to affect blood-glucose control and contribute to the progression of diabetes. Too much glucose or sugar in your blood from the diabetes can cause pain, infection, and other problems in your teeth and gums because it helps allow harmful bacteria to grow in your saliva. These bacteria combine with food to form plaque, a soft, sticky film that causes tooth decay or cavities. If you have uncontrolled blood sugar, you're more likely to develop gum disease than someone who doesn't have diabetes. Other dental complications related to uncontrolled diabetes include thrush, an oral fungus, and dry mouth, which can cause sores and ulcers. If you've been diagnosed with diabetes, the better you control your blood glucose, the lower your risk is for periodontitis. 5 Simple Ways to Prevent Diabetes-Related Gum Disease To help prevent dental problems: Brush your teeth at least twice daily. Floss once a day, pressing the floss against your teeth and not your gums. Check for areas where your gums are red or painful. See your dentist right away if you think you have a problem. If you are having dental work, be sure to remind the hygienist and dentist that you have diabetes. Many dental treatments can affect your blood sugar. Your dentist may decide to delay some procedures — including dental surgery — if your blood-glucose levels ar Continue reading >>

Type 2 Diabetes And Oral Health

Type 2 Diabetes And Oral Health

Diabetes affects your body’s ability to utilize glucose, or blood sugar, for energy. Diabetes can cause many complications. These include nerve damage, heart disease, stroke, kidney disease, and even blindness. Another common health complication is gum disease and other oral health problems. According to the American Diabetes Association, people with diabetes are at higher risk for gingivitis, gum disease, and periodontitis (severe gum infection with bone destruction). Diabetes affects your ability to fight off bacteria that can cause gum infections. Gum disease can also affect the body’s blood sugar control. Diabetes is associated with increased risk for thrush, a type of fungal infection. Additionally, people with diabetes are likely to have a dry mouth. This has been associated with increased risk for mouth ulcers, soreness, cavities, and dental infections. What the research says A 2013 study published in the journal BMC Oral Health looked at 125 people with type 2 diabetes. Researchers measured factors including missing teeth, the incidence of periodontal disease, and the amount of reported dental bleeding. The study found that a combination of the longer people had diabetes, the higher their fasting blood glucose, and the higher their hemoglobin A1C (a measurement of a person’s average blood sugar over three months), the more likely they were to have periodontal disease and dental bleeding. Those who did not report careful self-management of their condition were more likely to have missing teeth than those who did work to control their blood sugar levels. Some people with diabetes are at greater risk for oral health problems than others. For example, people who don’t maintain tight control over their blood sugar levels are more likely to get gum disease. Al Continue reading >>

Diabetes, Gum Disease, & Other Dental Problems

Diabetes, Gum Disease, & Other Dental Problems

How can diabetes affect my mouth? Too much glucose, also called sugar, in your blood from diabetes can cause pain, infection, and other problems in your mouth. Your mouth includes your teeth your gums your jaw tissues such as your tongue, the roof and bottom of your mouth, and the inside of your cheeks Glucose is present in your saliva—the fluid in your mouth that makes it wet. When diabetes is not controlled, high glucose levels in your saliva help harmful bacteria grow. These bacteria combine with food to form a soft, sticky film called plaque. Plaque also comes from eating foods that contain sugars or starches. Some types of plaque cause tooth decay or cavities. Other types of plaque cause gum disease and bad breath. Gum disease can be more severe and take longer to heal if you have diabetes. In turn, having gum disease can make your blood glucose hard to control. What happens if I have plaque? Plaque that is not removed hardens over time into tartar and collects above your gum line. Tartar makes it more difficult to brush and clean between your teeth. Your gums become red and swollen, and bleed easily—signs of unhealthy or inflamed gums, called gingivitis. When gingivitis is not treated, it can advance to gum disease called periodontitis. In periodontitis, the gums pull away from the teeth and form spaces, called pockets, which slowly become infected. This infection can last a long time. Your body fights the bacteria as the plaque spreads and grows below the gum line. Both the bacteria and your body’s response to this infection start to break down the bone and the tissue that hold the teeth in place. If periodontitis is not treated, the gums, bones, and tissue that support the teeth are destroyed. Teeth may become loose and might need to be removed. If you hav Continue reading >>

Diabetes And Teeth - American Dental Association

Diabetes And Teeth - American Dental Association

By Laura Martin, Case Western Reserve University School of Dental Medicine Did you know that 29.1 million people living in the United States have diabetes ? That’s 9.3% of the population. Approximately 1.7 million new cases are diagnosed each year—and 8.1 million people living with diabetes don’t even know they have it. Diabetes affects your body’s ability to process sugar. All food you eat is turned to sugar and used for energy. In Type I diabetes, the body doesn’t make enough insulin, a hormone that carries sugar from your blood to the cells that need it for energy. In Type II diabetes, the body stops responding to insulin. Both cases result in high blood sugar levels, which can cause problems with your eyes, nerves, kidneys, heart and other parts of your body. So what does this have to do with that smile of yours — and how can you protect it? First, it’s important to understand the signs of diabetes and the roles they play in your mouth. The warning signs of diabetes affect every part of your body. After a blood test, you may be told by a doctor that you have high blood sugar. You may feel excessively thirsty or have to urinate a lot. Weight loss and fatigue are other common symptoms. Diabetes can also cause you to lose consciousness if your blood sugar falls too low. If diabetes is left untreated, it can take a toll on your mouth as well. Here's how: You may have less saliva, causing your mouth to feel dry. ( Dry mouth is also caused by certain medications.) Because saliva protects your teeth, you’re also at a higher risk of cavities. Gums may become inflamed and bleed often ( gingivitis ). You may experience delayed wound healing. You may be susceptible to infections inside of your mouth. For children with diabetes, teeth may erupt at an age earlie Continue reading >>

Diabetes And Dental Care: Guide To A Healthy Mouth

Diabetes And Dental Care: Guide To A Healthy Mouth

What do brushing and flossing have to do with diabetes? Plenty. If you have diabetes, here's why dental care matters — and how to take care of your teeth and gums. When you have diabetes, high blood sugar can take a toll on your entire body — including your teeth and gums. The good news? Prevention is in your hands. Learn what you're up against, and then take charge of your dental health. Cavities and gum disease Whether you have type 1 diabetes or type 2 diabetes, managing your blood sugar level is key. The higher your blood sugar level, the higher your risk of: Tooth decay (cavities). Your mouth naturally contains many types of bacteria. When starches and sugars in food and beverages interact with these bacteria, a sticky film known as plaque forms on your teeth. The acids in plaque attack the surfaces of your teeth (enamel and dentin). This can lead to cavities. The higher your blood sugar level, the greater the supply of sugars and starches — and the more acid wearing away at your teeth. Early gum disease (gingivitis). Diabetes reduces your ability to fight bacteria. If you don't remove plaque with regular brushing and flossing, it'll harden under your gumline into a substance called tartar (calculus). The longer plaque and tartar remain on your teeth, the more they irritate the gingiva — the part of your gums around the base of your teeth. In time, your gums become swollen and bleed easily. This is gingivitis. Advanced gum disease (periodontitis). Left untreated, gingivitis can lead to a more serious infection called periodontitis, which destroys the soft tissue and bone that support your teeth. Eventually, periodontitis causes your gums and jawbone to pull away from your teeth, which in turn causes your teeth to loosen and possibly fall out. Periodontitis Continue reading >>

Diabetes And Dental Health

Diabetes And Dental Health

Tweet Problems with teeth and gums can be more common for people with diabetes, so good dental health is important to prevent dental complications developing. Looking after your teeth and gums is an essential part of learning to live with both type 1 diabetes and type 2 diabetes. You should inform your dentist if you have either new-onset or long-standing diabetes as this might affect your dental treatment and how often they must review your teeth and gums. Diabetes and dental hygiene People with diabetes who have poor control of their blood glucose levels are more likely to develop dental health problems. Therefore keeping your blood sugar within a normal range will reduce this risk. Eating a balanced diet, getting regular exercise and giving up smoking is also advised to lessen the risk of oral health problems. Making sure that you visit a dentist every six months ensures that any infection will be treated as early as possible. Minor dental problems can quickly escalate, and a routine visit to the dentist will pick up on these. In the UK, although people with diabetes are more prone to dental problems, they do not receive any extra financial help for dental treatment. What are the symptoms of dental health problems? Sore or swollen gums Bleeding gums Receding gums Loose teeth Bad breath You should visit your dentist if you experience any of these symptoms; urgent treatment might be required to prevent a problem from worsening. Diabetes and gum diseases Having prolonged high blood glucose levels can increase the risk of oral health problems, such as gum disease. Gum disease, also known as periodontitis, is the sixth most common disease in the world. It occurs when bacteria within the mouth begins to form into a sticky plaque which sits on the surface of the tooth. Gum Continue reading >>

What Is Type 1 Diabetes?

What Is Type 1 Diabetes?

What is type 1 diabetes? It's a disease in which the pancreas is unable to produce insulin. Insulin is a hormone that controls the amount of glucose (sugar) in the blood. Type 1 diabetes is usually diagnosed in children and adolescents and is a lifelong (chronic) disease. In type 1 diabetes, there is no insulin to let glucose get into the cells, so sugar builds up in the bloodstream where it can cause life-threatening complications. Diabetes lowers the body's ability to fight infection and slows healing. People with type 1 diabetes must take insulin injections every day. In type 2 diabetes, the body may not be producing enough insulin or the insulin is not working adequately (insulin resistance). The pancreas initially makes extra insulin to compensate, but with time fails to produce enough to regulate blood glucose levels. This type of diabetes usually develops in adulthood and is more common. According to the American Diabetes Association, only 5 percent of people with diabetes have the type 1 form of the disease. People who suffer from diabetes are at high risk for tooth decay and other oral health problems. Symptoms Exhibited by Children with Diabetes According to JDRF, children with diabetes may exhibit the following symptoms: Thirst. Fatigue. Weight loss. Frequent urination. Vision changes. Fruity, sweet-smelling breath. Good blood sugar control requires a balance of food, exercise and medication. A diet rich in calcium and vitamin D helps to ensure strong bones and teeth. Proper blood sugar control is key to controlling and preventing oral health problems. Diabetes can contribute to bacteria growth in the mouth, plaque buildup and gum disease while also weakening the body's ability to fight back. Other Oral Complications According to the American Dental Associati Continue reading >>

Mouth Care Basics For Type 2 Diabetes

Mouth Care Basics For Type 2 Diabetes

Type 2 diabetes is a dangerous disease because, if uncontrolled, it can lead to complications throughout the body, from the heart to the kidneys to the eyes. Diabetes can even affect the mouth, causing gum disease and tooth decay. Diabetes and Oral Hygiene: A Double Whammy To protect teeth and gums, people with type 2 diabetes must practice diligent oral hygiene and mouth care as well as manage their diabetes. Health complications in one area can affect the other. For instance, people with diabetes and untreated gum disease will find it nearly impossible to manage their diabetes and bring their blood glucose levels down to normal, explains Maria Emanuel Ryan, DDS, PhD, director of clinical research and professor of oral biology and pathology at the Stony Brook University School of Dental Medicine in New York. "If you have periodontal disease and the breakdown of the bone and connective tissue that support the teeth, that chronic inflammatory condition causes insulin resistance," Dr. Ryan says. "No matter how much that person watches their diet, no matter how many oral drugs or how much insulin they are taking, they won't be able to get their blood glucose levels down. It's really a two-way street." How Diabetes Affects Oral Hygiene Diabetes prompts an inflammatory response in the body. In the mouth, this leads to swollen gums. If left unchecked, your gums will begin to pull away from your teeth. As your gums retreat, deep pockets form between teeth and gums. Those pockets become home to bacterial and fungal infections, filling with germs and pus. Diabetes creates high levels of sugar in your saliva, a condition that spurs on these infections. As a result, "you have a person who is more susceptible to breakdown of tissues and infection — and that is what periodontal di Continue reading >>

Coast Dental Blog How Diabetes Can Affect Your Teeth And Gums

Coast Dental Blog How Diabetes Can Affect Your Teeth And Gums

Diabetes affects almost 26 million Americans, which is more than 8 percent of the U.S. population. The condition often requires them to make lifestyle changes, including what they eat, how they exercise and the medications they take. It also requires them to change the way they take care of their teeth and gums. About one-third of people with diabetes have severe periodontal disease which is causing the gum tissue and bone around the teeth to break down, according to the National Institutes of Health. People with poorly-controlled diabetes had a 2.9 times increased risk of developing periodontitis than non-diabetics, according to a large study published in 2002. The same study found people with well-controlled diabetes had no significant increase in the risk of periodontitis. There are several reasons why poorly-controlled diabetes can increase your chance of getting periodontal disease, said Dr. Dale Nash, a dentist at Coast Dental Wesley Chapel. In the past decade, Dr. Nash has seen an increase in the number of patients with diabetes. "People with diabetes are generally more susceptible to bacterial infection," Dr. Nash said. "Diabetics have high blood sugar, which basically coats the immune-fighting cells and affects the blood supply to many areas of the body including the patient’s mouth." Here’s how it works: The poor circulation affects the blood vessels that supply oxygen and nutrients to the gums, called the gingiva, and the cells in your mouth that help fight off infection. If the gums can’t get the nutrients they need, then it’s harder to fight infection. Also, poor circulation means the blood can’t carry away bad bacteria effectively. Research shows the functions of immune cells in poorly-controlled diabetics are altered in other ways.(1) One kind o Continue reading >>

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