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Diabetes And Oral Health

Understanding Diabetes Impact On Oral Health

Understanding Diabetes Impact On Oral Health

Understanding diabetes impact on oral health Diabetes is a disease that can impact the whole body eyes, kidneys, heart and other important systems and functions. Diabetes can also create a higher-than-normal risk of oral health problems. Dr. Sally Cram, a practicing periodontist in Washington D.C. and spokesperson for the American Dental Association, says the dental complications associated with diabetes include bleeding/swollen gums, frequent abscesses, loose teeth, receding gums and bad breath all signs of periodontal (gum) disease. When mouths reach the stage of periodontitis, pockets begin to form in the teeth and gums. If periodontitis goes unchecked, the infection can work its way into the bone around the base of the teeth. In some cases, this may require gum surgery to correct the condition. If left untreated, and with blood sugar running high, you can eventually lose teeth, Cram says. Maintaining control of blood glucose levels is key to keeping additional health risks, like gum disease, at a minimum. Its also important for a dentist to know a patients medical history as it relates to diabetes. Cram says while diabetes isnt necessarily detected through dental exams, dental issues can lead dentists to suspect the disease. A review of the patients overall health and medical history, coupled with a dental periodontal exam, may lead us to suspect uncontrolled diabetes, Cram says. Its especially important if the patient has a family history of diabetes, is overweight or has any of the symptoms of diabetes. It is so vitally important to talk to the patient as well as look at the oral clinical findings and get information that may lead us to suggest a good physical exam and testing for diabetes. Diabetics may be more prone to periodontal disease and oral fungal infect Continue reading >>

Diabetes & Oral Health

Diabetes & Oral Health

The most common oral health problems affecting people with diabetes are Gum disease Dry mouth Tooth decay Thrush Mouth ulcers Taste disturbances Gum abscesses (an infection of the tooth and or gums) Why do people with diabetes have a greater risk of oral health problems? Poor blood glucose control leads to bacteria growth (bacteria loves the sweet environment) and increases the risk of infections. Dry mouth can also occur when blood glucose levels are high. Medications for diabetes, blood pressure, heart problems and anti-depressants may cause dry mouth and taste disturbance, such as a metallic taste. Smokers have a much higher risk of gum disease and may also contribute to having a dry mouth. Hypo treatments such as sweetened fizzy drinks and lollies can lead to tooth decay. Important tips to help prevent oral health problems Keep blood glucose levels within target (if you are unsure of what your target levels should be, talk to your diabetes educator, diabetes specialist or GP) Follow a healthy diet (if you need help with this, see your local Accredited Practicing Dietitian) Clean your teeth and gums twice a day with tooth paste that contains fluoride. It is also a good idea to gently brush your tongue each day to remove bacteria and keep your mouth fresh and healthy. Use dental floss or interdental cleaners every day to clean between your teeth. Avoid a dry mouth by drinking plenty of water and chewing sugar-free gum to stimulate saliva production. Biotene has a range of dry mouth products that may help Don't smoke. If you treat a hypo, it is important to brush your teeth half an hour later to remove sugar from your teeth and prevent decay and cavities See your dentist every six months (even if you wear dentures, you are still at risk of gum disease). Publication/Sou Continue reading >>

Diabetes

Diabetes

Diabetes mellitus is a group of metabolic diseases that lead to high levels of blood glucose (hyperglycemia), which is caused when the body does not make any or enough insulin, or does not use insulin well. Because diabetes is a relatively common condition, practicing dentists are likely to encounter it frequently. Type 1 diabetes is a chronic autoimmune disease in which the beta cells in the pancreas create little to no insulin, and accounts for 5% to 10% of all diabetes cases. In contrast, Type 2 diabetes accounts for 85% to 90% or more of diabetes cases and is one of the commonest chronic diseases, characterized by decreased response of target tissues to insulin, dysregulation of insulin production, or a combination of both. As with any patient, the dentist should review the patients medical history, take vital signs, and evaluate for oral signs and symptoms of inadequately controlled diabetes, which may be common. Oral manifestations of uncontrolled diabetes can include: xerostomia; burning sensation in the mouth; impaired/delayed wound healing; increased incidence and severity of infections; secondary infection with candidiasis; parotid salivary gland enlargement; gingivitis; and/or periodontitis. Although patients with diabetes usually recognize signs and symptoms of hypoglycemia and self-intervene before changes in or loss of consciousness occurs, staff should be trained to recognize the signs and treat patients who have hypoglycemia. In such cases, a glucometer should be used to test patient blood glucose levels, and every dental office should have a protocol for managing hypoglycemia in both conscious and unconscious patients. Diabetes mellitus is a group of metabolic diseases that leads to high levels of blood glucose and is caused when the body does not make 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 >>

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 Oral Health Problems

Diabetes And Oral Health Problems

Is There an Association Between Gum Disease and Diabetes? For the nearly 21 million Americans that have diabetes, many may be surprised to learn about an unexpected complication associated with this condition. Research shows that there is an increased prevalence of gum disease among those with diabetes, adding serious gum disease to the list of other complications associated with diabetes, such as heart disease, stroke and kidney disease. Is There a Two-Way Street? Emerging research also suggests that the relationship between serious gum disease and diabetes is two-way. 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, such as gingivitis (an early stage of gum disease) and periodontitis (serious gum disease). People with diabetes are at an increased risk for serious gum disease because they are generally more susceptible to bacterial infection, and have a decreased ability to fight bacteria that invade the gums. The Surgeon General's Report on Oral Health states that good oral health is integral to general health. So be sure to brush and floss properly and see your dentist for regular checkups. If I Have Diabetes, am I at Risk for Dental Problems? If your blood glucose levels are poorly controlled, you are more likely to develop serious gum disease and lose more teeth than non-diabetics. Like all infections, serious gum disease may be a factor in causing blood sugar to rise and may make diabetes harder to control. Other oral problems associated to diabetes include: thrush, an infection caused by fungus that grows in the mouth, and dry Continue reading >>

Diabetes And Oral Health

Diabetes And Oral Health

Resize font A- A A+ Diabetes and Oral Health During the past 10 years, much research has been undertaken on the link between diabetes and periodontal disease. Periodontal disease is the sixth leading complication of diabetes. If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease, with a higher rate of more severe levels of bone loss and gum infection.1 What Is Diabetes? Diabetes is a serious disease in which the body does not produce or properly use insulin, a hormone needed to convert sugar, starches, and other foods into energy. Normally, insulin helps get sugar from the blood to the body's cells, where it is used for energy. When you have diabetes, your body has trouble making and/or using insulin, so your body does not get the fuel it needs and your blood sugar stays too high. High blood sugar sets off processes that can lead to complications, such as heart, kidney, and eye disease, or other serious problems.2,3 If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease. Are There Different Types of Diabetes? It is estimated that more than 20 million adults and children in the United States have some form of diabetes–14 million having been diagnosed with the disease and 6 million being unaware they have it. There are different types of the disease: type 1, type 2, and gestational diabetes, as well as prediabetes. Most Americans (around 90%) who are diagnosed with diabetes have type 2 diabetes.2,3 What Is Periodontal Disease? Periodontal disease, or gum disease, is a bacterial infection of the gums, ligaments, and bone that support your teeth and hold them in the jaw. If left untreated, you may experience tooth loss. The main cause of periodontal disease is bacterial Continue reading >>

Diabetes And Oral Health: The Importance Of Maintaining Optimum Oral Health

Diabetes And Oral Health: The Importance Of Maintaining Optimum Oral Health

Diabetes and oral health: The importance of maintaining optimum oral health This article originally appeared in RDH eVillage Focus, a newsletter prepared for dental professionals looking for hard-hitting, current information. You can subscribe here. According to the Centers for Disease Control and Prevention (CDC), diabetes is the seventh leading cause of morbidity and mortality in the United States. (1) Dental or oral infections in a patient with diabetes can frequently lead to loss of control over the diabetic condition. Oral complexities of diabetes include periodontal disease, tooth decay, salivary dysfunction, and pathologic changes. This article will review diabetes and oral health. READ MORE | Understanding gestational diabetes mellitus Uncontrolled bacteria production resulting in oral inflammation and infection can result in mobile teeth. Uncontrolled diabetes can result in enhanced inflammation, delayed healing of wounds, and changes to large and small blood vessels. (2) Failure to reverse these adverse effects by managing diabetes can lead to periodontal disease. This risk directly relates to fasting blood glucose levels. Patients with diabetes have a hyperactive inflammatory response and the bacterial challenge of a periodontal infection results in exaggerated inflammation and periodontal tissue destruction. Over time, this can lead to loose teeth, and eventually tooth loss. (2) READ MORE | Type 1 diabetes discovery: Stem cells make millions of human insulin cells Tooth dehydration is one of the causes of tooth decay. Like our hair, skin and other organs, our teeth can undergo dehydration. (3) Symptoms of tooth dehydration are dry mouth and tooth sensitivity. Those with diabetes who are experiencing hyperglycemia will likely also experience tooth dehydratio Continue reading >>

Diabetes And Dental Health

Diabetes And Dental Health

Reviewed by Varnada Karriem-Norwood on June 15, 2012 Beverly Rodgers, DDS, Family and Children's Dentistry, Atlanta, GA. Centers for Disease Control and Prevention American Dental Association National Institutes of Health : Marisha: Have you been keeping up with your tooth-brushing and flossing? Vernon: EVERY DAY! Narrator: Vernon Maddox has diabetes and knows it's a condition he has to take seriously Vernon Maddox, Jr.: It runs in my familyboth sides Marisha Hollins-Singleton: What we're going to do first is we're going to check the measurements around your gums to see how healthy they are Narrator: Routine dental checkups have become a regular part of Vernon's general healthcareand for good reason: People who have diabetes and who neglect their oral health are 2-3 times as likely to develop inflamed gums, tooth decay and chronic bad breath--all signs of periodontal disease Gina Thornton-Evans, DDS: If left untreated it progresses much more rapidly and they experience much more severe cases of periodontal disease, which can lead to tooth loss. And there's some studies to indicate it has a tremendous impact on the glycemic control. Narrator: Glycemicor blood sugar control --is critical. And loose or missing teeth can make it difficult for a person to have a well-balanced dietalso an essential part of any routine health maintenance plan.. Government figures estimate that nearly 24 million American adults have diabetesmany don't even know it. Increasingly, dental practices like this one have had to learn about risks this chronic disease poses for some of their patients. Beverly Rodgers, DDS: A lot of times the dentist is the first person to see these symptoms. Narrator: And dentists have had to become more acquainted with other common oral complaints associated with diab Continue reading >>

Oral Health And Diabetes

Oral Health And Diabetes

Diabetes is a serious condition in which the level of glucose in the blood is too high due to decreased production of insulin and/or increased resistance to its effects. Insulin is a hormone produced by the pancreas that is needed to convert sugar, starches and other foods into energy. Normally, insulin helps get sugar from the blood into the body's cells, where it is used for energy. In the case of diabetes, not enough insulin is produced, and/or the cells do not respond to it properly, so the cells do not get the fuel they need and the blood sugar stays too high. High blood sugar sets off processes that can lead to complications such as heart, kidney and eye disease, or other serious problems. Diabetes can affect the health of your mouth Research has shown that people with poor diabetes control are more likely to develop problems in the mouth.1 Some of the very first symptoms of diabetes, such as dry mouth, may be detected by your dentist well before diabetes is diagnosed by your doctor, so regular dental check-ups are very important. Early research has shown that people with diabetes may be at more risk of infections, including gum disease, thrush infections in the mouth (especially if wearing dentures) and tooth decay. It is also likely that poor oral health can make diabetes control more difficult,2 which is why it is so important for people with diabetes to keep their mouth healthy. - Brush your teeth thoroughly twice a day to remove bacterial plaque from teeth which helps preventing and treating gingivitis and periodontitis - Clean between the teeth at least once a day with floss or inter-dental brushes to remove bacterial plaque - Use a fluoridated toothpaste with antibacterial and/or anti-inflammatory properties - See your dentist and dental hygienist on a reg Continue reading >>

How Does Diabetes Affect Oral Health?

How Does Diabetes Affect Oral Health?

It is estimated that up to 20 million people have diabetes, but only two-thirds of these individuals are diagnosed. Studies have shown that diabetics are more susceptible to the development of oral infections and periodontal (gum) disease than those who do not have diabetes. Oral infections tend to be more severe in diabetic patients than non-diabetic patients. And, diabetics who do not have good control over their blood sugar levels tend to have more oral health problems. These infections occur more often after puberty and in aging patients. How are gum disease and diabetes related? Because diabetes reduces the body's resistance to infection, the gums are at risk for gingivitis, an inflammation usually caused by the presence of bacteria in plaque. Plaque is the sticky film that accumulates on teeth both above and below the gum line. Without regular dental check-ups, gum disease may result if gingivitis is left untreated. It also can cause inflammation and destruction of tissues surrounding and supporting teeth, gums, bone and fibers that hold the gums to the teeth. What other types of problems could I experience? Diabetics may experience burning mouth syndrome and fungal infections, such as thrush and oral candidiasis. Dry mouth (xerostomia) also may develop, causing an increased incidence of decay. To prevent problems with bacterial infections in the mouth, your dentist may prescribe antibiotics, medicated mouth rinses and more frequent cleanings. How can I stay healthy? Make sure to take extra good care of your mouth and have dental infections treated immediately. Diabetics who receive good dental care and have good insulin control typically have a better chance at avoiding gum disease. Diet and exercise may be the most important changes that diabetics can make to im 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 And Dental Care

Diabetes And Dental Care

Diabetes can affect your whole body, including your mouth. So you’ll want to take special care of your teeth and gums. It’s also important to manage your blood sugar. Over time, increased levels of blood glucose can put you at risk for oral health problems. Watch out for: Dry mouth, which can lead to soreness, ulcers, infections, and tooth decay. Inflammation in your gums. Thrush. People with diabetes who often take antibiotics to fight infections are more likely to get this fungal infection of the mouth and tongue. The fungus thrives on the high levels of sugar in the saliva of people with uncontrolled diabetes. It can give your mouth and tongue a burning feeling. You can do a lot to avoid these problems, starting with the basics of taking good care of your mouth, teeth, and gums. Keep your blood sugar as close to normal as possible. If you have dry mouth, try a mouthwash without alcohol. Brush your teeth after every meal. Wait at least 30 minutes after eating before brushing to protect any tooth enamel that's been softened by acid in the food. Use a toothbrush with soft bristles. Floss at least once a day. Rinse daily with an antiseptic mouthwash. If you wear dentures, remove them and clean them daily. Do not sleep in them. If you smoke, talk to your doctor about ways to quit. Tell your dentist that you have diabetes and what medicines you take. Let her know if your blood sugar level is off-track, and if you take insulin, tell her when you took your most recent dose. Get your teeth and gums cleaned and checked by your dentist twice a year. Your dentist may recommend that you do it more often, depending upon your condition. Continue reading >>

Dental Health And Diabetes

Dental Health And Diabetes

Did you know that people who have diabetes have a greater risk of developing gum disease, tooth decay, fungal disease, and other problems with oral (mouth) health? Starting and maintaining a regular dental care routine is part of a comprehensive diabetes care plan . You can make sure your mouth stays healthy and pain-free with these simple steps: Patients who dont properly control their blood glucose levels are more likely to develop periodontal (gum) disease and can lose more teeth than someone whose diabetes is well-controlled. Talk with your endocrinologist about what the right target is for you. Use a soft bristled toothbrush and replace it every 3 months. Brush for at least 3 minutes with fluoride toothpaste. Brush at least 2 times a day, after each meal if you can. Have your teeth cleaned by the dentist at least two times a year. See a periodontist (gum doctor) at least once a year. Tell both the dentist and periodontist that you have diabetes, if your blood glucose levels are controlled, and any medications you are taking. Call your dentist if you notice any of the following: 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 >>

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