Himachal Dental

Relation Between Diabetes and Periodontal (Gum) Disease

Posted in Gum Surgery by UK Dental Tourism on April 27, 2010
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If you suffer from diabetes then you need to take extra care in your oral hygiene program . The fact that diabetics have a lower immune system is also something they need to address. Infections are more easily contracted by a diabetic, and as diabetes is a blood related disease it is especially important that the gums are kept healthy and cut free. It is now known through research that oral cuts caused by soft and infected gums, are a major gateway of bacteria based infections in the blood stream. Diabetics have enough problems keeping their sugar and fat levels down to a bare minimum, that they really don’t need to have more problems through a bad oral hygiene program.

At the first sign of an infection a diabetic should get a dentist to investigate the problem, it is so important that antibiotics are given early to bring down the infection and keep the swelling to a minimum. Your dentist is there to help you with your diabetes and gum disease problems, as well as your doctor. The way your dentist will help you is by keeping an extra eye on your gums, and by advising you through the dental hygiene nurse and those 6 monthly check ups. Diabetes comes in 2 forms which are type 1 and type 2, type 2 is generally kept under control by diet and /or tablets, but it is type 1 that will concern your dentist more as this one is controlled by insulin injections, diet and tablets. Type 1 diabetics are more prone to gum disease, and that can advance into Gingivitis which will eat away the gum line quite quickly. A diabetic’s immune system cannot keep getting antibiotics as the system will become immune to them, so it is so much more important that type 1 sufferers in particular follow an extra carefully planned oral hygiene regime.

Diabetes that is not properly controlled can lead to periodontal (gum) diseases in both young and old people. Periodontal diseases are infections of the gums and bone that hold the teeth in place.Because of blood vessel changes that occur with diabetes, the thickened blood vessels can impair the efficiency of the flow of nutrients and removal of wastes from body tissues. This impaired blood flow can weaken the gums and bone, making them more susceptible to infection.In addition, if diabetes is poorly controlled, higher glucose levels in the mouth fluids will encourage the growth of bacteria that can cause gum disease.A third factor, smoking, is harmful to oral health even for people without diabetes. However, a person with diabetes who smokes is at a much greater risk for gum disease than a person who does not have diabetes.Paired with poor oral hygiene, diabetes can lead to gingivitis, the first stage of periodontal disease, or to periodontitis, severe gum disease.

Specific treatment for periodontal disease will be determined by your dentist based on:

* your age, overall health, and medical history
* extent of the disease
* your tolerance for specific medications, procedures, or therapies
* expectations for the course of the disease
* your opinion or preference

Treatment may include any, or a combination of, the following:

* plaque removal
Deep cleaning can help remove the plaque and infected tissue in the early stages of the disease, while smoothing the damaged root surfaces of the teeth. The gums can then be reattached to the teeth.

* medication

* surgery
When the disease is advanced, the infected areas under the gums will be cleaned, and the tissues will then be reshaped or replaced. Types of surgeries include:

o pocket reduction
o a regeneration procedure
o a soft-tissue graft
o crown lengthening

* dental implants

Proper care of your teeth and gums can go a long way in preventing the onset of oral problems associated with diabetes.For more information call GomaDental at 177-645-0704

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