Diabetes and Dentistry. What special considerations should diabetics take about Dental Care and Oral Health?

For example, atherosclerosis, heart disease and glaucoma are known effects of diabetes. The link between diabetes and oral health can't be ignored. Less known is the fact that as a diabetic also have increased risk of paradentosis, caries and other oral problems such as salivary gland dysfunction, fungal infection, inflammatory disorders, taste disturbances, infections and delayed healing. Oral diseases that can ultimately lead to loss of teeth, leading to poorer quality of life.

Diabetes and Dental Care

Because diabetes reduces the body's immune system, can easily cause inflammation of the gums. Studies have shown that diabetics with long-term poor blood sugar levels more often have gingivitis. Inflammation of the gums is a reaction to bacteria, which sits stuck in your teeth. Gingivitis occurs because the teeth are not kept sufficiently clean. If the coating is allowed to sit long, it can calcify into tartar. Twenty-four hours without the brushing is sufficient for the formation of bacterial deposits, which causes inflammation of the gingiva (gingivitis). Bacteria sends toxins into the gums. The bleed easily when brushing teeth, and it may be sore. Gums are red and swollen. All signs of inflammation. Healthy gums, however, are pale red, tight and solid, and the surface is slightly bumpy like an orange peel. Gums are tightly to the teeth and it does not bleed when brushing. If gingivitis is not stopped, it will work its way down along the tooth root and attack the tooth bone, and then you have developed periodontal disease. You can have advanced periodontal disease without even notice it (apart from bleeding by brushing). Any form of immunosuppression is reduced resistance to the bacteria sitting in the teeth coverings. Consequently there will be more easily inflamed gums. In stressful periods can be more susceptible to gingivitis. The same applies if you are being treated with immunosuppressive drugs.

Acute forms of gum disease: Gingivitis with herpes simplex virus later in life causes cold sores can cause a nasty mouth infection, especially in children where the gums become fiery red and swollen. Gingivitis caused by streptococcal infection can occur in adults, typically after a throat infection, which is wound on the gums, which become fiery red and swollen. Typically requires a course of antibiotics. There are also a few more rare types of gingivitis with severe swelling, very bad breath and a high tendency to bleeding, which may also be the first sign of more serious diseases. - Chronic forms of gingivitis: A type of heart medication (calcium antagonists) used for hypertension, can lead to overgrowth of the gums, which complicates a good oral hygiene. Some connective tissue diseases (Lichen Ruber Planus and Benign Mucosal pemphigoid) can sit in the gums, which typically becomes red, tender and swollen, with a greater tendency to bleed. A tissue sample from the gums will give the answer. A particularly bowel disease (Crohn's disease), can also cause problems with the gingiva. Again, a tissue sample from the gums reveal whether it should be investigated further.

Talk to your dentist about your diabetes

In relation to your dental health, it is important that your journal is updated each time you are to the dentist. For example, your dentist know if you have been diagnosed with diabetes since last visit. Similarly, the dentist about your diabetes, if any, under control and there have been changes in your health since last visit and the names of all medications you take - both prescription and OTC drugs. Although the dentist checks the gums at the regular visits should you tell if your gums are sore or bleed when you brush your teeth.

Diabetes and Oral Health

Brushing is essential for good oral hygiene. When diabetes disease is not under control, a high glucose content in saliva may help bacteria to thrive. Plaques which are not removed, can calcify and become tartar. When tartar collects above the gumline, it becomes more difficult to thoroughly brush and clean between the teeth. This may result in the occurrence of chronic inflammation of the gums and infection in the oral cavity. Brushing twice daily with fluoride toothpaste helps remove decay-causing plaque. Fluorine forces the tooth enamel and protect the teeth against the holes. Fluoride also helps sensitive teeth. The dentifrice should preferably be of a fluorine content of or over 1000 ppm. For example, White Colgate Herbal a fluorine content of 1450 ppm, and further a combination of calcium fluoride and which helps to provide healthy teeth and protection against gaps. Or Zendium Classic, which has a fluorine content of 1100 ppm, and further with enzymes and colostrum. Brushing should be complemented by daily use of dental floss, toothpicks or interdental brush. Often it will bleed a little and maybe do a little sore, but do not worry on that account. It does not bleed, because there has been damage to the brush, but because there is already a small open wound caused by plaque (bacterial coating). Gums bleed only when it has been damaged by plaque. After using the interdental brush in 8-10 days, the gums everything up and it will stop bleeding. Also daily chewing of sugarless chewing gum is a pretty good idea, since the production of saliva is increased and the mechanical machining of chewing gum between your teeth helps to keep them clean. It is also possible to buy fluoride chewing gum pharmacist if you have a tendency to get tooth decay.


Because diabetes reduces the body's immune system, can easily cause inflammation of the gums. Periodontitis is the infection of the gums and bone that hold teeth firmly in cheek. If gingivitis is not stopped, it will in many cases progress to periodontal disease. The inflammation will work its way down along the tooth, gum pockets become deeper and deeper, and jaw bone dissolves slowly. In advanced lose periodontal disease level gradually lose their hold of the jaw, it becomes more and more away, and may eventually drop out. It is possible to have periodontal disease without specific symptoms, but you notice one or more of the following warning signs, you should consult a dentist: Gums that easily bleed red, swollen or tender gums, gums that have receded, pus between teeth and gums when you press on the gums, persistent bad breath or bad taste, permanent teeth that begin to loosen or move, changes in the way your teeth fit together when you bite or changes in the fit of a possible partial denture. As mentioned possible to have periodontal disease without any preceding warning signs are present.

Diabetes and Periodontal Disease

Because of the reduced resistance and a longer healing process occurs gingivitis and periodontitis frequent and more severe in diabetic patients. Therefore it is important to maintain stable blood sugar levels, eat a sensible diet, have a good 'home dental care' and go regularly to control in dentistry. Periodontitis is often associated with control of diabetes. For example, develop diabetes patients with inadequate glycemic control more often periodontitis, their periodontal disease is often more severe and they lose more teeth than patients whose diabetes condition is under control. A study of periodontal disease in adult insulin-treated diabetics shows that serious injuries often seen in diabetics than in people without diabetes. You must have had diabetes for many years before diabeten affect the development of periodontal disease. If you have got diabetes as a young man, is periodontal disease a risk factor. Furthermore, there is correlation between serious periodontal damage and the development of serious complications such as kidney damage and cardiovascular problems. The serious periodontal damage developed within the general complications arise. A severe periodontal disease can be an indicator that things are going badly with diabetes.

Salivary Gland Dysfunction

Saliva washes away food particles and keeps the mouth moist. The bacteria will continue to colonize if there is not enough saliva. Xerostomia or dry mouth is a common condition among diabetes patients and patients in cancer treatment through radiation therapy in head and neck. Constant dryness irritates the lining of the mouth, oral cavity often becomes inflamed and painful. Dry mouth increases the risk of caries, gingivitis and periodontitis. Here a few tips for the treatment of dry mouth such as the use of toothpicks / dental floss, and daily brushing is recommended electric toothbrush. Expand brushing also to be done both before and after meals. In addition, attempted actions that can increase salivary secretions or you can supplement with mouthwash with chlorhexidine to moisten the mucous membranes. Certain types of mouthwashes may discolor teeth after prolonged use. Denture Carriers can suck sour lozenges and patients with own teeth can suck sugarless sour lozenges fluoridated example Xerodent - a sugar free lozenge, available at pharmacies. There is also special foot care series for individuals who suffer from dry mouth and delicate membranes of the mouth at all. Most consists of a toothpaste, gel and the somewhat a spray. The series has not been tested scientifically, so you have to try them. For example, Zendium developed a special product that relieve dry mouth: Zendium saliva gel & spray. Products containing a high concentration of colostrum (colostrum from cows that have just calved). Zendium indicates that the colostrum contains more of the same ingredients as the saliva substitute, and thus to a certain extent, the lack of saliva. Gel and mouth spray both moisturizes and adds a protective layer over the mucosa. The gel may also be used as proteselim. If the mouth is very dry, it's good to rinse with water before the gel is smeared on. - Talk with your dentist.

Decreased Salivary Function

Normally produced approximately 1 liter of saliva a day. If salivary function is impaired, it poses problems with the teeth. There will be decreased resistance to infection and can cause more holes (Tooth Decay). Saliva contains 99 percent water, antibacterial substances that fight bacteria. Enzymes that begin the digestion of food. Mucin, which lubricates and forms a barrier against bacteria. Limestone, which anti-caries holes. It is therefore important not to eat sour candy, chewing gum and sugary drink lemonade because the sugar content. The sugar fueling bacteria and fungi in the mouth, thus increasing the risk of developing dental caries and fungal infection of the mucosa. Drink water instead or drink "artificial saliva" which is made of: 1 part water, 1 part glycerin & lemon drops to taste. Rinse mouth as needed and sinkers or spit it out afterwards. Do you have dentures made it out before you rinse. Other artificial saliva products: Saliva stimulating chewing and sucking tablets, sugar-free gum such Sorbits, Lozenges example Profylin (OTC), Fluoride Gum instance Fluorette (prescription), Spray eg Multi Oral Spray (OTC), Jelly eg Multi oral gel (OTC), which helps the dentures.

Fungal infection in the mouth

Many people walk around with thrush without it is seen or felt. Oral candidiasis is a fungal infection of the mouth, which occurs more frequently in diabetics and denture wearers. Smokers, diabetics with high blood glucose or people who are often at penicillin are often problems with fungal infections of the mouth. The fungus (Candida) can proliferate vigorously if there is a lot of sugar in the area, or if you have a denture with poor fit. On the uneven surface of especially the mouth prosthesis against the palate, there can sit fungal coatings. The infection usually manifests itself by a bright red mucosa, wounds and pain. Keep prostheses good clean, brush the surface thoroughly, and get under lined the prosthesis so that it sits firmly. Fungal infections can be treated with a long-term oral treatment with 'Brentan'. Reduced salivary flow and an increased level of glucose in saliva is an attractive environment for fungal infections such as eg Thrush. Thrush produces white (or red) patches in the mouth, which can be sore or may become sores. This can affect the tongue, resulting in a painful burning sensation. It may impede swallowing and compromise taste. The dentist may prescribe medication to treat fungal infection of the oral cavity. For diabetics, good oral hygiene of paramount importance.

Inflammatory disorders

"Lichen planus' is a skin disorder which is leads to lesions of the mucous membrane. The reason for the 'lichen planus' is unknown, but the outbreak can be produced by emotional stress. One form of the disease, which generally is free of pain, is indicated by small pimple-like mouth ulcers. They form a white lace-like network, which in a way similar to a low on a stone. A more serious type of lichen planus causes painful wounds afslider surface of the tissue. There is no permanent waving, but may prescribe your dental local anesthetic cream, or other drugs which can reduce or light genes.

Other conditions

Infection is a risk for diabetics and can make it very difficult to control blood glucose levels. You must have done some extensive surgery in the mouth, the dentist may prescribe antibiotics to minimize the risk of infection. To help the healing process under way, one should keep his blood glucose levels stable before, during and after surgery. Altered sense of taste is experienced by almost all people with diabetes and may influence the choice of food as the diabetic chooses sweet tasting food with a high content of refined carbohydrates. This can exacerbate a diabetic's dental health and general health.

Summary of Oral problems in Diabetes

In addition to periodontal disease, also called "the sixth complication of diabetes," is the most common oral problems caused by diabetes, dry mouth, poor wound healing and pain in the tongue. Periodontal disease is not due to diabetes, but causes the dent para fumes may have a more severe course. A good oral hygiene and stable blood sugar levels increases the chance to avoid the disease. Some people unfortunately get a fast course, severe periodontal disease without the need to be a poor oral hygiene, so there is no guarantee that prevention is always working. But regular examinations by a dentist can detect whether there is reason to be wary. And if a serious periodontal disease appears after many years of diabetes, it may in fact also be a sign of kidney problems and / or cardiovascular complications.


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