A sweet diet, lack of oral hygiene, some medical conditions such as diabetes can lead to problems with the mouth and teeth.
An increasingly common disease in Europe, some 60 million people suffer from diabetes, and it has a great impact on oral health. It is now recognized that maintaining good oral health improves the control of glycemia and helps prevent or reduce the development of other complications, also healthy eating and regular physical exercise. Diabetes and periodontitis are two chronic diseases that affect each other: Diabetes can worsen periodontitis, which can affect the control of diabetes. Diabetic patients have an increased risk of infection and poor wound healing, which further exposes them to oral health problems.
Good daily oral hygiene is essential
Two brushings a day (morning and evening)
Brush with soft bristles (change every 3 months)
Use dental floss or interdental brush (once a day)
Use an alcohol-free or chlorhexidine-based mouthwash (twice a day)
Use a saliva substitute
Use thread threaders, superfloss, interdental brushes (facilitates cleaning under bridges and implants)
Use a remineralizing product based on casein (milk protein)
Use an electric toothbrush
Use anti-tartar toothpaste for sensitive teeth or salivary enzymes.
Use a tongue scraper
Use an interdental hydro-propulser (Water Pick)
Periodontitis : A complication of diabetes
Periodontitis, also known as gum disease, is characterized by the destruction of the support (bone and gum) around one or multiple teeth. Gum disease settles without announcing itself and is mainly caused by the accumulation of biofilm (dental plaque). Early detection by a hygienist can help to limit the progression of inflammation of the gums (gingivitis) to the bone supporting the tooth.
Diabetes triples the risk of having a destructive periodontitis
The degree of severity varies depending on the level of diabetes control. For a person whose diabetes is poorly controlled, bone resorption (loss of the support bone) can worsen until the loss of one or several teeth.
Poorly controlled diabetes can also cause :
Burning mouth syndrome
Modification of the taste
Yeast infections (ex. thrush)
A considerable increase in cavities
Why does diabetes can cause periodontitis ?
Increases biofilm development
Increased glucose in the saliva when blood glucose is poorly controlled
Promotes the proliferation of bacteria
Loss of the collagen in the gums
Can accelerate bone destruction
Poor blood circulation in the gums
Decreases nutrient intake and harms the healing of the gums
It is important to make an apointment with your hygienist !
A visit every 3 to 6 months with your dental hygienist can eliminate any accumulation of tartar and biofilm and detect the presence of cavities, periodontal disease or other diseases. It is better to ask for short appointments in the morning after having lunch.
The dental hygienist indicates the health status, the list of medications, the blood glucose level and the symptoms in the professional file in order to offer more personalized advice, treatments and follow-ups.