Periodontal Disease & Diabetes

Periodontal Disease & Diabetes

It is well documented that people who suffer from diabetes are more susceptible to developing infections than non-diabetes sufferers. It is not widely known that periodontal disease is often considered the sixth complication of diabetes, particularly when the diabetes is not under proper control.

Periodontal disease (often called periodontitis & gum disease) is a progressive condition that often leads to tooth loss if treatment is not promptly sought. Periodontal disease begins with a bacterial infection in the gingival tissue which surrounds the teeth. As the bacteria colonize, the gum pockets become deeper, the gums recede as tissue is destroyed & the periodontitis eventually attacks the underlying bone tissue.

Diabetes is characterized by too much glucose (or sugar) in the blood. Type II diabetics are unable to regulate insulin levels which means excess glucose stays in the blood. Type I diabetics do not produce any insulin at all. Diabetes is a serious condition which can lead to heart disease & stroke.

Reasons for the Connection

Experts suggest the relationship between diabetes & periodontal disease can worsen both conditions if either condition is not properly controlled.

Here are ways in which diabetes & periodontal disease are linked:

Increased blood sugar – Moderate & severe periodontal disease elevates sugar levels in the body, increasing the amount of time the body has to function with high blood sugar. This is why diabetics with periodontitis have difficulty keeping control of their blood sugar. In addition, the higher sugar levels found in the mouth of diabetics provide food for the very bacteria that worsen periodontal infections.

Blood vessel thickening – The thickening of the blood vessels is one of the other major concerns for diabetes sufferers. The blood vessels normally serve a vital function for tissues by delivering nutrients & removing waste products. With diabetes, the blood vessels become too thick for these exchanges to occur. This means that harmful waste is left in the mouth & can weaken the resistance of gum tissue, which can lead to infection & gum disease.

Smoking – Tobacco use does a great deal of damage in the oral region. Not only does tobacco use slow the healing process, but it also vastly increases the chances of an individual developing periodontal disease. For diabetics who smoke, the risk is exponentially greater. In fact, diabetic smokers aged 45over are twenty times more likely to develop periodontal disease.

Poor oral hygiene – It is essential for diabetics to maintain excellent levels of oral health. When daily brushing & flossing does not occur, the harmful oral bacteria can ingest the excess sugar between the teeth & colonize more freely below the gum line. This exacerbates the metabolic problems that diabetes sufferers experience.

Diagnosis & Treatment

It is of paramount importance for people suffering from any type of diabetes to see the dentist at least twice yearly for checkups & professional cleanings. Studies have shown that simple non-surgical periodontal treatments can lower the HbA1c (hemoglobin molecule blood test) count by as much as 20% in a six month period.

The dentist will use medical history, family history & dental X-rays to assess the risk factors for periodontal disease & determine the exact condition of the gums, teeth & underlying jawbone. If necessary the dentist will work in conjunction with other doctors to ensure that both the diabetes & the gum disease are being managed & controlled as effectively as possible.

Non-surgical procedures performed by the dentist & dental hygienist include deep scaling, where calculus (tartar) will be removed from the teeth above & below the gumline, & root planning, where the root of the tooth is smoothed down to eliminate any remaining bacteria. Antibiotics may be applied to the gum pockets to promote healing.

Before & after periodontal treatment, the dentist & hygienist will recommend proper home care & oral maintenance as well as prescribing prescription mouthwashes which serve to deter further bacteria colonization.

If you have questions or concerns about diabetes or periodontal disease, please   Request Your Appointment or Call us today at  301-585-1515.