Diabetes and Periodontal Disease
It's important for your dentist to know if you have diabetes, and how you're controlling it. Good control of your diabetes affects your oral health as well as your overall health.
Diabetics tend to be less resistant to infection than non-diabetics, have more fragile bones, and take longer to heal after an operation.
An oral infection can make diabetes worse, which makes the infection worse, which makes the diabetes worse - and so on into a major medical problem.
Diabetics develop severe gum disease more often, too, especially over the age of 40. Once gum inflammation - gingivitis - sets in, it can erupt into periodontal disease or even infection in the jaw. In undiagnosed or uncontrolled diabetics, this could mean tooth loss.
How to hang on to your teeth?
Practice preventive dentistry and follow the medication, diet, and meal schedules recommended by your physician. This, with balanced rest and exercise, will bolster your resistance to disease, including oral infections and cavities.
If you're taking insulin injections, you may want to schedule appointments around your medication times. The stress of an examination or procedure can change the way your body uses insulin. Your dentist will want to be prepared to help you in case you have a reaction. And let him or her know if you are taking any other medications. Drug interactions can be serious.
You may want to have your gums examined (and have a dental cleaning) by a dental hygienist more often than twice a year - just to make sure nothing suspicious gets started.
And on the home front, good dental hygiene - controlling plaque, the invisible bacterial film that undermines teeth - is crucial. Home care rules to live by: brush at least twice a day and floss at least once a day. The more, the better.
+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.
Periodontitis and Gum Disease Treatment
It's natural to want to lump people together in some Big Category. Natural, but wrong. Like, "Baby Boomer." President Clinton and home run slugger Mark McGwire are both "Boomers." But are these two guys exactly alike?
It's the same in health and dental care. Your oral chemistry is as unique as your thumbprint. Yet magazine stories claim "you" need only one dental appointment a year to stay healthy. They don't know you. They're referring to an "average" patient. Dental insurance plans also tend to believe in this mythical "average patient" and may not pay for more than a biannual visit.
Sure, two visits are fine for many patients, even most. But some mouths build up more tartar than others. Others are naturally decay-prone. Still others - and this is critical - may be showing signs of periodontal (gum) disease.
Bleeding gums need to be taken seriously. They're signs of an infection that can be a significant risk factor for heart disease, and, in fact, many serious illnesses. If you had a bleeding sore on your hand that didn't heal you'd get to a doctor for a checkup, right? Type I periodontitis (gingivitis) consists of tender gums and a little bacteria-filled pocket between your tooth and gum. It's easily treatable at this point. But if the infected pockets are allowed to enlarge and you get swollen gums, that inflammation can extend to the bone beneath and erode it.
Your periodontist's concern is for your health and your teeth, not whether you've made the standard number of appointments for this year. He or she wants the chemistry to be right in your mouth... and between the two of you.
+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.