A third element crucial to persons with diabetes is good glycemic control; poorly controlled diabetes can invite or promote periodontal disease. …
Oral Health and Diabetes Fact Sheet for Providers
Links Between Oral Health and Diabetes The two most common forms of periodontal disease are gingivitis and periodontitis Gingivitis, an early and reversible condition, is an inflammation of the soft tissues surrounding the teeth Persons with gingivitis have tender, edematous, red gums that may bleed upon gentle pressure, such as from toothbrushing Periodontitis results when inflammation of the gums is left untreated Both gum tissue and supporting bone begins to reabsorb, creating pockets between the gums and teeth Treatment is aimed at preventing further bone loss and stopping the progression of the disease If no treatment is administered, tooth loss is inevitable The health care provider should inspect the patients mouth for the following signs of dental disease: puffy, red gums, a buildup of plaque, obviously decayed teeth, the characteristic bad breath of periodontitis Without probing and x-rays, the diagnosis between gingivitis and periodonditis cannot be made The health care provider should provide a list of recommended dentists or local dental clinics if the patient does not have a dentist The health care provider should
inform patients of the association between poor glycemic control and periodontal disease Inform patients that they can completely remove plaque by brushing and flossing their teeth at least twice a day Explain that periodontal disease can lead to tooth loss and those teeth may be difficult to replace Stress the importance of scheduling dental appointments that do not interfere with the patients insulin and meal schedule The best time for an appointment may be a few hours after breakfast
Oral Hygiene and Regular Dental Care The keys to preventing periodontal disease are good oral hygiene and regular dental care A third element crucial to persons with diabetes is good glycemic control; poorly controlled diabetes can invite or promote periodontal disease Urge patients to inform their dentist that they have diabetes Provider should instruct patients to see a dentist at least every 6 months Patients with periodontal disease will need to schedule more frequent appointments Instruct patients to brush their teeth with a soft toothbrush and fluoridated toothpaste at least twice a day, especially before going to sleep They should also floss at least once a day
References: US
Department of Health and Human Services The Prevention and Treatment Complications of Diabetes: A Guide for Primary Care Practitioners Centers for Disease Control and Prevention: Division of Diabetes Translation Atlanta, GA: US Govt, 1991
Source:azdiabetes.gov
