How Does Diabetes Affect My Teeth and Gums?

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Diabetes affects millions of Americans; but many of those affected do not know that their diabetes may be causing havoc in their mouths.  Proper dental care and control of blood sugar levels are key to these patients maintaining a healthy mouth.

Patients with diabetes, especially those whose blood sugar levels are not properly controlled are more likely to develop gum (periodontal) disease which will eventually lead to tooth loss.  As with any infection, gum disease may cause blood sugar levels to rise and make controlling diabetes that much more difficult.

There are other mouth problems associated with diabetes that include but are not limited to:

  • soreness caused by dry mouth
  • an infection called thrush which is caused by fungus that grows in the mouth
  • ulcers (cancer sores)
  • infections (abscesses)
  • cavities
It's very important to try to keep your teeth for a lifetime since you need strong teeth for chewing.

How to know if you have problems with your teeth and gums:

If the soft tissue around your teeth (gums) becomes red, swollen or starts to bleed while brushing and flossing, you may have the first stage of gum disease known as gingivitis.  At this stage, gums may be mildly sore, may be red or puffy and may bleed easily.  This is the early stage of gum disease Michigan.

Plaque, a sticky, colorless film that forms on your teeth holds bacteria which causes the gum disease.  The plaque bacteria release toxins that irritate the gums. If you do not remove plaque by brushing and flossing your teeth, plaque can build up and infect your gums, teeth and the bone that supports them.  If left untreated, tooth loss will occur.  The signs of gum disease are not always easy to see and can be painless, so it is important to see a dental professional on a regular basis.  Those professionals are trained to spot the early signs of gum disease.

During advanced stages of gum disease, the gums pull away from the teeth.  This lets plaque move toward the roots, supporting fibers and bone and eventually leads to tooth loss.



How Can I Prevent Dental Problems with Diabetes?
  • First and foremost: control your blood sugar level.  Then always take good care of your teeth and gums, including regular visits to the dentist or hygienist.
  • Brush as often as your dentist or hygienist tells you to with whatever toothpaste your dentist recommends.  
  • Brush gently with a soft-bristled toothbrush - avoid hard back-and-forth scrubbing that can irritate your gums.
  • Clean between teeth with floss as demonstrated by your dentist or hygienist.  Don't forget to rinse your mouth afterwards to remove plaque and food particles.
  • Do not smoke or use tobacco and, if you wear dentures, remove and clean them each day.
  • Remember to tell your oral health care provider of any changes in your condition and any medications you might be taking.

For more information on diabetes and gum disease, visit http://www.drnemeth.com or call 248-357-3100 today to schedule a consultation appointment.  Additionally, you may visit the Oral Health Center at http://www.colgate.com.  Always make sure you tell your dentist that you have diabetes.  

How Gum Disease Michigan Develops

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Gum disease begins when tartar buildup and bacteria beneath the gums cause infection, which is essentially an overgrowth of bacteria. The gums become inflamed, irritated and swollen as your body tries to fight the infection brewing below the gum line.  Plaque becomes more difficult to remove because it hides in pockets which form between tooth and gum.  As the gum disease advances, the infection eventually causes bone damage to occur and can lead to the loss of a tooth and sometimes, multiple teeth.

The Stages of Gum Disease 
  • Gingivitis- This is the mildest form of gum disease.   The gums may become inflamed, causing the space between gum and tooth to deepen, forming a pocket that is difficult to keep clean.  Gums may become red and swollen, or may bleed when probed.  Sometimes no symptoms exist at all and often goes unnoticed.  Gingivitis can often be controlled and some of the damage can be reversed with regular professional dental cleanings and routine brushing and flossing.  Left untreated, however, gingivitis can quickly progress into gum disease (periodontitis).
  • Periodontitis- Periodontitis is characterized by the gingivitis infection and inflammation having spread to the bone supporting the teeth.  This is often followed by the break down of the periodontal ligaments and the recession (shrinking back) of the gums.  Pockets begin to deepen and, at this point, are almost impossible to keep clean with routine homecare.  Redness, swelling and bleeding will most likely develop or get worse. The infection begins to cause deterioration of the bone surrounding your teeth as the bacteria from the periodontal infection multiply. Teeth may start to feel loose at this point due to the loss of bone that is occurring. 
  • Advanced Periodontitis - As gum disease advances, pockets get even deeper and may be pus-filled.  The gums may start to swell around the roots of the teeth and bone loss continues.  Symptoms of advanced gum disease may include sensitive to heat or cold and pain while brushing.  Teeth may really begin to feel loose due to the ongoing loss of bone and ligament.   In some cases, teeth may need to be removed to keep periodontal disease from spreading.
Gum disease is a chronic infection, which means there is no "cure".  The symptoms can be controlled and some of the damage can be reversed by having treatment with a gum disease specialist (periodontist).  In many cases, less advanced infections can be controlled by a procedure called scaling and root planing which is performed by a hygienist and will feel to you like a very deep, thorough cleaning.  Often, an antibiotic is placed in the deeper pockets during this procedure.  Your periodontist will probably recommend four professional cleaning per year after any periodontal treatment.  More advanced cases may require either traditional surgical procedures to reduce the gum pockets or laser gum therapy.

Visit http://www.drnemeth.com/ for more information about gum disease Michigan, Oakland County gum treatment, Birmingham Bloomfield Hills area gum disease specialists or call 248.357.3100 today to schedule a thorough periodontal evaluation.  The American Academy of Periodontology is also a fantastic resource for information about gum disease.  You can visit their website at http://www.perio.org.

Why it is Essential for Michigan Dentists to Have a Blog

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As a dental professional, have you ever really stopped to think about the massive audience you have at your fingertips via the world wide web?  The web is the status quo for how information is found today.  If your child gets sick, is your first trip to the doctor's office or to your computer?  I'm betting for many of you the answer was "computer".  There is an absolute overabundance of information at everyone's fingertips.  So how can you, the dental professional, take advantage the way people search for information?  In a word, "blog".

blog (or web log) is a vehicle by which individuals can spread their expertise across the World Wide Web in the blink of an eye.  Potential patients can read your information and advice free of charge; and believe me, they will do just that.  As a dental professional, you inherently possess valuable information that the public wants and needs.  Writing a blog is one way for you to quickly and effectively distribute this knowledge to your patients and perhaps more importantly, potential new patients.

Blogging is also an easy way to organically boost your practice website's ranking in search engines like google, yahoo, bing and others.  Search engines rank websites by content.  The more relevant content you can spread across the World Wide Web and link back to your practice website, the higher your website's ranking will be when potential patients enter search terms into a search engine.  Blogging is perhaps the quickest and easiest way to build content and in return, boost your ranking.

Your blog is essentially a mini-website where readers can access a ton of great information, comment on that information and ask relevant questions.  You can set up a blog quickly, easily and free of charge using websites like www.blogger.com or www.wordpress.com.  Even the least tech savvy among us can handle this task with relative ease.

Then, it's up to you to start writing small articles (blog posts) about whatever topic is interesting to both you and your audience.  As long as you present relevant information in a unique way, the patients will visit your blog, will read your content, will keep coming back to your blog for similar information and will spread the word about what a fantastic blog you have.  It really is that simple.

Just try to keep in mind which keywords your patients are likely to type into a search engine when they are looking for information about dentistry.  Instead of "periodontal disease" think "gum disease" or "bleeding gums".  Instead of "endodontics" or "orthodontics", think "root canals" and "braces".  Try to always write in terms your patients will know and for which they will search.  Also, (and I can't stress this enough) ALWAYS provide a link back to your practice website so that your readers have a direct portal to your practice.  Remember, this is your blog, so a little marketing will be well received by your audience as long as it is surrounded by a lot of useful information.

My final bit of advice to you before you embark on this new blogging journey is to just go for it.  Be yourself and you can't get this wrong.  Don't assume people aren't interested in what you have to say.  I guarantee there are potential patients waiting to be won over by a sincere dentist with an honest and interesting blog. Write about what you know and the patients will follow...maybe not immediately, but they will follow.  The more blogging you do, the better you'll get at this craft.  As long as you keep the needs of your patients at heart, you won't get this wrong.

To learn more about the Michigan Implant Study Club or Joseph R. Nemeth, DDS and Associates, visit http://www.drnemeth.com/ or call 248.357.3100.  More information is also available at the Michigan Periodontist Blog and the Michigan Dental Implants Blog or you can stay updated by becoming a fan of the Joseph R. Nemeth, DDS and Associates Facebook Fan Page or the Michigan Implant Study Club Facebook Fan Page.

Author: Jodi Alcock, I.T. Specialist
Joseph R. Nemeth, DDS and Associates
 The Michigan Implant Study Club