How Does Diabetes Affect My Teeth and Gums?
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
- 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.
How Gum Disease Michigan Develops
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.
Why it is Essential for Michigan Dentists to Have a Blog
Methamphetamine Use and Oral Health (Meth Mouth)
Methamphetamine use is on the rise in the U.S. because Meth is cheap, easy to make and causes a high that lasts up to 12 hours. Dental health professionals need to be aware of this trend and be prepared to handle cases of Meth Mouth that come into their practices. Meth use has been linked to severe oral health effects along with being a potent central nervous system stimulant that can cause brain damage that can be permanent. Dental health professionals should be prepared to recognize the signs of Meth mouth and understand the treatment considerations for users of this drug.
- Decay in teenagers and young adults that is unaccounted for and accelerated.
- A pattern of decay that is distinctive, often on the buccal smooth surface of the teeth and the interproximal surfaces of anterior teeth.
- Patients who have a “malnourished” appearance due to the fact that Meth acts as an appetite suppressant.
- Take a thorough dental and medical history before completing a comprehensive oral evaluation.
- Convey consternation about the dental findings to the patient or the parent if the patient is a minor child.
- Be prepared to give the patient the phone number of a local physician, if the patient is receptive to a medical consultation, and know how to focus on the physician’s protocol so that the patient knows what to anticipate.
- Employ preventive measures such as topical fluoride treatments.
- Try to persuade the patient to drink water instead of drinks high in sugar content and carbonation.
- Be guarded when administering local anesthetics, sedatives, nitrous oxide or general anesthesia, and prescribe narcotics cautiously.
- Take advantage of the opportunity to educate your patient about the risks associated with and the dangers of methamphetamine or any illicit drug use.
Michigan Periodontist Receives Rave Reviews From One of His Patients
Some of our best patients are referred by some of our best patients! Here's what one patient had to say in a letter she wrote to Dr. Nemeth and staff following her treatment.
"To Dr. Nemeth, Cannot thank you enough for all your expertise and skill since being in your care all these years, my painless/no complications surgery and your constant patience and compassion! To The Staff: Thank you for your courtesy andprofessionalism and to all for the beautiful flowers."
Sincerely, Carmen Parks
Mother’s Gum Disease Linked to Infant's Death
Non-surgical Periodontal Therapies
Many times early stage periodontal disease can be treated with nonsurgical periodontal therapy. This is generally accomplished by a procedure called Therapeutic Scaling & Root Planing.
Therapeutic Scaling & Root Planing is a meticulous treatment designed to remove toxins and bacteria from root surfaces of the teeth allowing the body’s immune system to begin the healing process. It is designed to eliminate bacteria that cause periodontal disease and to shrink periodontal pockets that harbor bacteria. We use ultrasonic and hand instrumentation to remove plaque and calculus from root surfaces, irrigants to disinfect these areas, and fluoride to de-sensitize root surfaces and prevent decay.
In severe cases of periodontal disease, this therapy often precedes surgical therapy. This is done to improve overall tissue quality prior to surgery and also to help limit the areas requiring surgery.
Antibiotics may be used to help control the growth of bacteria that lead to periodontal disease. In some cases, the doctor may place a small amount of antibiotic in the periodontal pocket after therapeutic scaling and root planing. This is done to control infection and to encourage normal healing, and studies have shown that it may be effective at shrinking the size of infected periodontal pockets.
Our practice also became one of the first in the country to offer patients treatment using the Perioscopy System, a fiberoptic technology that allows us to see deep into gum tissue and around the roots of teeth without surgery. This enhanced viewing provides major support for thorough cleanings and diagnostic capabilities.
What are Patients Saying About Jospeh R. Nemeth, DDS and Associates?
Thank you so much for helping me overcome something that I thought would devastate one of the most important days of my life. I appreciate you fitting me in on an emergency basis and taking such good care of me. The cold sore was so big and it was so important to look perfect for my wedding pictures. You gave me piece of mind and a dramatically smaller and easy to conceal blemish. I cannot thank you enough.