Diabetics and dental health

Diabetes affects the health of teeth and gums. Since diabetes is a chronic disease and can only be controlled but not cured, the increased attention of diabetics for their dental health is a lifetime.

Diabetes affects the teeth health

Many diabetes patients do not know or ignore it: their altered sugar metabolism affects dental health. So are diabetics z. B. more susceptible to bacterial infections and periodontitis. But on the other hand, dental disease can affect the entire organism. Insulin regulates the sugar content in the blood. A lack of insulin - ie an elevated blood sugar level - can lead to deposits on the small vessels (capillaries) and impair their function: the blood circulation decreases. These so-called microangiopathies affect the sour and nutrient supply of the entire tissue, including the gums.

If microangiopathies are present, the defense mechanisms of the affected tissue are also weakened. Therefore, in the oral cavity bacteria can multiply unhindered and promote the development of dental disease. Another possible consequence of increased blood sugar levels is a decreased salivation. Saliva acts like a buffer because it dilutes the acids that are produced by sugar in the oral cavity. The more saliva the less concentrated the acids are. In a dry mouth, the enamel can be attacked faster and caries arise.

Two types of diabetes

Affected by the type-1 are usually young people. The cells that produce the body's own insulin have been destroyed by their own immune system. Therefore, the type 1 diabetic relies on the lifetime supply of insulin. If the insulin addition is poorly adjusted, the diabetic almost automatically suffers from periodontitis, which leads to gradual degradation of the jawbone. The severity of bone loss in the jaw depends on the duration of the diabetes. The diabetes of the type-2 is called in the vernacular also trivializing "age sugar". He often occurs in the elderly. In this type of diabetes, either various tissues no longer react to the self-produced insulin or the pancreas produces the hormone only irregularly. This group has a 4.8-fold higher risk of developing periodontitis.

The exact circumstances for this relationship have not been proven to date. Medical research has long known that diabetes influences periodontitis. The latest findings show that periodontitis also influences - in any case indirectly - the blood sugar level of type 2 diabetics. After treatment for periodontitis without surgical intervention, blood sugar levels decreased in combination with administration of antibiotics. It is thought that periodontitis-causing bacteria play a crucial role in this context. Further research is needed to understand the exact context. In addition, unusual places are affected by caries in diabetics. Thus, the caries infestation affects diabetics to 80 percent of the tooth neck.

Oral hygiene is very important

Patients with diabetes can do a lot to maintain and protect the health of their teeth. Here are some tips for you: Make sure you have a good mindset of your diabetes. A normalization of blood glucose levels prevents secondary diseases - including dental diseases. Brush your teeth at least twice a day with circular motions. Renew your toothbrush regularly, approximately every six weeks, as bacteria settle between the bristles. Fluorides harden teeth and prevent tooth decay. Use fluoride-containing toothpaste and once a week a special fluoride gel from the pharmacy. Clean the interdental spaces daily with dental floss or special intermediate brushes. After snacking, eat a sugar-free dental chewing gum to neutralize harmful acids. Go to the dentist twice a year, even if you have no symptoms. Go to the dentist immediately if you suspect gingivitis!

Observe disturbed wound healing

Another consequence of diabetes is often impaired wound healing. Inform your dentist about your diabetes in good time, especially if dental surgery is imminent. If you have a poor diabetes preference, taking an antibiotic before surgery may be useful to prevent a wound infection. Source: prodente

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