Dental care can be a perfect ally in the fight against type 2 diabetes. We explain some doubts about the dental health of a patient who has been previously diagnosed with diabetes mellitus (type I, II or even gestational).
A recent study called email@example.com indicates that in Spain there is a prevalence of type II diabetes mellitus of 13.8% (more than 5.3 million people), with 7.8% of diagnosed diabetes (almost 3 million people), while 6% (more than 2.3 million people) are unaware of their situation.
Type 2 diabetes (commonly called diabetis) causes many complications, but mainly cardiovascular, with high mortality. There are many people who have not yet been diagnosed with the disease and as a consequence there is a higher risk for patients and a higher cost for the healthcare system.
In this context, the president of the Spanish Society of Periodontology and Osseointegration (SEPA), David Herrera, believes that oral health professionals can help detect these people with undiagnosed diabetes in dental offices, basically in biannual check-ups or maintenance, although occasional treatments can also be used. Hence the great importance of regular check-ups at your specialized dental clinic, such as IMOI Clinic in Barcelona and Ibiza.
To all our patients we perform in their first visit a
CT and a Premium Dental Study to be able to diagnose any problem you may have, and the best thing is that it is totally free.
. In our clinics we perform all advanced oral-dental treatments that a patient may need, since we have fully equipped facilities, with our own operating room and a medical staff with more than 20 years of experience.
In recent years, evidence has accumulated on the relationship between periodontal or gum disease and diabetes. If you want to learn more:
- Report by Prof. Dr. José Luis Herrera Pombo. Coordinator of the SEPA-SED Working Group and former president of the Spanish Diabetes Society (SED). Among other contributions and collaborations with SEPA, this expert has participated in the preparation of the SEPA/SED Foundation report on “Diabetes and periodontal diseases”.
- SEPA News. Specialized dental clinics (such as IMOI) are indispensable allies in the fight against diabetes.
What is the relationship between diabetes and dental control?
As summarized by Juan Girbés, member of the Spanish Diabetes Society (SED), diabetes and the disease have a bidirectional relationship: on the one hand, diabetes increases three times the risk of suffering periodontitis, especially if there is poor glycemic control, and on the other hand, the existence of periodontitis negatively affects the glycemic control of people with diabetes and contributes to the appearance of diabetes complications. Periodontal treatment has even been shown to improve glycemic control in patients with diabetes.
As we well know, the mouth is the entrance of food and precisely these are the main basis for diabetes control. It is a fundamental part of a diabetic patient’s care, both in terms of food intake and oral health.
Basically we must understand, whether we are patients with diabetes or not, that the basis of having a healthy mouth does not lie in just brushing your teeth quickly after every meal, the fundamental part of a healthy mouth is not just brushing your teeth quickly after every meal. oral hygiene is brushing: you can buy a very expensive toothpaste or the cheapest one, but if you don’t know how to use a toothbrush, neither will work. If you are a patient who knows you have diabetes, you should take double care of this part of the health of your teeth; come to your IMOI dental clinic so that your dentist can answer all your questions about the brushing you should have to make it correct and effective.
When there is a variation of glucose in a person, the care of the teeth requires special attention because they are most affected if glucose levels are not controlled in a correct way. There are cases of people who come to their dentist’s visit presenting mobility in some dental pieces, or arrive with infections, bleeding, even with spontaneous loss of teeth; this may indicate in some cases the presence of diabetes mellitus.
Damage to teeth caused by diabetes
When a person comes to the dental clinic with dental problems and the doctor notices that their condition has increased in an accelerated or unusual way, it is likely that they are dealing with a case of diabetes since diabetes acts as an enhancer of diseases of all kinds, not just oral conditions.
Generally, before the typical complications of diabetes develop, there are problems of diabetic neuropathyThe neuropathy, which is a sensory-motor affectation originated by high sugar levels and a decrease in blood flow; a patient with neuropathies loses sensitivity in the mouth or, on the contrary, may have extreme sensitivity. They also suffer from alterations in the taste of food, and there are changes in the structure of the gums, which can become inflamed or infected. When that happens, the patient is more prone to oral diseases.
The most important red alarm that a diabetic patient should take into account to know that he/she should visit his/her dentist is when he/she detects the presence of bleeding: healthy gums do not bleed or hurt.
If you bleed when brushing or even spontaneously your gums bleed, it means that there is already a problem that needs to be solved.
or the periodontitis is a worldwide oral health problem, but in the case of diabetes, let us remember that it serves as a factor to further potentiate this type of diseases and also accelerates them.
If you have any kind of bleeding, if your teeth have tartar or even abscesses present, commonly known as canker sores, if your teeth move or hurt, you have to go to a well qualified dentist and, at IMOI Barcelona and Ibiza, we have one of the best medical teams in Barcelona, with more than 20 years of experience in oral and maxillofacial treatments.
Dental treatment for a diabetic patient
Once you know you have diabetes, keep in mind that the most important thing is to have control over the sugar levels in your blood; if you are always within the accepted glucose ranges, you become a common patient to whom your dentist can perform any type of procedure; that is, if you need to perform any type of implant, extraction or surgery, he/she will be able to do it in a normal way.
But, if the diabetic patient’s glucose levels are high or low or fluctuate and are completely out of control, he becomes a patient with special treatment where it will be complicated to perform some procedures, and while his glucose is leveled the doctor can provide a palliative treatment; that means that the patient’s glucose level will be lowered. The dentist must prescribe antibiotics, analgesics, anti-inflammatories and, depending on the case, anxiolytics necessary for the patient to be able to cope with his oral disease until he can complete the treatment effectively and with peace of mind.
A dentist should proceed in a professional manner with a diabetic patient, requesting his clinical analysis, especially if he knows that he will undergo a surgical procedure, an extraction, implant or periodontal treatment or any other procedure that involves bleeding. This is important because for a diabetic patient the healing process varies from that of a healthy person, it takes longer to coagulate and even longer if there are high glucose levels.
Oral diseases in diabetic patients
The following are diseases that we can all have; however, in the case of patients with diabetes, they are more common conditions that are potentiated and accelerated with unbalanced glucose levels.
- Mouth ulcers
- Candidiasis or yeast infection
- Periodontal diseases
- Xerostomia or dry mouth
Advice for the diabetic patient
- See your dentist at IMOI on a regular basis to control infections or fungus.
- In case you have a declared oral disease, you should go immediately to your doctor and make sure you have previously checked your blood sugar levels. Currently, there are many systems that currently offer information about your glucose levels, we recommend that you purchase one so that you will always have this information available.
- Self-explore yourself, check your mouth and every part of your body. At the slightest sign of change in any area, see your doctor to avoid further complications.
Oral health in a diabetic patient should not be postponed or forgotten, it should be a priority as it should be for any person. Lose your fear of the dental health clinic, remember that it is always better to detect any ailment in time than to face a major medical complication.
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