High blood sugar encountered in diabetic patients is the connecting link between diabetes and dental health problems. If diabetes is not controlled within the limiting range, the diabetic patients are prone to develop dental health problems eventually.
High blood sugar encountered in diabetic patients is the connecting link between diabetes and dental health problems. If diabetes is not controlled within the limiting range, the diabetic patients are prone to develop dental health problems eventually. Wikimedia Commons
Dentistry

Diabetes affecting Dental Health?

Dr. Anjali Singh

According to the National Institute Of Health, Diabetes mellitus (DM) is a chronic metabolic disease characterized by hyperglycemia due to either a deficiency of insulin secretion or resistance to the action of insulin or both. Diabetes is a disease that leads to different complications in the body and the oral cavity is no exception to that. People with uncontrolled diabetes are at higher risk of dental health problems.

Why does diabetes pose a problem for dental health?

High blood sugar encountered in diabetic patients is the connecting link between diabetes and dental health problems. If diabetes is not controlled within the limiting range, diabetic patients are prone to develop dental health problems eventually. And the reason behind this is that unmanaged diabetes weakens the immune system. This leaves the mouth defenseless against oral bacterial infections.

High blood sugar and unmanaged diabetes weakens the immune system which leaves the mouth defenseless again the oral bacterial infections.
People with high blood sugar are more susceptible to develop dental health problems, especially periodontal diseases which affect the gums and alveolar bone that holds the teeth in place. Diabetic patients must maintain good oral hygiene and visit the dentist for regular dental checkups. Keeping the blood glucose level in check is the key to controlling and preventing any possible dental health complications.
Dr. Raghuwar D. Singh (MDS) Professor of Prosthodontics, Crowns & Bridges, King George's Medical University

Oral Manifestations Of Diabetes

The oral manifestations and complications of diabetes mellitus include

• tooth decay (dental caries including root caries)

Root caries seen as oral manifestation in patient with uncontrolled diabetes.

• dry mouth (xerostomia)

• periapical lesions

• periodontal diseases (gum disease) like gingivitis and periodontitis

• oral candidiasis and thrush

Human tongue which is infected with oral candidiasis.

• burning mouth syndrome (glossodynia)

• taste dysfunction

• oral mucosal alterations like

- altered taste sensorium

- geographic tongue (benign migratory glossitis)

- coated and fissured tongue (scrotal tongue)

Coated and fissured tongue also known as scrotal tongue.

- pre-malignant lesions: oral lichen planus

- recurrent aphthous ulcers and stomatitis

Aphthous stomatitis in patient.

• increased tendency to oral infections like fungal and bacterial infections

• poor and delayed oral wound healing

Oral manifestations in diabetic patients are considered to be one of the major complications which comprise the quality of life in patients. The degree and duration of hyperglycemia directly impact the intensity of diabetic complications. There is evidence that supports the claim that chronic oral complications in diabetic patients have a negative impact on blood glucose control too.

Oral Health And Hygiene Tips For Diabetic Patients

Diabetic people can avoid oral manifestations and complications by following some tips:

• Keeping their blood sugar levels in check

Keeping the blood sugar level under control plays the most significant role to avoid oral complications.

• Brushing and flossing at least twice daily, and rinsing the mouth with an antiseptic mouthwash.

Brushing and flossing at least twice daily, and rinsing the mouth with an antiseptic mouthwash.

• Visiting the dentist and getting dental checkups done as well as getting the teeth cleaned every 6 months.

Visiting the dentist and getting dental checkup done as well as getting the teeth cleaned every 6 months.

• If the person is a denture wearer they should clean the denture daily and judiciously.

• If the person is a smoker they should entail the help of a dentist regarding quitting the habit.

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