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Periodontal Disease and Diabetes

It is well documented that people who suffer from diabetes are more susceptible to developing infections than non-diabetes sufferers.  It is not widely known that t periodontal disease is often considered the sixth complication of diabetes; particularly when the diabetes is not under proper control.

Periodontal disease (often called periodontitis and gum disease) is a progressive condition that often leads to tooth loss if treatment is not promptly sought.  Periodontal disease begins with a bacterial infection in the gingival tissue which surrounds the teeth.  As the bacteria colonize, the gum pockets become deeper, the gums recede as tissue is destroyed and the periodontitis eventually attacks the underlying bone tissue.

Diabetes is characterized by too much glucose (or sugar) in the blood.  Type II diabetics are unable to regulate insulin levels which means excess glucose stays in the blood.  Type I diabetics do not produce any insulin at all.  Diabetes is a serious condition which can lead to heart disease and stroke.

Reasons for the Connection

Experts suggest the relationship between diabetes and periodontal disease can worsen both conditions if either condition is not properly controlled.

Here are ways in which diabetes and periodontal disease are linked:

  • Increased blood sugar – Moderate and severe periodontal disease elevates sugar levels in the body, increasing the amount of time the body has to function with high blood sugar.  This is why diabetics with periodontitis have difficulty keeping control of their blood sugar.  In addition, the higher sugar levels found in the mouth of diabetics provide food for the very bacteria that worsen periodontal infections.

  • Blood vessel thickening – The thickening of the blood vessels is one of the other major concerns for diabetes sufferers.  The blood vessels normally serve a vital function for tissues by delivering nutrients and removing waste products.  With diabetes, the blood vessels become too thick for these exchanges to occur.  This means that harmful waste is left in the mouth and can weaken the resistance of gum tissue, which can lead to infection and gum disease.

  • Smoking – Tobacco use does a great deal of damage in the oral region.  Not only does tobacco use slow the healing process, it also vastly increases the chances of an individual developing periodontal disease.  For diabetics who smoke, the risk is exponentially greater.  In fact, diabetic smokers aged 45 and over are twenty times more likely to develop periodontal disease.

  • Poor oral hygiene – It is essential for diabetics to maintain excellent levels of oral health.  When daily brushing and flossing does not occur, the harmful oral bacteria can ingest the excess sugar between the teeth and colonize more freely below the gum line.  This exacerbates the metabolic problems that diabetes sufferers experience.

Diagnosis and Treatment

It is of paramount importance for people suffering from any type of diabetes to see the dentist at least twice yearly for checkups and professional cleanings.  Studies have shown that simple non-surgical periodontal treatments can lower the HbA1c (hemoglobin molecule blood test) count by as much as 20% in a six month period.

The dentist will use medical history, family history and dental X-rays to assess the risk factors for periodontal disease and determine the exact condition of the gums, teeth and underlying jawbone.  If necessary the dentist will work in conjunction with other doctors to ensure that both the diabetes and the gum disease are being managed and controlled as effectively as possible.

Non-surgical procedures performed by the dentist and dental hygienist include deep scaling, where calculus (tartar) will be removed from the teeth above and below the gumline, and root planing, where the root of the tooth is smoothed down to eliminate any remaining bacteria.  Antibiotics may be applied to the gum pockets to promote healing.

Before and after periodontal treatment, the dentist and hygienist will recommend proper home care and oral maintenance as well as prescribing prescription mouthwashes which serve to deter further bacteria colonization.

If you have questions or concerns about diabetes or periodontal disease, please ask your dentist.

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Testimonials

5 star rating 8/30/2017
Dr. Thai has been my dentist for over 3 years now and I'm still fully satisfied with this office! The main thing I like about this office is that they really care about the patient.
So if you're looking for an office that pays attention to personalized care and a dentist that listens to your needs and concerns, this is the office for you!
They accept most insurances so if you're not sure if they are in network, make sure to give them a call and they will help you through the process!

CK in Sunnyvale on 08/30/2017

5.0 star rating 3/13/2016
I strongly disagree with Peter Z. I doubt that his review is for Dr Thai. I've been with Dr. Thai for 2 years and she never did what Peter Z has described. Dr. Thai is not a pushy person, I don't believe she would repeatedly up-sell unnecessary procedures to her patients. She is professional, knowledgable, skillful, experienced, down to earth, sincere, friendly. There are a lot of great values I found on her as an outstanding dentist.

I would highly recommend her to anybody.

Richard via Yelp

5.0 star rating 11/20/2015
1 check-in
This review is long overdue! I have been a patient of Dr. Thai for over 7 years now. I concur with the other reviews that she is sincere, friendly, and will go above and beyond to help with getting your dental needs taken care of. She would take the time to answer all of my questions and was very thorough with her cleanings, screenings, and overall dental care. The best thing about her is that she is gentle and patient. If you happen to see her during the holiday season, you may get a chance to try her homemade muffins or cookies. Her assistant told me that she loves to bake during the holidays, and she would share them with patients and colleagues. Her office even have cool dental items like bacon, pickle, and cupcake toothpaste/floss for you to try. So if you want a personalized and friendly office where the dentist knows all of her patients by name, then I highly recommend Dr. Thai. You won't be disappointed.

Chip via Yelp

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