 Diabetes
and Your Mouth
Dental hygienists
are very concerned about the effects of diabetes on the mouth. It
can cause gingivitis
and swollen gums (gingival hyperplasia). Some experience xerostomia
(dry mouth) and a burning feeling. Sometimes sores in the mouth
are slow to heal. Fungal infections and tooth
decay can also be a problem for diabetics.
Those with diabetes are more likely to get periodontal
disease plus it will progress more quickly in people with both
Type 1 and Type 2 diabetes. This can also work in reverse. Periodontal
disease may worsen glycemic control.
If diabetes is not properly controlled, there may be high sugar
levels in the saliva that feed the bacteria that causes tooth
decay and gum disease leading to possible tooth loss. Oral fungus
or candidiasis is more common in diabetics. If you have diabetes,
smoke or take antibiotics,
you are more likely to develop a fungal infection. It may attack
your tongue or throat causing burning or pain and difficulty when
swallowing.
Most diabetics do not experience pain with periodontal disease
but may experience red and swollen gums and bleeding on brushing
and flossing. The best way to control your oral health, as a diabetic,
is by regular oral
health care, brushing
and flossing
twice daily, adequate blood sugar control, and the use of an antimicrobial
mouthrinse or toothpaste. Do not delay consulting with your dentist
or dental hygienist if you have questions or problems.
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