Periodontitis tends to be more severe among people who have diabetes because diabetes lowers the ability to resist infection and slows healing. An infection such as periodontitis may also cause your blood sugar level to rise, which in turn makes your diabetes more difficult to control.
With increased blood glucose levels, people living with diabetes may have more glucose in their saliva and very dry mouths. These conditions allow dental plaque to build up on teeth, which leads to tooth decay and cavities.
People with diabetes need to be careful because extractions open the gum to infection. This infection may cause hyperglycaemia and mobilize fatty acids leading to acidosis. All these conditions make control of blood sugar level extremely difficult.
If emergency surgery is needed for a poorly controlled patient, then prophylactic antibiotics are prudent, using the accepted principles of such use. Infections in diabetic patients, regardless of their control levels, should be managed aggressively, including possible early referral to oral and maxillofacial surgeons.
Not only are dental implants safe for diabetics , forgoing dentures for more permanent dental implants can improve the health of those with diabetes .
Tell your dentist that you have diabetes and what medicines you take. Let them know if your blood sugar level is off-track, and if you take insulin, tell them when you took your most recent dose. Get your teeth and gums cleaned and checked by your dentist twice a year.
Gum disease is a problem that can happen with diabetes that is not controlled well. And the body’s response to gum infections can also cause blood sugar problems . Proper care of your teeth and gums , such as regular brushing and flossing, can help prevent mouth problems linked to diabetes .
Whilst diabetes is recognised as increasing the risk of dental health issues, people with diabetes don’t automatically qualify for help towards dental treatment . However, there are other factors which could allow you to receive help towards dental treatment on the NHS, which include: If you are under 18.
Even though there’s no diabetes cure , diabetes can be treated and controlled, and some people may go into remission. To manage diabetes effectively, you need to do the following: Manage your blood sugar levels.
Why People with Diabetes Are More Prone to Gum Disease This chronic, inflammatory disease can destroy your gums, all the tissues holding your teeth and even your bones. Periodontal disease is the most common dental disease affecting those living with diabetes , affecting nearly 22% of those diagnosed.
Fasting blood glucose level of 180 mg/dl is a cut-off point for any selective dental extraction. However, Random blood glucose level of 234 mg/dl (13 mmol/l) is a cut-off point for an emergency tooth extraction. Tightly controlled diabetic patients (blood glucose level below 70 mg/dl) are susceptible to hypoglycemia .
Patients with diabetes who are well controlled medically and free of complications, such as renal disease, hypertension or coronary atherosclerotic disease, are candidate for endodontic treatment like any other indicated dental treatment .
When Antibiotics Are Usually Not Required This common complication causes significant oral pain and discomfort but is not necessarily an infection. However, if it was caused by a preexisting bacterial infection or if it develops into an infection, antibiotics will be necessary.
It’s usually a necessary part of such procedures as tooth extraction , root canal therapy or deep cleaning of the gums. In other cases, antibiotics may be prescribed to prevent an infection. This type of application is referred to as premedication.
Although having a tooth pulled is usually very safe, the procedure can allow harmful bacteria into the bloodstream. Gum tissue is also at risk of infection. If you have a condition that puts you at high risk for developing a severe infection, you may need to take antibiotics before and after the extraction .