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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.

Testimonials.

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Testimonials

I loved my experience at Dr. Lopez's office. 20 years ago I had several unsightly metal fillings put in my mouth. Also, I've worn my teeth down by grinding considerably over the years. As I grew older, my teeth did not look good to me when I smiled. In July of 2015, I wanted to have all of the metal fillings in my mouth removed, and one of the fillings in particular had already cracked the tooth that it filled. Initially, I was very nervous, but Dr. Lopez and his staff completely put me at ease from the time I walked in the door. The way he rebuilt the grinding damage on my back teeth is remarkable. He is not only a great dentist but a gifted architect and engineer at the same time. I didn't even feel the numbing shots at all, and I actually fell asleep in the chair during the procedure thanks to Dr. Lopez's relaxing demeanor and the calming music in the room. To my wife, I affectionately refer to him as Dr. Lopezzzzzz, now, since I did fall asleep. I would recommend Dr. Lopez to even my closest family. Thank you, again, Dr. Lopez.

Chase H

I went to Dr. Lopez to get veneers on eight teeth (upper, front). From my initial consultation to getting my temporary veneers put in today, I have been consistently impressed by his practice. The entire staff operate as a single, professional team. Extremely courteous, knowledgable, and accommodating, they do everything they can to help patients feel both comfortable and fully informed of everything that goes on during their visit.

My process with the veneers thus far has been extremely smooth and easy. Despite what you may read on the Internet from other people who have gotten veneers elsewhere, Dr. Lopez goes through great measures to ensure that your experience is pain and worry free. He is truly a master at his craft, and his vast experience in the dental profession (equally reflected in his accolades) definitely shows.

I have a check-up for the temporary veneers in the next couple of weeks, and the permanent veneers will arrive shortly thereafter. I have full confidence that the rest of this process will go just as well as it has so far, especially after my visit today. Highly recommend this office for your dental needs. 5/5 stars.

Jason H

I have never liked going to the dentist because of painful past experiences. Shots, rough cleanings, etc. On my first visit, I had a cleaning . There was no pain. I was impressed. And a recent event that required shots, and extractions had me concerned about pain, but Dr. Lopez reassured me not to worry. As he began the shots,NO PAIN AT ALL!!! I was more than impressed! I knew I had found my dentist. Dr. Lopez and his staff are kind, gentle, professional, and the atmosphere is very relaxed and pleasant! I am very pleased, and highly recommend him!!!

Robin T

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Dr. Juan R. Lopez
Phone: 580-536-9647
6941 West Gore Blvd.
Lawton, OK 73505