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've had the privilege of going to Dr. Howard since young (decades). Now my entire family has chosen Dr. Howard and Dr. Alan Igasaki as our dentists. Both are calm, soothing, gentle and amazing dentists. Dr. Alan also specializes in periodontics which helped the extensive gum work we had to do over the years. The entire staff is super friendly and fun. There wasn't one visit I didn't leave laughing or encouraged by some one on the staff.

The doctors work well together and often seek each other's opinion. I appreciate that they're always educating themselves and using the latest technology. Dr. Alan used the laser on my son's gum procedure with no bleeding and minimal pain. They also allow you to bring your own music in and can play movies on a special eyeglass video screen. We often didn't want to leave since the "movie wasn't over." I get pretty anxious with any dental work. I watched a relaxing movie about Hawaii and the ocean. Both doctors are soothing and often talk to you a long time previous to treatment. It helps a lot. They're gentle also and will ask you for feedback if there's pain or discomfort. Very empathetic doctors as well as being brilliant clinically is rare. Highly recommended!!!

M D.

I cannot believe I am giving ANY dentist that I have personally seen any stars. But I must say Dr. Howard Igaskai, deserves every single one of them. I am not an easy person to get into a dental office let alone a dental chair! My fear of dentist started as a child & never went away. Dr. Howard aka Papa Howard, knew of my anxiety & went as far as unbuttoning his top collar & removing his coat just to make me feel at ease. I honestly have major trust issues w/dentist. I have horrible teeth due to the lack of dental care. I need a lot of work & it took a lot for me to even make this appointment. With that being said Dr. Howard took his time to explain & examine everything. I have to admit I didn't trust him from the get go & had a stink face but as the appointment went on he made me feel comfortable enough to make me want to return to his office. Yes, you read that right. I will go BACK....WILLINGLY! I'm still afraid & nervous as heck but from the front desk ladies, to the dental assistants & Dr. Howard....thank you! Thank you for NOT giving up on me. Thank you for making me feel comfortable enough to want to return. I'll see you again (still anxious) but I will be there.

Diana A.

I am SO honored to be able to rate and provide information on my dentist's office. In a world where people freak out about seeing the dentist, I LOVE mine! The front staff is great (very welcoming and informative), Elsie is my favorite hygienist (very inviting and great to talk to - even with tools in your mouth!), and Dr. Howard is da bomb! This is the one doctor I see religiously!

My parents were smart in taking me with them to the dentist (they are patients here, as well) when I was very young. I don't recall what age I was when Dr. Howard first started treating me, but I don't ever recall not knowing or feeling comfortable with him. And, now that I'm old, he still asks about my migraines, my family, and is just very pleasant to speak with any time I do.

I wanted to whiten my teeth and he told me no - that mine are naturally bright. He could have done it anyway, but that's just one way he is always looking out for me.

God willing, I will NEVER not have the wonderful folks here as my dental professionals! I always get compliments on my teeth!

Anika C.

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Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
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