Nearly 30 million Americans suffer from diabetes. Almost 65 million Americans have periodontal disease. Recent studies have suggested that there is a two-way connection between diabetes and periodontal (gum) disease. Patients with gum disease have increased risk of other diabetic complications and patients with diabetes are more prone to developing gum disease.
Gum disease causes inflammation in the body, which can make controlling blood sugar more difficult for diabetic patients. Severe periodontal disease has even been shown to increase blood sugar, making it more difficult to maintain or regain good blood sugar control. In addition, when blood sugar is elevated, patients experience increased risks of additional diabetic complications.
Patients with diabetes are more prone to infections in general. This is especially true for patients whose diabetes is not well controlled. Diabetic patients with poor blood sugar control are more likely to develop gum disease than patients whose diabetes is well controlled. Less controlled diabetic patients will generally have a more severe case of gum disease and are likely to lose more teeth from gum disease, as well.
Besides blood sugar control, diabetes includes a number of other health complications. Diabetic patients are more prone to other oral health issues, such as dry mouth or thrush (a fungal infection of the mouth). Reduced saliva production or infection in the mouth can increase risks of developing periodontal disease as well.
Smoking can escalate these risks even further. Studies have shown that smokers are 5 times more likely than non-smokers to develop gum disease, overall. Diabetic smokers age 45 or older have been found to be 20 times more likely to develop severe gum disease.
Fortunately, when diabetes and blood sugar are well-controlled, the risks of periodontal disease and other oral health complications are no different than for patients without diabetes. If you are diabetic, it is important to work with your doctor to keep your blood sugar under control as much as possible to avoid these added health complications.
Be sure to let us know if you have diabetes and how well-controlled it is. We may need to discuss your medication schedule when planning treatments or to postpone a treatment if your blood sugar is not controlled. Keep in mind that healing from treatment can take longer for diabetic patients, even when blood sugar is well-controlled.
Dr. Tamir Segal, DMD of Weston
2731 Executive Park Drive, Ste. 6, Weston, FL 33331