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Community Features

Diabetes and Oral Health

Oral health is one unexpected complication due to diabetes, with gum disease more likely amongst those with the condition. Gum disease can become serious due to diabetes, ruining oral health and becoming a major diabetes complication.

What is the relationship between diabetes and oral health?

Research indicates that serious gum disease and diabetes have a two-way relationship. People with diabetes are more likely to face serious oral health problems, and gum disease can also influence blood sugar control and worsen diabetes management.

What oral health problems affect people with diabetes?

Research indicates that people with diabetes face a higher risk of oral health problems such as gingivitis or periodontitis.

Furthermore, diabetics may have a lower ability to fight bacteria that cause gum disease. Because oral health is essential for general health, people with diabetes should brush and floss properly.

What are the symptoms of oral health problems?

  • Sore or swollen gums
  • Bleeding gums
  • Receding gums
  • Loose teeth
  • Bad breath

I am diabetic, do I have a greater oral health risk?

Poor blood glucose control increases the likelihood of severe gum disease and oral health problems. Other oral health problems that have been associated with diabetes include thrush and dry mouth.

People with diabetes do face a greater oral health risk, but there are ways to lower the chance of oral health problems.

How can I prevent dental problems associated with diabetes?

Control blood glucose levels, take good care of teeth and gums, avoid smoking. Also, visit your dentist regularly (at least every six months) for a checkup. When you go to your dentist, be sure to make him or her aware that you have diabetes.

Keep your dentist aware of changes in your condition. Brush and floss your teeth every day.

What the community is saying about oral health

  • Synonym: Dentistry of any kind was never mentioned to me. As for information at diagnosis it was almost non-existent with a booklet being handed over and that was it.
  • Jopar: Dental health isn't a part of diabetic care within the NHS... Like everybody else, it is your responsibility, to arrange for your own dental care either from a NHS dentist, if you can find one to register to (and they still charge) or private dentist practice, easier to find but costs a fortune...
  • Neysa62: I was given no help from my GP, just a diagnosis and some tablets - my first hypo was a bit of a shock! I only found out gum problems was a complication of diabetes when I attended a course on managing type 2 diabetes a couple of months ago - 10 years after I was diagnosed! I must be prone to it as in spite of regular check-ups and good hygiene I have lost most of my back teeth
  • Fergus: Gum problems are a fairly typical symptom of abnormal blood glucose levels, as of course is peripheral neuropathy.
  • Hlw: A few months ago I had some bleeding + swelling on part of my gums, I rang NHS direct and when I told them I had diabetes (and wasn't registered with a dentist in the place I was staying) they told me to make an emergency appt.
Your Comments
 
my daughter has type1 diabetes and like most 8 year olds its a nightmare trying to get her to brush her teeth. her levels have been erratic for months now and even though we do exactly what we've been told to do we can't get it sorted (though instead of helping the diabetes team at her hospital blame us) now she has had infected gums and is going to the dentist to get a tooth removed because of it.
Posted by masterjasco, dunbar on Saturday, August 21, 2010
Why is dental health not a part of diabetic care within the NHS? We should be able to take care of all the sides of this illness but we have yet to be helped with the enormous charge we have to pay to visit a dentist. Is there nothing really to help us?
Posted by Bluedream, London on Thursday, August 12, 2010
I was diagnosed type 2 in 2004 but like many was diabetic before then just not followed up! I had a recurring abcess for some 2 years and was in extreme pain so saw the dentist who explained it was being fed by excess sugars in my blood. I then made the radical decision to have 22 teeth removed in one go to avoid going through extraction, pain, extraction, pain etc until i had none left. Now? no pain at all just perfect teeth and gums. He explained that just removing the three teeth affected woud not stop the diabetes affecting my other teeth therefore drastic action was needed. I was admitted and had a general anaesthetic and job done. Never ever regretted it for one moment. My story is extreme as i am an uncontrolled diabetic injecting 4 times daily but beware it could be you, take care of them and listen to what your body is telling you needs to be done.
Posted by deanna on Thursday, August 12, 2010
I was diagnosed type 2 two years ago and had gestational diabetes with both of my pregnancies. I see the Diabetic Nurse & attended the DESMOND course. At no point was dental health mentioned. A chronic dislike of dentists, a dentist who was obviously more concerned with patients who can afford private care, means that at 42, I now have full top & bottom dentures. Gum disease & receding gums coupled with significant bone lose has meant that this was the best course of action. Although I have got my head round it now & in myself I feel better than I have for the last couple of years. It is something that needs to be highlighted. I think that dental health should be treated like eye health - you should be able to get free dental check-ups if you have been diagnosed with diabetes. Call me cynical but in general I am often left to think Dentists are more motivated by the value of your mouth to them, rather than the long term quality of life to you.
Posted by umamimum, South East on Thursday, August 12, 2010
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