Diabetes & Oral Health

Periodontal disease can affect your diabetes and body.Diabetes is a group of chronic inflammatory diseases that affect the body's ability to process sugar. If you have diabetes, it is particularly important to maintain excellent oral health. That's because diabetics are more prone to oral infections such as periodontal (gum) disease, which can result in tooth loss if left untreated. Conversely, the presence of gum disease can make it harder for people with diabetes to control their blood sugar levels.

Periodontal disease is a chronic ailment that is also associated with an elevated level of systemic (whole-body) inflammation. Like diabetes, it may have wide-ranging consequences outside the mouth — possibly increasing a person's chance of experiencing major cardiovascular events (such as heart attack or stroke) or adverse pregnancy outcomes (low birth weight and pre-term delivery). So perhaps it's not surprising that a growing body of evidence suggests the two diseases are related.

Two Diseases With A Lot In Common

It has long been recognized that having diabetes is a risk factor likely to increase the severity of periodontal disease. That's because diabetes reduces the body's resistance to infection, making diabetics more susceptible to both bacterial and fungal infections. Likewise, evidence shows that having serious gum disease (periodontitis) is likely to result in worsening blood glucose control in diabetics; it can also increase the risk of diabetic complications. So, what's the connection?

Blood test.While no one is sure at present, the two diseases seem to share some common pathways and disease-causing mechanisms. Both are associated with the process of inflammation and the immune response. Inflammation itself — often signaled by pain, heat and redness — is evidence of the body's immune system at work, attempting to fight disease, repair its effects, and prevent it from spreading. Chronic or prolonged inflammation, however, can lead to serious problems in different parts of the body and a decline in overall health.

What does this mean to you? According to one large study, if you're diabetic, your risk of dying from heart attack is over twice as great if you also have severe periodontitis — and for kidney disease, your risk is 8.5 times higher! Plus, uncontrolled periodontal disease makes it six times more likely that your ability to control blood sugar levels will get worse over time. So not only can having one condition put you at risk for worsening the other — having both can cause a significant deterioration in your overall health.

A Two-Way Street

While diabetes can't be cured, it's possible to manage the disease on a long-term basis. And here's some good news: Clinical studies show that diabetics who get effective treatment for their periodontal disease also receive some significant benefits in their general health. Many exhibit better blood glucose control and improved metabolic functioning after periodontal treatment.

What kinds of treatments might be needed? While much depends on the individual situation, some typical procedures might include: scaling and root planing (a deep cleaning that removes plaque bacteria from teeth, both above and below the gum line); antibiotic therapy; and oral hygiene self-care instruction.

Likewise, if you're at risk for diabetes but haven't yet developed the disease, there are some things you can do to forestall it. While there is a significant genetic component, a major risk factor for diabetes is being overweight — so keeping your weight under control will better your chances of avoiding it. High levels of triglycerides or low levels of HDL (good) cholesterol are also risk factors. These may respond to changes in your diet — like cutting out sugary drinks and eating healthier foods. Also, high blood pressure coupled with an inactive lifestyle puts you at greater risk. Here, moderate exercise can help.

When you come to our office, be sure to let us know if you're being treated for, or are at risk of developing diabetes. And if you are managing the disease, remember that it's more important than ever to maintain good oral health.

Related Articles

Diabetes - Dear Doctor Magazine

Diabetes & Periodontal Disease Diabetes and periodontal disease are chronic inflammatory diseases that impact the health of millions of people. What you may not know is that diabetes and periodontal disease can adversely affect each other... Read Article

Heart and Gum Disease - Dear Doctor Magazine

The Link Between Heart & Gum Diseases Inflammation has emerged as a factor that is involved in the process of Cardiovascular Disease (CVD), which commonly results in heart attacks and strokes. While the precise role inflammation plays in causing chronic CVD remains an area of intense current investigation, much more is now known... Read Article

Our Location

Find us on the map

Hours of Operation

Our Regular Schedule

Dentist in Raleigh

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

7:00 am-3:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Testimonials

What Our Clients Say About Us

  • "Hands down best dentist and hygienist in the triangle. My wife and I both go there - if you have a problem Dr Ashley is going to do her very best to get you in and get you fixed. We love her and her fabulous staff."
    Richard C
  • "DR Lloyd is amazing! I have had two chipped teeth over the past few weeks and she has squeezed me in the same day both times. The most recent one was today which happens to be the day before Christmas Eve. Thank you DR Lloyd!"
    Michael P
  • "Dr. Lloyd and her staff are wonderful. I have always hated to go "the dentist" and therefore put off appointments for years! I am very glad that I decided to trust my teeth and care to this office! They have helped to ease my fear and anxiety and get the job done easily and quickly! I already have my next 6 month appointment made and I will look forward to being there."
    MaryAnn E
  • "Dr. Lloyd and her staff are amazing. I actually look forward to going to the dentist. If you are looking for an outstanding dentist with an excellent staff; look no further, Dr. Lloyd is the best of the best. From cleanings to crowns, it's always a great experience."
    Sandy C