According to the American Diabetes Association, close to 26 million children and adults in the United States suffer from diabetes, and it is no secret that this health condition must be treated because of the problems it can cause throughout the body—including the mouth. 

When diabetics experience high glucose levels, those elevated sugars can help bacteria thrive, which in turn can cause major problems for the teeth. Common dental conditions associated with diabetes include tooth decay, gum disease, saliva gland dysfunction, infections and delayed healing. Some diabetics also have chronic inflammation and recurrent infections in their mouths.

Research has shown that patients with periodontal disease have a higher risk of insulin resistance, a hallmark indicator of Type 2 diabetes. Additionally, poorly managed diabetes can exacerbate gum disease, creating a vicious cycle where each condition worsens the other. Diabetic patients are more vulnerable to infections, including those in the mouth and gums, due to a compromised immune system. Chronic high blood sugar also reduces salivary flow, leading to dry mouth, which fosters an increase in harmful bacteria.

Diabetes also affects the tiny blood vessels that supply the gums, reducing blood supply and limiting the body’s ability to heal tissue, which can make gum disease more severe. By treating periodontal disease, patients can improve blood sugar levels; therefore, it is especially important for diabetics to take oral health care seriously and consider it as a part of a holistic diabetic maintenance program.

First and foremost, being vigilant about regular brushing and flossing habits and maintaining a consistent schedule of cleanings and exams at a dental practice are essential. In addition, diabetics need to make controlling blood glucose levels a priority and discuss the condition with their dentist so that they can collaboratively watch for signs or symptoms of oral disease.
Some dental symptoms of diabetes to look out for are:

·         Tender or swollen gums and gums that bleed easily

·         Pus between the teeth when the gums are pressed

·         Consistent bad breath or taste in the mouth

·         Dry mouth

·         A bite that feels unusual

·         Oral candidiasis (thrush)

·         Slow or poor healing in the mouth

Consult with a holistic dentist that can develop a personalized plan encompassing both diabetes management and oral health care. The mouth serves as a gateway to the body as it is a reflection of our overall well-being and proper dental care can have far-reaching impacts on systemic health and longevity.