Patients with diabetes should receive regular medical and dental care, including regular visits to the dentist for a full evaluation of their dental and periodontal status. People with diabetes are more likely to have periodontal (gum) disease, an infection of the gums and bones that hold the teeth in place. Periodontal disease can cause pain, persistent bad breath, difficulty chewing, and even tooth loss. Diabetes can also delay healing, so it can interfere with the treatment of periodontal disease.
Good oral health is essential for overall health and well-being, and it even affects self-esteem. Taking good care of your mouth can help prevent pain and infections caused by tooth and gum diseases. There are no specific guidelines for hyperglycemia or how it should be managed before and during a dental procedure. However, it is safe to administer dental treatment as long as blood glucose values are not elevated to the point of altering the patient's ability to think clearly or concentrate.
It is also important to take special precautions after dental treatment. Maintaining reasonable blood sugar control, avoiding smoking, and having good oral hygiene habits such as brushing your teeth twice a day, flossing regularly, and using an antiseptic mouthwash are all important for people with diabetes. It is also important to inform your dentist of any medications you are taking or any changes in your medical condition. The fact is that people whose diabetes is well controlled have no more tooth decay or periodontal disease than people without diabetes. Uncontrolled diabetes weakens white blood cells, which are the body's main defense against bacterial infections that can occur in the mouth. This is why good oral hygiene and good blood sugar regulation are the best protections against tooth decay and periodontal disease.
People with diabetes should take special care of their teeth and gums, as they may be at greater risk of gum disease and other dental problems. When visiting the dentist, patients with diabetes should be questioned about their blood glucose levels on the day of the consultation, as well as their A1C levels. Generally speaking, dental implants are recommended for people with diabetes as long as they have good control of their disease and follow a prescribed treatment plan. People with periodontal disease should receive treatment from a dentist who can perform a deep cleaning of their teeth or refer them to a periodontist for gum surgery. It is known that chronic dental and oral health problems can develop into systemic conditions such as cardiovascular disease and diabetes later in life. Because patients with diabetes are at greater risk of suffering from periodontal disease, they need to receive periodontal therapy and preventive dental hygiene care following a frequent care program, ideally every 3 months.