Periodontal Disease in People with Diabetes Can Lead to Tooth Loss

So how does periodontal disease develop? Not unlike diabetes, periodontal disease can sneak up on you. Inadequate brushing and flossing can cause a buildup of plaque (a sticky film of bacteria) on your teeth, especially around the gumline. If not regularly removed, the bacteria in the plaque can cause inflammation of the gums. This is typically the first stage of gum disease known as gingivitis. You will recognize the signs of gingivitis as red, swollen, or bleeding gums. When untreated, gingivitis will increase in seriousness, resulting in periodontitis.

As plaque continues to form, it eventually hardens into tartar, which causes your gums to pull away from the teeth. This results in the formation of loose pockets. The bacterial toxins cause an infection within these pockets that targets the bone and ligaments surrounding the teeth. These bones and connective tissue keep your teeth in place. If they weaken, your teeth will begin to loosen, ultimately resulting in your teeth falling out or breaking.

You probably know that people with diabetes typically have poor blood sugar control, but did you know that poor blood sugar control can increase the risk of developing gum disease? If your diabetes is not controlled correctly, higher blood sugar levels in the mouth will help bacteria grow. Diabetes also compromises your resistance to infections. The combination of these two factors can make people with diabetes, especially susceptible to gum disease. If left untreated, it can lead to tooth loss or your teeth falling out.

We have some good news for you! Periodontal disease can be prevented by communicating with your dentist and taking care of your teeth. If you have diabetes, here are some things to keep in mind while working with your dentist:

• Set up regular exams and professional cleanings to make sure nothing is amiss.
• Follow up regularly with your dentist on your diabetes status, blood sugar levels, and any new medications you may be taking.
• Call your dentist if you experience any of these symptoms: swollen, red, bleeding or receding gums, sensitive or loose teeth, bad breath, or difficulty chewing.

You may want to work with your dentist to develop a customized plan to keep your mouth healthy. Additionally, it’s important to keep your oral care routine on track.

Remember to:

• Brush at least twice a day and floss daily.
• Replace your toothbrush every three to four months since toothbrushes are a site for harboring bacteria.
• Use a prescription-strength mouth rinse to help you fight gingivitis if recommended by your dentist.

The possibility of tooth loss or your teeth breaking or falling out can seem scary, but it’s important to focus on how preventable it is. And what’s more, when your periodontal health is good, your blood sugar levels are also easier to control! Now that you know more about the connection between diabetes and tooth loss, you’re much better equipped to ensure all your teeth stay healthy and whole.

Oral Care Center articles are reviewed by an oral health medical professional. This information is for educational purposes only. This content is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your dentist, physician or other qualified healthcare provider.