Everyone knows the importance of good care of our oral health. We often hear the saying “Health begins in the mouth.” The high levels of glucose in the blood help the growth of bacteria in the mouth, creating an environment conducive to the emergence of gum disease. Research suggests that people with diabetes are at high risk of acquiring oral problems such as gingivitis (an early stage of gum disease) and periodontitis (disease of advanced gum with bone loss), at increased risk are generally more susceptible to bacterial infections, and have a decrease in the ability to fight bacteria that invade the gum tissue. Treatment should focus on the prevention of periodontal disease and inflammation, whose control is essential in case of complications associated with diabetes since all these consequences are exacerbated for as long as the body takes to complete healing. And since we know that bacterial threat is a risk factor for gum disease, even among healthy diabetics with good control of the disease, patients should be encouraged to use dental floss regularly and brush your teeth with a fluoride toothpaste that provides protection antibacterial. But how can this problem start? The lack or poor hygiene facilitates the formation bacterial plaque, that causes the supporting tissues surrounding the teeth are destroyed and disappear, causing, with the aggravation of the same, that the teeth lose their support. Once installed, not treated properly, can lead to loss of teeth, whether diabetic or not the patient. The first symptom of the disease is bleeding gums when brushing, which, untreated, can eventually happen often. This often leads the patient to brush less and less – worsening the symptoms – when the correct should be exactly the opposite: more brushings (If this happens, try to use extra-soft brushes, which leave less unpleasant brushing). The plaque is constituted by a set of food residues and microorganisms adhering to the surface of the teeth and near the gums. Sugars present in food serve as food for bacteria, creating a kind of glue, fixing the plaque to the tooth and which consists of acids which demineralize the teeth, gingival tissues support and ultimately destroys the bone. The support bone destruction features periodontal disease. The tooth demineralization is cárie.Fazer a perfect oral hygiene (flossing, brushing, mouthwash if possible) only brings benefits and aid in disease prevention, while a sloppy mouthwash can bring infections, bad breath, gingivitis and other complications that worsen the quality of life. Therefore, attention to brushing and cleaning mouth is essential for all.Important to always emphasize que evil glycemic control ends up triggering a greater chance of gum disease Compared to the person not carrying the disease. And as a “snowball” all the possible infection of a diabetic acquire end up hindering glycemic control. Also it can cause soreness, ulcers, infections and caries.
ESSENTIAL CARE FOR DIABETIC ORAL HEALTH • Glycemic control • Perform a perfect brushing: floss and brush the entire surface of the teeth, if possible, use mouthwash, preferably containing fluorine • Take good care of teeth and gums: Examine frequently if there are wounds, bleeding , pain • periodic visit to the dentist at least every 6 months • Do not undergoing any dental treatment if you are with decompensated blood glucose, and always refer to possible your doctor endocrinologist case go make some more invasive treatment (extraction and surgery, for example) Attention to your habits! Use devices? For those wearing braces or dentures, the advice is as follows: redouble attention to the cleaning and maintenance of these parts, so they do not accumulate waste that harm you. Smoker? Smoking greatly impairs the maintenance of mouthwash: smoking has negative consequences for anyone, but even more aggravates the situation of diabetics. Smokers are more likely to get sores, bad breath, among other problems. So if you smoke, rethink this habit by giving priority to their health. Talk to your dentist about your diabetes treatment Always tell your dentist about your treatment, or the changes you made medications, diet, habits. If surgery or extraction deemed necessary, it is recommended that blood glucose is not above 200 mg / dl, since the high blood glucose can impede healing and the restoration of the tissues, and promote infections. The control of blood glucose is essential before, during and after surgery to avoid problems. PLook for an urgent dentist if:
So take care! Be sure to visit your dentist regularly, and make an impeccable hygiene of your mouth always after meals!