How Diabetes Can Harm Your Oral Health
Deficiency in the production of the hormone insulin caused by diabetes and the resulting increase in blood glucose in these cases make people who have the disease more vulnerable to oral problems.
And it is a two-way path: in addition to being more prone to the consequences of periodontal diseases, the patient may have a greater difficulty controlling his diabetes if he does not treat his infections and mouth inflammations.
"Inflammation and chronic infections can lead to diabetes decompensation because of the increase in endogenous glucose production performed by the body in an attempt to fight these diseases, but it prevents blood glucose from falling, "explains endocrinologist Airton Golbert (CRM-RS 6,538), a member of the Brazilian Society of Endocrinology and Metabolism (SBEM).
The dentist-surgeon Marcelo Accioly Mattos (CRO-RJ 20.201), professor of the Faculty of Dentistry of the University of Pennsylvania in the United States, says that other oral problems that affect patients with diabetes are ketone breath, salivary gland dysfunction and xerostomia (dry mouth).
Oral health care helps prevent diseases and damage
All of the problems presented above are related to patients with decompensated diabetes. According to Sobrape (Brazilian Society of Periodontology), 76% of those who do not have good glycemic control have periodontal disease in some degree of development.¹ On the other hand, people with controlled diabetes have conditions similar to those who do not have the disease .
Special care with oral health greatly helps the quality of life of patients with diabetes. Dental surgeon Marcelo Mattos and endocrinologist Airton Golbert teach the necessary routine in this case.
Choose the right toothbrush
Because gums are naturally more sensitive, people with diabetes should always use soft toothbrushes or extra soft.
Learn the proper brushing techniques
"It is not the strength that cleans the teeth, but the way they are brushed," says Marcelo. It teaches that the best brushing technique for the patient with diabetes is to lean slightly on the brush to reach a contact area between the gum and the teeth.
Brush the teeth after each meal
Brushing prevents the bacterial build-up in the oral cavity, which minimizes the risk of developing gingivitis and periodontitis.
Floss helps to remove even the smallest remains of food that lodge between teeth,
Use mouthwash twice a day
The best oral rinse for people with diabetes is fluoride, to enhance tooth cleaning, and without alcohol, as the substance contributes to the dry mouth.
Visit the dentist regularly
Once every six months, at a minimum, it is necessary to go to the dentist to have your teeth cleaned and see if everything is under control with the health of the mouth.
Make au mouth examination
Check regularly for any lesions in the mouth and watch for bleeding every day. These signs can be symptoms of oral diseases that require even more agile treatment in the case of people with diabetes.
Seek specialized help
If you do not feel safe about how you are brushing your teeth or running the wire ask your dentist for help. He is the person who can best guide you. Get all your questions during the consultation. If necessary, prepare a list of the questions and take it with you in the consultation.
1 - //sobrape.org.br/wp/doencas-periodontais/diabetes-e-doenca-periodontal/
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