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Russian version

Prevention of dental disease in diabetes

Probably you have know since  childhood that teeth should be cleaned twice a day, in the morning and before bedtime. But who does that? Since childhood, we do not like doing it, and perform extremely rare. Although such a regime of teeth cleaning protects your teeth from tooth caries, along with other factors. To carry out a professional oral hygiene and to clean the tartar twice a year is recommended too.  And what is this ? Yes, twice a year, you need to trust tooth cleaning to the dentists and twice a year to examine and timely treat the  dental caries.

This need is dictated by the fact that we ourselves can not every day clean the plaque from the roots of the teeth and it accumulates at the edge of the gums, and then turns into tartar. A tartar  is a direct path to periodontitis and early tooth loss. Tooth loss invariably will affect the digestion and assimilation of important body substances , which leads to various diseases. Here's a chain of relationships. And it all starts with a simple dental care.

But in people with diabetes can have not only dental problems, but also problems the oral mucosa. These problems can be caused by diabetes itself, but rather a high level of blood sugar, i.e. uncompensated state. If diabetes is fully compensated, there should be no problems with the mucosa  or the reason can be  another. But this does not mean that you should stop to follow the hygiene, but rather by all means take  preventive  measures to avoid any problems, because, as you know, is more expensive to treat.

Oral diseases in diabetes

You already know that decompensated diabetes contributes to dysfunction of all organs and tissues  and the mouth is not the exception. The oral cavity - the first department of the entire digestive system.  The health of the entire system of gastrointestinal tract depends on the state of the oral cavity.. Here are the most common problems that patients with diabetes may have:

  • periodontitis
  • candidiasis
  • caries

Periodontitis  - an inflammation, swelling, pain, and bleeding of the gums that hold the teeth in their sockets. As a result of inflammation the ligaments and muscles become weaker and quite healthy teeth start to get loose and fall out.

At a high level of blood sugar there is often a dry mouth due to sialoporia Because of  the lack of saliva, which has antibacterial and moisturizing properties, it may be a burning sensation of the mucosa and bad breath (halitosis). The most common complications of diabetes is the periodontitis.

Laid bare roots of the teeth begin to react to hot, cold or sour. Unfortunately, according to statistics periodontal disease affects 50-90% of patients with uncompensated diabetes.

Candidiasis  - fungal infection of the mouth, caused by the fungus  Candida albicans.  When there is always an increased blood glucose level, the glucose appears in high concentration in saliva. For successful breeding of Candida there must be a warm and sweet place, and the patient's mouth becomes that place. This is especially true of people with dentures, that do not love regularly monitor the purity of their mouth. Sometimes it is very difficult to get rid of the fungus, and without normalization of blood sugar it would be more difficult.

Tooth caries  affects people often not just because of they  eat a lot of sweets. Basically, the problem is much more global. Tooth caries occurs when there is an imbalance in the calcium-phosphorus metabolism, which in diabetes is also not uncommon. When there is not enough calcium and fluorine enamel becomes unstable and there occur  cracks, which are filled with the remains of food, and there are  already settled pathogenic bacteria, causing higher tooth affection and increases the risk of pulpitis.

Prevention of oral disease

The main method of preventing oral diseases is normoglycemia. We must remember that until you have an unstable or high blood glucose levels, you have a high risk of periodontitis and loss of healthy teeth, inflammation of the mucous candidiasis and dental caries. Therefore, measures to normalize blood glucose are both prevention of these diseases.

In addition, there are additional oral hygiene measures that must be followed for each patient with diabetes. These simple and familiar rules are:

  • Brush your teeth and rinse your mouth be after every meal. If there is no problem with bleeding gums, diabetics can use a medium soft toothbrush, which gently massages the gums. Paste for daily use should not contain strong antibacterial agents, strong peroxides having a whitening effect, high abrasive agents.
  • If your gums bleed, the teeth should be cleaned only with a soft bristle brush. In this case, only need to use only specialized toothpaste with firming, anti-bacterial and anti-inflammatory components. Rinse should contain an antiseptic and regenerative systems. Such a system, doctors recommend the use for a period of not more than 1 month, during exacerbations.
  • After brushing, patients should remove food debris from between the teeth using dental floss. But it should be done very carefully so as not to damage the gums.
  • Enough effective means to preserve the freshness of breath is the use of mouthwash. The effect after their usage preserves for several hours.
  • Twice a year, conduct a professional oral hygiene and the cleaning of the gums from tartar.