Diabetics: Watch your Mouths!

By Dr. Anna Chukhman, DDS

Being diabetic has its shares of challenges. You have to test your blood, pay close attention to your diet, deal with issues like neuropathy, maybe even give yourself a shot several times a day. You probably don't want to add anything else to your list of health concerns, but diabetics do need to watch their mouths, literally.

When your diabetes is not under control, it may affect your oral health. All of the following are complications that are associated with diabetes: tooth decay, gum disease, salivary gland dysfunction, fungal infections, taste impairment, inflammatory skin diseases, and delayed healing.

In general, diabetics have a lower resistance to infection and can take longer to heal. Patients with uncontrolled sugars develop periodontal (gum) disease more often and more severely. They may even lose teeth. High glucose levels in saliva lead to higher bacterial levels and, thus, more cavities. Oral candidiasis, a fungal infection in the mouth, seems to occur more often in diabetics, even those who wear dentures. If your blood sugars are too high, you may suffer from a dry mouth, which in turn leaves your with less saliva to wash away germs and acids. Some diabetics complain of a diminished taste of sweets, inciting them to seek out sweeter foods. This may worsen both their dental and overall health.

It's important to let your dentist know if you have diabetes. Telling him or her whether or not your diabetes is under control can help determine if you are at risk for any of these oral health problems. Taking care of your teeth by brushing twice daily with fluoride toothpaste and flossing at least once a day is essential. Regular check-ups at your dentist's office will help to prevent most decay and infection. Catching a problem in its early stages can increase your chances of a better prognosis. Your dentist may recommend that you schedule visits more frequently or can suggest preventative measures.

Whether your mouth is being affected at the moment or not, controlling your diabetes is critical to your overall wellness. Though you're on the frontlines of the daily brushing and flossing routine, let your dentist help you live a longer, healthier life -- not to mention help maintain a great smile.