Diabetes, affecting millions of Americans,
increases the risk for multiple
dental problems. If you are diabetic, be sure
your health condition is reflected in your dental records. Your dentist will
want to carefully monitor your oral health needs.
Diabetics must pay special attention to the following conditions related to
oral health:
Tooth Decay
High glucose levels in saliva help bacteria to thrive,
repeatedly attacking teeth with cavity-causing acids. Brushing at least twice a
day with fluoride toothpaste and flossing daily is vital.
Gum Disease
Diabetes reduces the body's resistance to infection
and gum tissues are frequently affected. Diabetics may experience more frequent
and severe cases of periodontal disease. See your dentist if you notice any of
these symptoms: your gums are tender, red, swollen, or bleed easily; your gums
have pulled away from the teeth; or you notice any pus between the teeth and gums
when the gums are pressed. Other indicators are chronic bad breath or a bad
taste in your mouth; any changes in your bite or fit of partial dentures; or
permanent teeth that become loose. Since diabetes can impair the healing
process, abscesses can develop, so it is important to schedule regular
periodontal exams.
Oral Fungal Infections
People with high glucose levels who smoke or
frequently take antibiotics are more prone to develop oral candidiasis, or
thrush. This is a condition where white or red patches in the mouth become
ulcerated and attack the tongue with a painful, burning sensation. Swallowing
can be difficult and your ability to taste can be impaired. Antifungal
medications can be prescribed by your dentist.
Taste Impairment
A
diminished sense of taste can influence food choices. Diabetics have reported
that their perception of sweetness is lessened. As a result, selecting
sweet-tasting, refined carbohydrate foods puts diabetics at greater risk for
developing both general health and
dental problems.
Dry Mouth: Diabetic patients often complain about dry mouth due to
salivary gland dysfunction related to the disease. Constant dryness irritates
the soft tissues causing inflammation and pain. It can also increase the
likelihood of tooth decay and gum disease.
Saliva substitutes available in pharmacies can relieve discomfort. Sugarless
gum, sugarless mints, and drinking plenty of water also are useful in combating
dry mouth. Additionally, restrict consumption of caffeine and alcohol.
Mouth Lesions
Pimple-like sores, generally painless, dot the mouth
tissues. In a more severe condition, the tissue becomes painfully ulcerated. No
permanent cure is available, but your dentist can prescribe medication to relieve
the condition.
Since diabetics are more prone to conditions that jeopardize oral health,
regular dental check-ups and periodontal screenings are essential. More frequent
evaluations may be needed to ensure optimum oral health.
Bad breath, or halitosis, is a signal that
something is not right inside your mouth. It may be as simple as the need to pay
more attention to your daily oral hygiene, or it may indicate tooth decay, gum
disease, or another medical problem. Whichever it is, bad breath is a red flag:
take another look at your mouth!
Bad breath is a social problem; if you have bad breath, you may
notice that people actually back away as you talk to them. Mouth odors are
embarrassing, and they tell other people that you aren't taking care of
yourself. Sometimes people are not aware that their breath smells bad; be alert
to how other people react when they're close to you, and be grateful if a
friend or family member lets you know about the problem.
Commercial products claim they will make your breath fresher, but the only
way to make sure your breath permanently fresh is to practice good oral
hygiene. In fact, too many breath mints and hard candies with sugar will lead to
tooth decay. If you are constantly using breath mints, breath sprays, or mouthrinses in an effort to cover up your bad breath, realize that you may have a
dental or medical problem that needs addressing.
There are a number of reasons you may experience a bad taste in your mouth,
and even be able to smell your own breath. Food may be lodged between your teeth
if you are not brushing at least twice daily and flossing regularly. Food
particles can be very tiny and can wedge themselves between teeth and below the
gum line; brushing after meals is important and flossing is imperative to get at
the particles that the brush can't reach. Brush your tongue or use a tongue
scraper. As odd as it will feel at first, bacteria collects on the tongue and
can contribute to bad breath. If you wear removable dentures, take them out at
night and clean them thoroughly before you wear them again.
If you neglect your daily hygiene over time, bad breath can become a symptom
of more serious
dental problems. Teeth that are not cleaned properly become a
place for bacteria to reside as food particles stay in your mouth and decay.
Bacteria attack your teeth and gums and cause cavities and gum disease. If this
is happening, gum disease will cause an unpleasant odor.
Perhaps you believe that you are brushing and flossing on a regular basis,
but are still experiencing bad breath. If you have teeth that are crooked or
crowded, it may be hard for you to clean between them. If you wear dentures that
are not fit properly, they may be trapping food or irritating your mouth. Or
perhaps your bad breath is caused by another medical problem: drainage from your
sinuses, gastrointestinal problems, kidney or liver problems, or other medical
conditions.
Here's what you can do to "investigate" on your own. Write down
what you're eating and notice whether your breath smells bad because of
certain foods. Garlic and onions actually cause odor, but the odor is coming
from your lungs as you breathe, not from your mouth itself. The odor from these
foods is temporary, and will be gone once the food is out of your bloodstream.
Are you dieting? Hunger can contribute to bad breath, because of the chemical
changes as your body turns fat and protein into the energy it needs. Taking
prescription or over-the-counter medications? Add these to the record of what
you're eating to see whether there's a relationship between your medications
and your bad breath. And don't forget to tell your dentist if there's been a
change in your overall health since your last visit.
Suffering from dry mouth? Saliva provides constant rinsing in our mouths and
washes away food particles. Your dentist may recommend more liquids, sugarless
candy to stimulate natural saliva, and perhaps some of the commercial products
that are available to combat dry mouth.
If bad breath continues after you have done your best job of regular brushing
and flossing, start with your dentist. He or she can tell you whether the odor
is caused by an oral problem; if it is not, then your dentist will suggest you
see your doctor for a physical check-up.
Regular dental check-ups will help keep your mouth healthy and working well.
Your dentist can spot
dental problems before they cause trouble, including problems
that cause bad breath.