Diabetes

Essentially the dental problems that affect diabetics are related to how well your glucose levels are controlled. Unstable diabetes makes you more at risk from the following problems.

* tooth decay;

* periodontal (gum) disease;

* fungal infections;

* infection and delayed healing;

* and, to a lesser extent, the following problems:

* salivary gland dysfunction;

* lichen planus and lichenoid reactions (inflammatory skin disease);

* taste impairment.

When diabetes is not controlled properly, high glucose levels in saliva may help bacteria thrive. Brushing twice a day with fluoride toothpaste and cleaning once a day between your teeth with floss or an inter-dental brush helps remove decay-causing plaque.

Diabetes reduces the body's ability to fight infection. Periodontal (gum) disease is caused by bacteria. If your body's ability to kill these bacteria is reduced, you may suffer from more severe gum disease. Studies show that patients with inadequate blood sugar control appear to develop periodontal disease more often and more severely, and they lose more teeth than persons who have good control of their diabetes. It is really important that you become aware of any of the warning signs of gum disease such as bleeding on brushing. Attend your dentist regularly so that any problems are picked up early.

Because diabetics can be more prone to infections - such as after extractions - sometimes your dentist may need to prescribe antibiotics as a precaution for certain treatments.