Problems in the mouth are more common if you have diabetes. Especially periodontitis. You usually do not notice this, but it can disrupt your diabetes. Good oral care and regular controls are therefore important.
Due to high blood glucose levels, your immune system works less well. The result is that you get inflammation faster with diabetes. Also in the mouth. Inflamed gums is called gingivitis. If the jawbone is also inflamed, it is called periodontitis. This condition occurs in 20 to 30% of people with diabetes. It is caused by bacteria in the mouth.
Which dental problems are there?
Inflamed gums (gingivitis) and inflamed gums plus inflamed jaw bone (periodontitis) are common. People with diabetes also have more often:
An inflammation of the root points that require root canal treatments.
A dry mouth. This may be due to poorly controlled diabetes or medication use (antidepressants and medication for neuropathy ).
Tongue and mouth burn. You feel that you have a burnt tongue. The cause is unclear. Usually, it will pass automatically.
Fungi in the mouth.
How do you notice that something is wrong?
Periodontitis is almost always painless. In the beginning, you often have no complaints. The first thing you usually notice is bleeding gums when brushing teeth or receding gums. The tooth necks are exposed when the gums are receding. This can cause pain with hot, cold, sour and sweet foods and drinks.
Less sensitive to insulin
If you have an inflammation in your body, you are less sensitive to insulin. This also applies to inflammation in your mouth. Your diabetic setting can deteriorate, as a result of which the periodontitis can not heal properly. It is therefore important to treat periodontitis quickly and well. Just as your feet and eyes have to be carefully controlled, so must also be attention to the condition of the mouth.
Treatment: large cleaning
The treatment starts with a major cleaning by a dental hygienist or periodontist. They try to remove the bacteria that cause the inflammation. Usually, they do this once or four. After this, you have to keep your mouth clean. If you still have inflamed gums after the treatment, you can opt for an operation. The gums are removed from the tooth so that everything can be cleaned properly.
Reimbursement of dental care
Treatments by the dentist, dental hygienist, and periodontist are not reimbursed under the basic insurance. It varies per insurance how much is reimbursed from the supplementary insurance.
Prevent dental problems
- Try to get stable blood glucose levels.
- Brush your teeth at least twice a day and clean between teeth and teeth.
- Ensure a healthy lifestyle: eat healthily, exercise well and do not smoke.
- Provide up to seven food and drink moments per day.
- Do not eat and drink too many sour foods, such as soft drinks and fruit juice.
- Do not brush your teeth immediately after acidic foods. Wait an hour or rinse
- your mouth with water instead of brushing.
- Have your teeth checked twice a year by the dentist and tell them that you have diabetes.