How to manage oral health in diabetes?

Question

Hello doctor,

My 48-year-old mother has type 2 diabetes and has recently been having issues with her gums and teeth. She is worried because her dentist mentioned that diabetes can make these problems worse. Could you explain how type 2 diabetes affects dental health and what she can do to manage it? Are there any specific treatments or lifestyle changes that could help prevent further complications?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

People with diabetes have a higher chance of having gum disease, an infection of the gum and bone that hold the teeth in place. Periodontal disease can lead to pain, persistent bad breath, chewing difficulties, and even tooth loss. Diabetes causes dry mouth (xerostomia) which can lead to cavities, ulcers, and mucosal irritation.

I advise you to do the following:

First-line treatment is always antibiotics along with symptomatic dental management preferred.
Do full mouth scaling once every six months.
If she has a severe gum problem, she may be referred to a periodontist.
Do warm salt water gargling to maintain gingival health or use mouthwashes.

Kindly consult a specialist doctor, talk with them, and take medications with their consent.

I hope this helps.

Thank you.