Diabetics are more prone to Gum Disease

The gum disease (gingivitis and periodontitis) are bacterial infections in the gums that can eventually reach the fibers and bone supporting the teeth . If not treated, there can be hypermobility, or even an eventual loss of teeth.

People with diabetes are more susceptible to periodontal disease, probably because they are more likely to develop infections and take longer to heal. People who do not control their diabetes may even be affected by these diseases, and it becomes more difficult to control the damage.

It is therefore, very important to check the status of your gums on a regular basis, and treat periodontal disease if you are diabetic. Dentists and periodontists also recommend a dental cleaning every three months rather than six months (which is routine for non-diabetics), to remove plaque and calculus that interfere with healthy gums.

Dental Hygiene for Diabetics

Because diabetes makes the teeth and gums more susceptible to certain diseases, it is important to give special attention to dental hygiene. Taking care of your oral health can prevent or delay many complications of diabetes.

Here is the recommended dental hygiene routine for people with diabetes:

1. You should brush your teeth at least twice a day, but preferably after every meal. Dental flossing is a must to complete the brushing process as it removes plaque and food particles that may remain between the teeth and surrounding gums. Since lesser saliva is found in the mouth, it contributes to inadequate natural cleaning, which is the reason this meticulous oral hygiene is so important.

2. Periodontal disease can reach an advanced level painlessly and without the gums starting to bleed. Regular visits to the dentist, preferably every three months, are therefore recommended to check for signs of gingivitis or periodontitis, and also dental caries.

3. If the gums bleed abnormally when brushing teeth, it is important to consult your dentist quickly. Moreover, you must notify the dentist of any major changes in the mouth, like bad taste, lack of saliva, or the presence of white patches on the tongue.

4. It is important, during a visit to the dentist, to update your medical history, and to notify the state of your diabetes. Also if you suffer from periodontal disease, it is important to talk to your doctor about your gum disease as well.

5. With a few exceptions, people with diabetes can receive dental treatment like anyone else. Dentists recommend the appointments are made in the morning hours. You must have had your meals so that your insulin level is normal.

6. If surgery or tooth extraction is necessary, there could be a longer recovery period and a good follow-up after surgery. Any surgeries should be performed only if the level of blood sugar is well controlled. Otherwise, treatment should be delayed unless there is an infection or abscess, which needs to be treated immediately.

7. If you have diabetes, the most important is to monitor your diet and weight control by doing regular physical activity. You must also monitor your dental and oral condition, which with the help of the dentist, will keep a good dental health for a long time.

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According to the stages of development of periodontal disease, gum surgery will aim to:

Remove Tartar below the Gums

Restore Bone

Restore the Gum Tissue

. Establishment of a membrane (resorbable or not) to restore the damaged gum. This membrane forms a barrier and allows new tissue to grow back.

. Autograft of the gum.

Relieve the Oral Mucosa

In cases of inflammatory or traumatic gum disease, the use of local applications may be recommended.

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Gingivitis is a  periodontal disease associated with inflammation or infection of the gums . The periodontium is the supporting tissue of a tooth, and is made ??up of the gums, the alveolar bone , the periodontal ligament and the cementum. If gingivitis is left untreated it can progress to affect the rest of the periodontium. This is called periodontitis and it becomes a more complicated disease to cure.

Causes of Gingivitis

The major cause of gingivitis is the long-term deposition of plaque. Plaque is composed of bacteria, viruses and microscopic parasites that cause aggression to the gum, causing inflammation (redness). Good personal oral hygiene i.e. brushing and flossing can prevent gingivitis by removing the plaque that constantly forms after each meal.

The Scale is composed of bacteria that infect the gums, and it can not be eliminated by dental hygiene at home. But good hygiene can greatly slow the formation of tartar. To remove the accumulation of it, a dental practice called scaling or deep cleaning is required, usually at a frequency of twice a year.

Other factors that may promote gingivitis:

• hormonal changes in the blood, such as during pregnancy;
• consumption of certain drugs like anticonvulsants and immunosuppressants
• certain systemic diseases such as diabetes , leukemia or AIDS;
• an inappropriately set dental crown;
• an inappropriate dental closure (sealing);
• teeth braces because they make it more difficult to remove plaque by brushing.

Symptoms of Gingivitis

Gingivitis is characterized by a red and swollen gums that are shiny and smooth. They can easily bleed on contact, especially when brushing teeth, and sometimes even bleed spontaneously. One can sometimes see a buildup of plaque or tartar around the teeth. Healthy gingiva is usually pink in color and has the appearance of an orange peel, confirming that it is firm and well attached to the alveolar bone.

Stages of Gingivitis

Gingivitis can persist for years with slight variations in its severity. The severity of gingivitis is characterized by three stages:

Mild gingivitis
. Light bleeding when brushing
. Still barely perceptible redness

Moderate gingivitis
. Stronger Bleeding when brushing
. Redness net
. First swelling

Severe gingivitis
. Spontaneous bleeding
. Possible Wounds

If bleeding occurs spontaneously in the gums, it is important to consult your dentist quickly. Spontaneous bleeding is a sign of an increased number of bacteria responsible for periodontitis.

Classification of Gingivitis

Necrotizing ulcerative gingivitis is described by a gum which was destroyed in a kind of crater forming between the teeth. It is usually caused by a very serious disease, a very important stress or a weakened immune system as in patients with AIDS. This type of gingivitis is usually very painful.

Hypertrophic and hyperplastic gingivitis is described by a dramatic increase in the volume of the gum, sometimes completely hiding teeth. This type of gingivitis is usually caused by taking certain medications such as dilantin or adalat.

Treatment

Prevention is by far the best way to prevent gingivitis by keeping gums healthy:

• Regular brushing of teeth, twice a day, or preferably after every meal to remove plaque;
• the daily passage of dental floss to remove plaque between teeth that remains and that is not removed by brushing;
• a scaling of teeth at the dentist, at a frequency that follows the rate of formation of tartar, but on average twice a year.

If prevention is not enough to stop gingivitis is already present, you must have other remedies. If gingivitis is supported by proper hygiene, scaling and possibly medication, it is reversible.
Chronic gingivitis is not painful: pains appear only in the case of acute gingivitis.

• rinsing the mouth with an antibacterial solution such as salt water or chlorhexidine;
• if gingivitis is hypertrophic, sometimes you have to remove excess gum surgery (gingivectomy);
• if there are pockets in the gums, look for the presence of periodontitis.

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Gingivitis

Gingivitis is an inflammation that is limited to the gums. In most cases, gingivitis is caused by the accumulation of plaque and poor oral hygiene. But there are situations where gingivitis appears due to hormonal changes (eg pregnancy) or taking certain medications (dilantin or adalat). If gingivitis is not treated it can reach all of the periodontium and cause periodontitis, a more severe gum disease explained next.

Periodontitis

Periodontitis is an infection not only reached the gums on the surface, but also to  the entire periodontal tissue. A dentist can detect the presence of periodontal pockets (deep spaces created between the tooth and the gums), bone loss (the bone level around teeth decreases), or tooth mobility (moving teeth). This is a serious condition that must be addressed quickly to avoid losing teeth. Periodontitis can also be linked to other diseases of the body, such as diabetes or certain heart diseases.

Gingival Recession

Gingival Recession (or receding gums) refers to a loss of gum tissue around the teeth that leads to exposure of roots. This condition is mainly caused by rough brushing which, after years, affects the strength and firmness of the gums. This loosening can cause tooth sensitivity, and sometimes an aesthetic problem if gingival recession can be found on the front teeth.

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• your age, overall health and medical history
• extent of the disease
• your tolerance for specific medications, procedures, or therapies
• expectations for the course of the disease
• your opinion or preference

Treatment may consist of one, or a combination of the following:

• Plaque removal
  Thorough cleaning can help remove the plaque and infected tissue in the early stages of the disease, while smoothing the damaged root surfaces of teeth. This process is called deep cleaning or scaling. It can also be done using a laser.
• Medicines
  Antibiotics can help in treating gum disease by killing the infection.
• Surgery
  When the disease is advanced, the infected areas under the gums cleaned, and the tissues will then be transformed or replaced.Types of surgeries include:
  • pocket reduction
  • a regeneration procedure
  • a soft tissue graft
  • crown lengthening
• Dental implants

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What are the different forms or stages of gum disease?

The different types of periodontal disease are often classified according to the stage of the disease to advanced at the time of evaluation, including:

• Gingivitis
  With gingivitis, the mildest form of periodontitis, the gums may be red, swollen, and tender, making them bleed easily during daily cleanings and flossing. Treatment by a dentist and a good, consistent care at home helps to the problems associated with gingivitis problems.
• Mild Periodontitis
  Untreated mild gingivitis leads to periodontitis. This stage of gum disease shows evidence of the bone around the tooth starting to erode. Quick medical attention is needed to prevent further erosion and damage.
• Moderate to Advanced Periodontitis
  The most advanced stage of gum disease shows significant loss of bone and tissue around the teeth and can cause teeth to fall out permanently.

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Bleeding Gums

Then I noticed a little area where my gums had disappeared! I was shocked, to say the least. This made me realize that my gums were, in fact not only unhealthy, but were diseased. Bacteria had moved into my mouth and taken charge in a big way, and it was time to go to the dentist or risk a whole lot of teeth!

I did not pay attention to the symptoms, but you should! Gum disease can be prevented if it is detected early enough.

The Dental Association includes seven symptoms of gum disease that you need to look out for:

1. Gums that easily bleed with even a little poke
2. Red, swollen, tender gums
3. Gums that look retracted or drawn back (gingival recession)
4. Persistent bad breath or bad taste
5. Permanent teeth that are loose or falling off
6. Any change in the way that your teeth fit together when you bite
7. Any change in the fit of partial dentures, if any

If you notice any of the above, start a good dental hygiene and see a dentist to find out if the disease has progressed to a chronic stage. If the gum disease has only just started out, you can also look into some home remedies for periodontal disease.

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Here are the popular herbs for gum disease which you should only use after consultation with your doctor, especially if you are pregnant or suffering from any other physical condition:

Echinacea

This herb is not only a proven remedy for colds or flu, it can also fight against bacteria in gums and improves the immunity of a person. You can use it as a natural mouthwash or apply directly to the swollen gums.

Goldenseal

The roots of this plant contain berberine, which is an antibacterial compound. It is also considered as an astringent and has the ability to improve the color of the gums. Goldenseal herb can also help improve bile secretion and digestion, which facilitates the body’s absorption of dietary nutrients which results in increased immunity against gingivitis. Check with your doctor before using this herb, especially if you are pregnant, breastfeeding or suffering from heart disease.

Hawthorn and Bilberry

These berries are rich in procyanidins, which are powerful anti-inflammatory agents that can promote strong gum tissue. These herbs are effective in treating gingivitis. You can use the blueberry powder or hawthorn herb mixed with water to form a paste. You can then apply the paste to affected areas, leave it for 6-10 minutes, then rinse with water.

Peppermint

An effective home remedy for bleeding gums is to rub a paste made of oak powder and herbal extracts of peppermint leaves. You can also add powdered clove and herbal myrrh extract to increase the efficiency of the solution.

A mixture of sage oil, peppermint and salt solution is also used as medication for bleeding gums.

Tabashir Bamboo

Unani and Ayurvedic doctors suggest this simple and effective remedy for bleeding gums. Tabashir bamboo contains silica, which actively works on bleeding gums and also prevents cavities from developing further. It is a reliable home remedy for gingivitis.

 In addition to the above, there are some more natural gum disease treatments:

These essential oils can be massaged directly onto the painful areas of the gums:

1. tea tree
2. clove
3. eucalyptus
4. evening primrose oil
5. wintergreen

You can rinse your mouth with:

1. fennel
2. chamomile tea
3. a mouthwash of goldenseal
4. sage
5. diluted tea tree oil

For severe gum disease

Packages of wrap bandage containing ingredients such as turmeric, aloe, willow bark, licorice root, the antioxidant vitamin E, and powdered alum, wrapped in gauze and placed in corners of the mouth at night, are known to heal.

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When you brush your teeth, do you usually end up with blood on your sputum? Do you see a lot or just small traces of blood? Are your gums red, swollen or painful? Has anyone ever said you have bad breath ? Does your dentist advise you to brush and floss after meals and visit him more often than usual? If you experience any or some of the above, then you might be suffering from gum disease.

What is Gum Disease

The teeth are fixed to the jaw through the periodontal membrane, which is composed of living tissue. This membrane acts as a cushion for the tooth and it connects to the jaw through many tiny fibers. When you look in a normal healthy mouth and you will find a small gap of 1 to 2 millimeters known as a ‘periodontal pocket’ between the tooth and periodontal membrane.

When plaque forms, the sticky grime (that is a combination of food and bacteria), it easily gets stuck in the pockets and gets bonded to the teeth. The formed tartar develops and accumulates in layers within the pocket. As a result, the pocket becomes deeper.

Bleeding Gums

Finally, as a result of the deepening of the pockets, the gums become red and swollen, losing their natural pink color. At this time, it may also begin to bleed during brushing. This stage is called Gingivitis.

Tooth Loss

If the condition is neglected, the tartar will continue to grow and can reach the roots of the tooth. Soon, it will penetrate the periodontal membrane and begin to gnaw the bone holding the tooth.The affected teeth will begin to loosen and will either fall at the end or will have to be extracted. This advanced stage is called periodontitis.

Is Gum Disease Contagious?

Yes, Gum disease is contagious because the bacteria that cause it can easily be transferred through kissing.

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1. Apply 2 drops of essential oil (ET) Tea tree or Laurel to the affected area 3 times daily for 3 days.

2. A combination of aromatic oil-effective in cases of gingivitis: HE 1 drop tea tree + 1 drop Laurel ET + 2 drops of oil of Hypericum macerate.

3. Aromatic Gingival Gel Formula:

HE Eucalyptus citriodora (Lemon Eucalyptus) ………. 2.5 ml
HE Melaleuca alternifolia (tea tree) ………………….. 1 ml
HE Mentha x piperita (Peppermint) ……………….. 0.5 ml
HE Laurus nobilis (Laurel) ………………………. 1 ml
Neutral gel ………………………………………… .. ad 50 ml

Dosage: Use a dab of gel to massage the gums, with emphasis on the red or inflamed areas, 3 times a day.

If problem persists, or plaque has hardened, consult a dentist for professional deep cleaning or other periodontal disease treatments.

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