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Diabetes (also called diabetes mellitus) is a chronic systemic disease which affects your body’s ability to process sugars in your food. As a result, a diabetic patient will have a high blood glucose (sugar) level which can cause a host of issues including problems with your eyes, nerves, kidneys, and heart. Diabetes can also lower your resistance to infection and can slow the healing process. Diabetes can also affect your oral health in many different ways.

Fast Facts About Diabetes

-Diabetes is a long-term condition that causes high blood sugar levels.

-Diabetes currently affects over 371 million people worldwide and is expected to affect over 550 million by the year 2030. In the United States, a new case of diabetes is diagnosed once every 30 seconds and more than 1.9 million new cases are diagnosed each year.

Types Of Diabetes

-Type 1 Diabetes – In this type, the body does not produce insulin. About 10% of all diabetes cases are type 1.

-Type 2 Diabetes – In this type, the body does not produce enough insulin for proper function. About 90% of all cases of diabetes worldwide are of this type.

-Gestational Diabetes – In this type, pregnant females are affected

Common Diabetes Symptoms

1) Frequent need to urinate (polyuria)

2) Intense thirst (polydipsia) and hunger (polyphagia)

3) Unexpalined weight gain

4) Unusual weight loss

5) Fatigue (tiredness)

6) Cuts and bruises that do not heal

7) Male sexual dysfunction

8) Numbness and tingling in hands and feet

-If you have Type 1 and follow a healthy eating plan, do adequate exercise, and take insulin, you can lead a normal life with little to no complications.

-Type 2 patients need to eat healthily, be physically active, and test their blood glucose. They may also need to take oral medication, and/or insulin to control blood glucose levels.

-As the risk of cardiovascular disease is much higher for a diabetic, it is crucial that blood pressure and cholesterol levels are monitored regularly.

-As smoking might have a serious effect on cardiovascular health, diabetics should stop smoking.

-Hypoglycemia – low blood glucose – can have a bad effect on the patient.

-Hyperglycemia – high blood glucose – can also have a bad effect on the patient.

How Is Your Dental Health Affected By Diabetes?

-Periodontal Disease. Diabetes reduces the body’s resistance to infection, diabetics have an increased risk for developing gingivitis (earliest and most treatable form of periodontal disease), an inflammation usually caused by the presence of bacteria in plaque. Plaque is the sticky film that accumulates on teeth both above and below the gum line. Without regular dental check-ups, periodontal disease may progress if left untreated. It also can cause inflammation and destruction of tissues surrounding and supporting teeth, gums, bone and fibers that hold the gums to the teeth. Research has shown that treating periodontal disease in people with diabetes can help improve blood sugar control.

-Burning Mouth SyndromeBurning mouth syndrome is a chronic burning in the mouth without an obvious cause. The discomfort can affect your tongue, gums, lips, inside of your cheeks, roof of your mouth or widespread areas of your oral cavity. Burning mouth syndrome appears suddenly and can be severe, as if you burned your mouth.

-Fungal infections (such as thrush and oral candidiasis). Since diabetes weakens your immune system, you may be prone to developing fungal infections. Symptoms include painful sores and difficulty swallowing. If you develop a fungal infection, it is important to see your dentist as soon as possible.

-Dry mouth (xerostomia). Uncontrolled diabetes can decrease salivary flow, which can result in dry mouth. Dry mouth can further lead to soreness, oral ulcers, oral infections, and increased incidence of tooth decay.

-Infection and delayed healing. People with uncontrolled diabetes do not heal quickly after oral surgery or other dental procedures because blood flow to the treatment site can be impaired.

Dental Care Tips For Diabetic Patients

-Maintain Good Blood Sugar Levels.

-Keep your healthcare team informed including your dentist.

-See your dentist regularly for dental hygiene visits as well as oral examinations. It is recommended that you visit your dentist and hygienist at least every 6 months. For many diabetic patients, it is advised that they go on a more frequent schedule to maintain proper oral health.

-Brush and Floss Daily. This is to prevent plaque build up and keep periodontal disease away. In fact, it is recommended that diabetic patients brush following every meal to ensure good dental hygiene.

-Denture wearers should remove their dentures and clean them daily. Do not sleep in them.

-If you smoke, talk to your doctor about ways to quit.

-Maintain regular visits to your diabetes doctor to ensure there are no conflicts between dental treatment and your general treatment.

-Remember that healing may take longer in people with diabetes. Follow your dentist‘s post-treatment instructions closely.

-Patients with diabetes with orthodontic appliances should contact their orthodontist immediately if a wire or bracket results in a cut to their tongue or mouth.

Conclusion

Diabetes can be a scary diagnosis but with proper monitoring and care it does not have to be. A well controlled diabetic can leave a very normal life and stay healthy for a long, long time. Dental care should never be compromised even for healthy individuals.

 

Pancreatic cancer is a malignancy, originating from transformed cells in tissues forming the pancreas.  Pancreatic cancer is ranked #4 amongst  cancer related deaths today. Difficulty in detection, leads to diagnosis in later stages, resulting in a low cure rate. Pancreatic cancer is responsible for about 40,000 deaths a year in the United States alone. Early diagnosis is key to reducing the mortality rate of pancreatic cancer.  How can your dentist help?

Recent research has uncovered a link between various oral bacteria and pancreatic cancer risk. The research showed that people with high levels of various oral bacteria had double the risk of developing pancreatic cancer. Those with lowered levels of harmless oral bacteria had a reduced risk for pancreatic cancer. This is another piece of evidence showing linkage between the mouth and your general health.

Risk Factors for Pancreatic Cancer

-Family History/Genetics.  Between 5–10% of patients with pancreatic cancer have a family history of pancreatic cancer. The genes have not been identified.

-Age. The risk of developing pancreatic cancer increases with age. Most cases occur after age 60, while cases before age 40 are uncommon.

Pancreatic Cancer Awareness Marielaina Perrone DDS

Pancreatic Cancer Awareness

-Smoking. Cigarette smoking increases your chances of developing pancreatic cancer by a factor of almost 2x normal.

-Diet. People with poor diets are at an increased risk for developing pancreatic cancer. The factors include diets high in red meat, high consumption of sugary drinks, and lacking fruits and vegetables in diet.

-Obesity.

-Diabetes Mellitus.

-Periodontal Disease.

What Did the Study Show regarding Pancreatic Cancer and the Mouth?

The study (published in the journal, Gut) encompassed blood samples from over 800 European adults. The study found that high antibody levels for one or more infectious periodontal bacterium strains of  Porphyromonas gingivalis (bacteria common in periodontal disease ), were associated with a doubling of the risk for pancreatic cancer.

This is a significant finding.

There have been studies in the past, linking  periodontal disease and pancreatic cancer. The Gut research paper is the first to test whether antibodies for oral bacteria are indicators of pancreatic cancer risk. This was also the first study to associate our body’s immune response to commonly found bacteria, with pancreatic cancer risk. The physiological mechanism linking oral bacteria and pancreatic cancer is unclear at this time. The study just reinforces the theory that there is such a mechanism. So while we should not rush out and call this a risk factor it does deserve further study.

Conclusion

Ultimately, further research is needed but it further strengthens the theory that oral health is very important to a person’s overall health and a dentist plays a key role as well. So maintain a healthy mouth through regular dental examinations and professional cleanings, and in turn, you will probably stay a step ahead in your overall health.