Is Dental Care Effective for Mild Periodontal Disease in Diabetics? - Dentistry

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Does dental floss help with mild periodontal disease?


Dr.
Tseng, I noticed discomfort in my lower gums at the end of last year and went to the clinic for an examination, where I was diagnosed with mild or early-stage periodontal disease.
The doctor suggested that I could opt for out-of-pocket scaling treatment.
However, due to my type 1 diabetes, I brush my teeth at least twice a day, and usually around three to four times daily.
Would you recommend out-of-pocket scaling for early-stage periodontal disease? I've been troubled by gum issues for a long time; previously, only my upper left gums had problems, but I didn't expect that starting last year, my lower teeth would also begin to have issues.

Ke Wa, 30~39 year old female. Ask Date: 2016/04/29

Dr. Zeng Guanghui reply Dentistry


Gingival gel contains antibiotics, which can help in the early stages of gingivitis by inhibiting bacterial growth within periodontal pockets.
Injecting the gel can prevent bacteria from further invading the periodontal tissues.
However, it is important to note that the gel is primarily an adjunctive treatment.
The most crucial step is to thoroughly remove calculus or dental plaque from the root surfaces and maintain proper oral hygiene to prevent the recurrence of periodontal disease.

Reply Date: 2016/04/29

More Info


When it comes to managing mild periodontal disease, especially in individuals with diabetes, dental care is not just effective but essential. Periodontal disease, characterized by inflammation and infection of the gums, can significantly impact overall health, particularly for those with diabetes. The relationship between periodontal disease and diabetes is bidirectional; diabetes can exacerbate periodontal disease, and periodontal disease can make diabetes management more challenging.

In your case, where you have been diagnosed with mild or early-stage periodontal disease, the recommendation for dental treatment, such as the use of Arestin (often referred to as "牙俐周" in Mandarin), is indeed a valid option. Arestin is an antibiotic treatment that is applied directly to the periodontal pockets to help control bacterial growth and reduce inflammation. This treatment can be particularly beneficial for individuals with diabetes, as it helps to manage the infection that can complicate blood sugar control.

However, it is crucial to understand that while Arestin can be an effective adjunct to your periodontal treatment, it is not a standalone solution. The cornerstone of managing periodontal disease lies in maintaining excellent oral hygiene. This includes brushing your teeth at least twice a day, using dental floss or interdental brushes to clean between your teeth, and visiting your dentist regularly for professional cleanings. Given your diligent brushing routine of three to four times a day, you are already on the right path. However, it is also essential to ensure that you are using the correct brushing technique and that you are not missing any areas, particularly around the gum line where plaque tends to accumulate.

For individuals with diabetes, controlling blood sugar levels is paramount. High blood sugar can lead to increased inflammation and a higher risk of infections, including periodontal disease. Therefore, alongside your dental care, it is vital to manage your diabetes effectively through diet, exercise, and medication as prescribed by your healthcare provider.

In addition to Arestin, your dentist may recommend scaling and root planing, which is a deep cleaning procedure that removes tartar and plaque from below the gum line. This procedure is often necessary to treat periodontal disease effectively. After such treatments, regular follow-ups are essential to monitor your gum health and ensure that the disease does not progress.

Regarding your concern about the worsening condition of your gums, it is not uncommon for periodontal issues to develop in multiple areas of the mouth, especially if there has been a history of neglect in dental care. Early intervention is key, and addressing these issues promptly can prevent further deterioration.

In summary, dental care is indeed effective for managing mild periodontal disease in diabetics. Utilizing treatments like Arestin, maintaining rigorous oral hygiene practices, and managing your diabetes will collectively contribute to better oral and overall health. Regular dental visits are crucial for monitoring your condition and making necessary adjustments to your treatment plan. Always consult with your dentist or healthcare provider for personalized advice tailored to your specific situation.

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