Diabetes and oral health
There is a two-way relationship between diabetes and oral health. Maintaining good oral health is an important part of managing diabetes. Keeping blood sugars within target levels is important for a healthy mouth. Having diabetes does not mean you will have worse oral health. It depends on how well you manage your blood sugar levels.
Oral health issues linked with diabetes
- High blood sugar can lead to:
- Gum disease. (please note untreated gum disease can also lead to high blood sugar levels)
- Slow healing after extractions or oral surgery
- Oral infections including fungal infections such as thrush
- Dry mouth and taste impairment. Some diabetes medications can cause dry mouth too.
- People with diabetes are at greater risk of oral cancer and may not respond well to oral cancer treatments.
Tell your oral health professional
- if you have diabetes
- if you have trouble keeping your blood sugar levels under control
- if you notice changes in your mouth, such as sores or patches of red or white skin
- if there have been any changes to your medical history
- the names of all medications you are taking, including prescription and over-the-counter drugs
- if you smoke. People who smoke have poorer blood circulation in the gums. This increases the risk of gum disease.
How you can improve your oral health
- See your GP or diabetes team if you are having trouble controlling your blood sugar levels
- Seek help to QUIT smoking - people with diabetes who smoke have a greater chance of severe gum disease than people with diabetes who don't smoke
- Follow your healthy eating plan. Take prescribed medications as instructed by your doctor
- Check the insides of your mouth regularly for:
- Signs of gum disease, such as swollen red gums that bleed easily when touched or brushed
- Sores, ulcers or unusual looking white or red patches. You should see your oral health professional straight away if any of these do not go away after 2 weeks
- Brush your teeth twice a day with fluoride toothpaste and a soft toothbrush. Clean between teeth every day using dental floss and/or interdental brushes.
- Keep a good denture care routine
- Visit your oral health professional regularly, for people taking insulin, consider morning appointments. Blood sugars levels may be easier to control in the morning.