With very few exceptions, people with diabetes can be treated by dentists the same way as those without diabetes.
- Your teeth may be cleaned by removing all deposits formed in between teeth as well as under the gum line. If this is uncomfortable, ask your dentist for “freezing”. Your dentist should do everything he or she can to eliminate pain during treatment.
- If you take insulin, your dentist should be told. The dental staff can then confirm with you that you took your usual insulin dosage and will ask you to let them know if any signs of insulin reaction occur.
- During a dental appointment, stressed patients release hormones that can affect insulin uptake and blood glucose (sugar) levels. It is very important that you take insulin/medications at the appropriate time and follow your meal plan to keep your blood glucose (sugar) levels stable.
If gum surgery or tooth extraction is required, or if implants are to be placed, a very careful follow-up should be planned. This will include special dietary instructions and very close observation of the healing process. You may be asked to measure your blood glucose (sugar) level more frequently and to test your urine for ketones.
You may also be prescribed antibiotics. If you take any oral diabetes medications, you should speak with your doctor to ensure that there will be no reaction between your diabetes medication and the suggested antibiotic.
Regular dental checkups are important. In the fight to control and stop gum disease from advancing quickly, the time between dental visits should not exceed three months.
Periodontists (gum specialists) have discovered that if you wait longer than 90 days between professional cleanings, a worsening of periodontal (gum) disease occurs because the bacteria become more aggressive and more damaging to the gums surrounding your teeth.
If you suspect a problem, call your dental office as soon as possible. Your dentist will always make time for you, especially if there is a problem.
Unlike teeth, dental problems do not go away if ignored.
Content courtesy www.diabetes.ca