How can I help prevent dental problems associated with diabetes?

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  A American Dental Association answered

  Diabetes can cause problems with your eyes, nerves, kidneys, heart and other parts of your body, including the teeth, gums and the rest of your mouth. However, if you control diabetes with a healthy diet and proper medication and you schedule regular dental and medical visits, you are less likely to have these problems.
  
  It is not clear if diabetes causes dry mouth (xerostomia) but some people with diabetes complain about dry mouth. Since saliva helps wash away food particles and keeps the mouth moist, this can lead to an increased risk of tooth decay.
  
  Additionally, studies have indicated that severe gum disease may be associated with several other health conditions, including diabetes but saying that two conditions are associated is not the same as saying that one causes the other. Well-designed clinical trials are needed to establish whether a cause-and-effect relationship exists and to determine if, or how, treating gum disease may affect your overall health.
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  A RealAge answered

  Diabetes (diabetes mellitus) can increase the risk of serious problems with tooth decay and gum disease. To stay well with diabetes and prevent oral health problems, you should stay on the healthy diet your doctor or diabetes educator provided for you. Be sure to check your blood sugar frequently and keep track of your numbers to show your doctor. Get regular physical exercise, aiming for 30 minutes of exercise and activity most days. This will help you manage your blood sugar levels. Brush your teeth at least twice a day for two minutes each time. Also floss at least once daily. Be sure to use a toothpaste that contains fluoride to get the most dental protection.
  
  
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  A American Diabetes Association answered

  First and foremost, control your blood glucose level. Then take good care of your teeth and gums, along with regular dental check-ups every six months.
  
  Have a dental checkup every six months, or as often as indicated by a professional. Tell your dentist or hygienist that you have diabetes and any other medical condition.
  
  Brush for two minutes a day with a toothpaste with an antigingival/antibacterial ingredient to help prevent gingivitis and one that accepted by the American Dental Association.
  
  Contact your dentist or hygienist if you experience any of these signs of gum disease:

  • Gums that bleed or are red, puffy or swollen, or sore
  • Gums that have pulled away from the teeth
  • Changes in the way your teeth fit together when you bite
  • Pus that appears between your teeth and your gums
  • Constant bad breath or a bad taste in your mouth
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  A Dr. Jerry P. Gordon, DMD , Dentist, answered

  Gum (periodontal) disease is generally more common and more severe in patients with diabetes. This is because blood cells in the gums and jawbone that protect us from infection are not as effective. This means that a diabetic needs to work more diligently on oral hygiene, brushing and flossing, as well as make sure the disease is as controlled as possible. If you are diagnosed with gum disease, see your dentist 4 times a year, and follow all of the treatment recommendations suggested your dentist or periodontist.
  
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