Type 2 Diabetes Living With The Connection Between Diabetes and Periodontal Disease By Tammy Davenport Tammy Davenport is a dental assistant with experience on the clinical and administrative side. Learn about our editorial process Tammy Davenport Medically reviewed by Medically reviewed by Sumaya Ibraheem, DDS on November 17, 2019 linkedin Sumaya Ibraheem, DDS, is a general dentist practicing in New York. She works in numerous private practices, comprehensively caring for a diverse patient population in all areas of general dentistry. Learn about our Medical Review Board Sumaya Ibraheem, DDS on November 17, 2019 Print Periodontal disease, also known as gum disease, is a leading causes of tooth loss among adults. It develops when the gum tissue, particularly the deep supporting tissue and potentially the bone surrounding teeth, becomes infected and inflamed. It can be a result of poor diabetes control and has also been linked to heart disease and stroke. In the early stage, gum disease is called gingivitis and is reversible. Once bone loss occurs, however, treatment is considerably more challenging. Gum disease can be prevented with good oral hygiene and regular professional dental care. Verywell / Alex Dos Diaz Symptoms Gum disease starts with plaque, a sticky white substance that coats teeth. It's formed when bacteria in the mouth mixes with saliva and the residue from starchy foods and sugar in your diet. If plaque isn't properly removed from teeth by brushing and flossing, it can accumulate underneath the gum line and harden into a substance called tartar. Tartar is more difficult to get rid of than plaque and usually requires professional removal by a dental professional. If tartar is not removed, periodontal disease can develop, causing any of an array of telltale signs and symptoms: Red, swollen gumsPainful areas in the gum tissue around teethReceding gums or longer-looking teethGums that tend to bleed easilyGums separating from the teethLoose teethFrequent bad breathMovement of teeth or changes in how they fit togetherChanges in the way partials or dentures fit 4 Signs You Have Gum Disease and What to Do About It Causes The primary cause of gum disease is a build up of plaque and tartar that eventually leads to inflammation and infection. Studies show that people with diabetes who do not have sufficient blood sugar control seem to develop gum disease more frequently and more severely than those who have good management over their diabetes. Factors that contribute to the increased risk and severity of periodontal disease in people with diabetes include: Diabetes slows circulation, which can render gum tissue susceptible to infection.Diabetes lowers the body’s resistance to infection, which increases the probability of gums becoming infected.High glucose levels in saliva promote the growth of bacteria that cause gum disease.People with diabetes who smoke are far more likely to develop gum disease than people who smoke and do not have diabetes.Poor oral hygiene is a major factor in gum disease for everyone, but it is even more so for a person with diabetes. Diagnosis Gum disease at any stage is diagnosed during standard dental cleanings and exam, during which the hygienist and/or dentist will be on the lookout for early signs and symptoms. They will also measure the depth of the "pockets" around individual teeth. Pocket depth greater than 3 millimeters may suggest periodontal disease. Your dentist may also take X-rays to look for bone loss. Treatment and Prevention If your dentist detects gum disease, they likely will recommend dental procedures beyond the standard cleaning you receive at check-ups. These may include scaling to thoroughly remove plaque and tartar beneath gums, root planing, or topical or oral antibiotics to control bacteria. They also may refer you to a periodontist, who specializes in gum disease. Lifestyle factors can also lower your risk of having periodontal disease. When you have diabetes, one of the number one tips is to maintain good control over your blood sugar levels. Here are some other helpful tips to prevent gum disease: Do not smoke. Whether you have diabetes or not, smoking even less than half a pack of cigarettes a day makes you three times as likely to get periodontal disease.Maintain good oral hygiene and get regular dental check-ups. Brush at least twice a day and floss your teeth once a day (preferably before sleep). Regular dental cleanings will help to remove built-up tartar and treat advanced gum disease. An electric toothbrush, while expensive, can remove plaque from teeth more effectively than a manual brush, making dental check-ups easier. Water flossing or tools designed to clean between your teeth, such as a dental pick, may also be helpful.For at-home care, dentists often recommend a simple saline (salt) rinse to help reduce oral bacteria that can exacerbate gum disease. Once a day, or after brushing teeth before bedtime, add a spoonful of salt to a mug of warm water. (Any salt, such as table salt, will do.) Stir to dissolve, then use the mixture to rinse your teeth for a minute or so. You can use this rinse up to three or four times a week. Over time, saline can erode tooth enamel, so finish by swishing plain water in your mouth and spitting it out.Eat a healthy and well-balanced diet. A Word From Verywell Keeping up with good oral hygiene, along with maintaining consistent blood sugar levels, are the best things you can do for your gum health and teeth if you have diabetes. Since you know your teeth, you'll be able to tell when something feels off—don't ignore warning signs. Make an appointment for a dental cleaning and check-up if you notice pain or unusual bleeding in your gums, or any of the symptoms above. Dental professionals often catch warning signs early on, when they're much easier to treat—and that's something you can smile about.. Was this page helpful? Thanks for your feedback! We know healthy eating is key to help manage diabetes, but that doesn't make it easy. Our free nutrition guide is here to help. Sign up and receive your free copy! Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit