Nearly 30 million Americans suffer from diabetes. Almost 65 million Americans have periodontal disease. Recent studies have suggested that there is a two-way connection between diabetes and periodontal (gum) disease. Patients with gum disease have increased risk of other diabetic complications and patients with diabetes are more prone to developing gum disease.

Gum disease causes inflammation in the body, which can make controlling blood sugar more difficult for diabetic patients. Severe periodontal disease has even been shown to increase blood sugar, making it more difficult to maintain or regain good blood sugar control. In addition, when blood sugar is elevated, patients experience increased risks of additional diabetic complications.

Patients with diabetes are more prone to infections in general. This is especially true for patients whose diabetes is not well controlled. Diabetic patients with poor blood sugar control are more likely to develop gum disease than patients whose diabetes is well controlled. Less controlled diabetic patients will generally have a more severe case of gum disease and are likely to lose more teeth from gum disease, as well.

Besides blood sugar control, diabetes includes a number of other health complications. Diabetic patients are more prone to other oral health issues, such as dry mouth or thrush (a fungal infection of the mouth). Reduced saliva production or infection in the mouth can increase risks of developing periodontal disease as well.

Smoking can escalate these risks even further. Studies have shown that smokers are 5 times more likely than non-smokers to develop gum disease, overall. Diabetic smokers age 45 or older have been found to be 20 times more likely to develop severe gum disease.

Fortunately, when diabetes and blood sugar are well-controlled, the risks of periodontal disease and other oral health complications are no different than for patients without diabetes. If you are diabetic, it is important to work with your doctor to keep your blood sugar under control as much as possible to avoid these added health complications.

Be sure to let us know if you have diabetes and how well-controlled it is. We may need to discuss your medication schedule when planning treatments or to postpone a treatment if your blood sugar is not controlled. Keep in mind that healing from treatment can take longer for diabetic patients, even when blood sugar is well-controlled.

If you have questions or concerns about your risk of periodontal disease with diabetes, contact our office for more information.

Our expert dentist wants to remind patients that our office offers thorough oral cancer screenings as part of our comprehensive dental health services. Like with every form of cancer, early diagnosis can have a profound impact on the success of your treatment. Regular screenings are your first line of defense against oral cancer and our doctor is here to help.

In your screening, our doctor will check your lips, tongue, gums, mouth, and throat for any abnormalities that could be or become cancerous. We will give careful consideration to any symptoms you may be experiencing. If you have experienced any oral cancer symptoms for more than a week without improvement, schedule an appointment and tell your dentist immediately. Symptoms that could indicate oral cancer include:

• Ear pain
• Unexplained mouth bleeding
• Mouth sores that don’t heal
• White or red patches in your mouth
• Dramatic weight loss
• Lumps or swellings in or around your mouth
• Sore throat without other sinus symptoms
• Sensation of something caught in the back of your throat
• Pain or difficulty in swallowing, speaking, or moving your jaw or tongue

One adult American dies of oral cancer every hour. Though anyone can develop oral cancer, some factors can increase your risks. Some of the most common risk factors include: genetic predisposition, prolonged sun exposure, unhealthy diet, and excessive consumption of alcoholic beverages. Oral cancer is more common in men than women. Patients with gastro-esophageal reflux disease (GERD) are at increased risk. Users of tobacco in any form are six times more likely to develop oral cancer than non-users.

Whatever the cause, the success of treatment depends on the size, type, and stage of the cancer. Early detection can play a critical role in your successful recovery. When found in early stages, oral cancers have an 80 – 90% survival rate. The primary reason for this is that early detection leads to earlier treatment. Oral cancers that are found in early or precancerous stages can often be removed and require less invasive procedures to treat. Later stages of cancer are likely to be larger and more complex and often have spread far beyond your mouth.

We are accepting new patients. If you would like more information about oral cancers and oral cancer screenings, call our office for a consultation.