Are We Aware Of Diabetes ?

‘Diabetes Disease’ which is also known as ‘sugar disease’ is very common in all over the world and have life long course. Nowadays, the number of people with diabetes is assumed as 250 million, in 2025 it is predicted that this number will increase to 380 million. Every year 7 million people are diagnosed as diabetes. Diabetes may lead severe organ damages and mortality in early period.

Every year, 3,8 million people lose their lives causes related with diabetes. 2 person in every 10 second are diagnosed as diabetes and 1 person loses his/her life related with diabetes, in the future, it is considered that this number will increase 25 %.  The most significant cause of mortality is cardiovascular diseases for patients with diabetes.

The risk of having a heart attack and stroke is double for diabetic patients then the non diabetic ones. The most important reason of renal failure cases and related big expenses is diabetes in developed countries.  10-20 % of all diabetics lose their lives from renal failure. Diabetic retinopahy (diabetes related eye damage) is the most common cause of vision loss in developed countries.   Approximately 2,5 million people are effected from diabetic retinopathy all over the world.  2 % have blindness, 10% have serious vision loss approximately 15 years later from diabetes diagnosis. Diabetes is responsible from 40-70 % of lower leg amputations (removal of foot). 1 diabetic person loses his/her foot in every 30 second in all over the world. .

What Are The Effects of Diabetes on Oral Health?

When we are talking about a healthy mouth, first we should consider healthy gums and teeth without caries. Similarly, also situations like proper alignment of teeth, non problematic intra- oral soft tissues, not having any bone loss, having restorations fitting with natural structure and functionability of mouth, not feeling bad breath, taste are also indicators of health.

Diabetes also have intra -oral effects because it is a systemic disease. Feeding of tissues becomes harder and diseases easily develop inside the mouth like the other organs. Immune system is poor in diabetes; treatment of intra oral problems takes too much time than before. Additionally, intra oral ulcers, dental abyses and gingiva diseases also cause increase of blood glucose level.

Are diabetic Individuals Under More Risk Than The Non Diabetic Ones?

Although there are many studies about this issue, there is no clear finding revealing that diabetes disease starts gingiva diseases or other intra -oral problems. However, it can be told that diabetes increases existing gingiva inflammation and worsen the course of disease definitely. Diabetes is not a negative factor for individuals with totally healthy gums. Diabetic patients are more prone to intra-oral candida infections due to their saliva content. Saliva is an important factor for physiological cleaning of mouth. Decrease of saliva and increase of saliva intensity makes physiological cleaning of mouth complicated in diabetes. Bacteria reproduce  rapidly and dental plaque formation becomes faster (dental dirt) on the food remnants that are not cleaned properly. Dental plaque, is the main reason of dental caries and gingiva diseases. In conclusion, high level blood glucose triggers intra- oral problems and intra- oral problems triggers increase of blood sugar level. This vicious circle increases the intra- oral damages which is caused by diabetes.

Diabetes, under control, having regular oral care, proper and complete application of all the mechanical cleaning agents which are used for oral hygene and regular dentist visits will solve most of the problems. .

The Things that Diabetic Patients Should Do During Their Dental

Diabetic patients absolutely should learn their fasting blood glucose level one day before their dentist visit and they should share this information with the dentist. Beside, the proper treatment hours are the morning sessions after breakfast.

DR.CANAN KABADAYI

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