November is Diabetes Awareness Month

Posted on November 10, 2017 in General oral health

Regular dental exams could be the first line of defense against diabetes

While more than a million Illinoisans have been diagnosed with diabetes, an additional 350,000 have the disease but are unaware. Yet a regular dental exam could be all that's needed to provide a clue, according to a dental expert from Delta Dental of Illinois.

“Oral health and overall health are connected. Diabetes can increase the risk for gum disease, and gum disease can actually influence prediabetes and contribute to the progression of diabetes,” said Dr. Sheila Strock, vice president, dental services and science officer at Delta Dental of Illinois. “Since people are likely to visit their dentist more regularly than their physician, the dentist can be the first line of defense in detecting gum disease and, possibly, diabetes.”

People with diabetes are more likely to experience conditions associated with gum disease at an earlier age than non-diabetics. According to the 2017 Delta Dental of Illinois Adult Oral Health & Well-Being Survey, nearly 1 in 5 Illinois adults have gum disease. Since diabetes is often painless, Dr. Strock cautions Illinoisans to be mindful of signs of gum disease, which can include bad breath; bleeding gums after brushing or flossing; red, swollen or tender gums; or changes in the way your teeth fit when you bite.

During Diabetes Awareness Month this November, Delta Dental of Illinois wants to remind Illinoisans that there are many reasons to keep regular dental checkups on your calendar, even if you take good care of your teeth.

  • Along with thoroughly cleaning your teeth during a regular preventive checkup, your dentist can perform an exam that includes checking your teeth for cavities, evaluating the condition of your gums and screening for oral cancer and other health issues that can be difficult to spot on your own. Identifying oral health issues early on can reduce potential discomfort and financial costs.
  • It is important to understand that more than 120 diseases can cause specific signs and symptoms in and around the mouth and jaw.1 Therefore, your dentist will talk with you about your overall health and ask you to complete a health history that may provide clues to diabetes. For example, are you thirsty most of the time? If you do have gum disease and other risk factors for diabetes, your dentist may recommend you see your physician to be tested. In the meantime, he or she will work with you to control the gum disease.
  • In addition, upon learning of any other medical conditions or treatments you're receiving, your dentist can make recommendations to help you proactively counter any potentially negative side effects the conditions and treatments may have on your oral health.

“People with existing oral health problems, such as gum disease, may need to see their dentist more often. If caught early, gum disease is easier to manage and, in very early stages, can be reversed,” said Dr. Strock. “Daily brushing and flossing and regular dental checkups are essential for everyone but are also the best defense against the oral complications of diabetes. Since diabetes limits the body's natural ability to fight infection, good oral health habits are especially important to help keep the disease in check.”

If you have diabetes, it's important to make your dentist aware of your condition so they know you have an increased risk for gum disease. You should also pay close attention to your oral health, making sure to brush twice a day, floss daily and visit your dentist regularly for checkups. Some studies have shown that people with diabetes who receive regular oral health care may even lower their overall medical costs from diabetes.2

1 Steven L. Bricker, Robert P. Langlais, and Craig S. Miller, Oral Diagnosis, Oral Medicine and Treatment Planning (Philadelphia: Lea & Febiger, 1994).
2 Nasseh K, Vujicic M, and Glick M. The Relationship between Periodontal Interventions and Healthcare Costs and Utilization. Evidence from an Integrated Dental, Medical, and Pharmacy Commercial Claims Database. Health Economics. Vol 26 (4) 2017 p 519-527.