Medical Articles

Diabetes and Oral Health

Dr. Smitha Bhagavathi Kandi, General Dentist at Al-Ahli Hospital

Diabetes is a metabolic disease which affects our whole body. There is a strong relation between diabetes and oral health. The oral changes are more common in uncontrolled diabetes.

The reasons for oral changes are due to:

  1. Weakening of immune system (defense mechanism)
  2. Blood vessel thickening (which reduces the blood flow to tissues)

Oral Changes in uncontrolled diabetes

  • Cheilosis – the corners of the mouth become inflamed, which can lead to cracking and pain 
  • Dry mouth—Due to reduced salivary flow – which leads to tooth cavities
  • Burning sensation
  • Poor healing of oral wounds
  • Thrush- Fungal infection 
  • Gum diseases:
  •  Bleeding on brushing
  • Gum abscess
  • Gum pockets
  • Enlarged gum
  • Gum polyps
  • Gradual loss of teeth- bearing jaw bones and loosened teeth

How can we prevent oral problems in diabetes?

  1. Keep blood sugar as close to the normal level as possible by following the physician’s instructions.
  2. Prevent plaque buildup on teeth surface by thorough brushing and flossing. Use interdental small brush if there is a wide gap between the teeth. 
  3. Make regular dental check-ups and do professional teeth cleaning.
  4. If you wear dentures remove and clean them daily.
  5. Avoid smoking (Gum disease is 20 times more in diabetic patients with smoking habit)

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