To Brush or Not to Brush? Diabetes and Oral Care

At each diabetes education session, we will ask participants, “have you seen a dentist in the last year?” Some will ask us why we are asking them that question. Well- because oral care matters- especially for people with diabetes. 

Did you know that diabetes can increase harmful bacteria, result in less saliva production, and cause the development of both cavities and gum disease? This can lead to the loss of teeth. Of course, this is more common when blood sugar levels are often high. 

At the same time, having gum disease can make it harder to manage diabetes. The inflammation in your gums can cause blood sugar levels to rise. Poor oral health is also linked to increased risk for cardiovascular disease and worsening kidney disease.

What can you do to reduce your risks? The best strategies include managing your blood sugar levels and taking good care of your mouth. 
You can start at home by brushing your teeth regularly. The American Dental Association recommends:
 

• Brush teeth twice daily with fluoride toothpaste.
• Brush for 2 minutes. 
• Get a new toothbrush or brush head every three to four months (or sooner if the bristles are worn out). 
• Remove plaque between your teeth by flossing every day. 
   

Besides brushing and flossing, other things you can do include:

• Eat healthy foods and limit sugary drinks and snacks. Bacteria feed on sugar and this leads to the production of acid which harms the mouth. 
• If you smoke, consider a “quit plan.” Smoking increases your risk of gum disease and can worsen your diabetes, too.
   

In addition to caring for your teeth at home, do not skip your dental checkups. It is best to see the dentist at least two times per year. According to the newest Standards of Care from the American Diabetes Association, the treatment of dental issues can lower A1C levels by 0.4%! 

Be sure to advise your dentist that you have diabetes. Also, if you notice that your gums are red, swollen or bleed easily, it may be time to make an appointment with your dentist.
Improving dental health can improve your A1C levels AND a better A1C level can result in better dental health as well. Let’s keep on smiling!