Find numerous Dentists in India from the comfort of your home on Lybrate.com. You will find Dentists with more than 30 years of experience on Lybrate.com. You can find Dentists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Root Canal Treatment
Teeth Cleaning Procedure
Teeth Whitening Procedure
Root Canal Treatment
Management of Dental Hygiene
Chronic Skin Allergy Treatment
Tooth Extraction Procedure
Dental Extractions Procedure
Skin Rash Treatment
Gap Closing (Dental) Treatment
Artificial Teeth Treatment
Treatment of Root Canal Treatment (RCT)
Wisdom Tooth Removal Procedure
Teeth Scaling & Polishing
Braces Treatment for Adults and Teens
Submit a review for Dr. KhushbooYour feedback matters!
During the past 10 years, much research has been undertaken on the link between diabetes and periodontal disease. Periodontal disease is the sixth leading complication of diabetes. If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease, with a higher rate of more severe levels of bone loss and gum infection.1
What Is Diabetes? Diabetes is a serious disease in which the body does not produce or properly use insulin, a hormone needed to convert sugar, starches, and other foods into energy. Normally, insulin helps get sugar from the blood to the body's cells, where it is used for energy. When you have diabetes, your body has trouble making and/or using insulin, so your body does not get the fuel it needs and your blood sugar stays too high. High blood sugar sets off processes that can lead to complications, such as heart, kidney, and eye disease, or other serious problems.2,3
If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease.
Are There Different Types of Diabetes? It is estimated that more than 20 million adults and children in the United States have some form of diabetes?14 million having been diagnosed with the disease and 6 million being unaware they have it. There are different types of the disease: type 1, type 2, and gestational diabetes, as well as prediabetes. Most Americans (around 90%) who are diagnosed with diabetes have type 2 diabetes.2,3
What Is Periodontal Disease? Periodontal disease, or gum disease, is a bacterial infection of the gums, ligaments, and bone that support your teeth and hold them in the jaw. If left untreated, you may experience tooth loss. The main cause of periodontal disease is bacterial plaque, a sticky, colorless microbial film that constantly forms on your teeth. Toxins (or poisons) produced by the bacteria in plaque irritate the gums, causing infection.4
Diabetes Control and Periodontal Treatment
Periodontal disease may make it more difficult for you to control your blood sugar. Your body's reaction to periodontal disease can increase your blood sugar level. Consequently, it is important for patients with diabetes to treat and eliminate periodontal infection for optimal diabetes control. Periodontal treatment combined with antibiotics has been shown to improve blood sugar levels in patients with diabetes, suggesting that treating periodontal disease could decrease insulin requirements.1
What Are the Warning Signs?
Constant hunger or thirstFrequent urinationBlurred visionConstant fatigueWeight loss without tryingPoor wound healing (cuts or bruises that are slow to heal)Dry mouthItchy, dry skinTingling or numbness in the hands or feetMost people with diabetes do not notice any warning signs
Red and swollen gums that bleed often during brushing or flossing and are tender to the touchGums that have pulled away from the teeth, exposing the rootsMilky white or yellowish plaque deposits, which are usually heaviest between the teethPus between the teeth and gums accompanied by tenderness or swelling in the gum areaA consistent foul, offensive odor from the mouth
IMPORTANT: Physicians and Dentists Need to Work Together
It is important that your dentist be kept up-to-date on your diabetic condition and treatment and that your physician be kept up-to-date on your oral condition and treatment, so that they can work together to help you control your diabetes and prevent or control periodontal disease.1
Keep your dentist up-to-date on your diabetic condition and your physician up-to-date on your oral condition.
If your diabetic condition is well controlled, periodontal treatment would be the same for you as for a patient without diabetes. In early stages, treatment usually involves removing the plaque and calculus from the pockets around your teeth. If the periodontal disease is more severe or if your diabetes is not well controlled, treatment will be more specialized and tailored toward your specific condition. Your dentist may recommend more frequent oral prophylaxes (dental cleanings) involving scaling and root planing or may recommend periodontal surgery.1
Diabetes and Your Mouth
Periodontal disease is not the only problem that can occur if you have diabetes. Although you might not be able to prevent these problems, you can minimize the trouble they cause you5:
Dry mouth: Xerostomia occurs when your salivary glands don't produce sufficient saliva to keep your mouth moist, causing tissues in your mouth to become inflamed and sore. It can make chewing, tasting, and swallowing more difficult, as well as cause difficulty in eating, making it more difficult to control blood sugar.Fungal infection: Candida albicans is a fungus that normally lives inside the mouth without causing any problems. But when you have diabetes, deficient saliva in your mouth and extra sugar in your saliva allow the fungus to cause an infection called candidiasis (thrush), which appears as sore white or red areas in your mouth.Burning mouth syndrome: If you feel severe burning and pain in your mouth even though you don't see any problems causing it, you may have this syndrome.Oral surgery complications:If you need oral surgery, diabetes? particularly if poorly controlled?can complicate oral surgery. Diabetes retards healing and increases risk of infection. Your blood sugar levels also may be harder to control after oral surgery. Your dentist should work closely with your physician to minimize possible complications. If you need oral surgery, the American Diabetes Association recommends that you:
Remind your dentist that you have diabetes and discuss any specific diabetes-related issues.Eat before your dental visit so your blood sugar is within normal range.Take your usual medications. Your dentist should consult with your physician about whether you can adjust your diabetes medications or take an antibiotic to prevent infection before surgery.Plan for your eating needs after surgery. If you're having dental work that may leave your mouth sore, plan to eat soft or liquid foods that will allow you to eat without pain.Wait until your blood sugar is under control. It's best to have surgery when your blood sugar levels are within your goal range. If your dental needs are urgent and your blood sugar is poorly controlled, talk to your dentist and physician about receiving dental treatments in a hospital.
How to remove the yellowness of the teeth? I am not eating tobacco but still my teeth are yellowish. Please help me.
From past week something weird happed in my mouth. I'm enable to eat, the upper palate, chick n even toung is acting red in color, i'm finding hard to swallow. How can I get relief from this?
Hi, my right wisdom teeth is half broken and I am not able to chew from right side from last 6 years and have consulted 2 doctors so one of them said that if we remove that then in future it will effect your eyes and the other one said that we will remove it .I did not take a step ahead because I do not want to face any problem with eyes. Please help me out by getting rid of this teeth without any effects ,I do not have a pain with it but its looking very bad when I yarn. Thank you.
I am having pain in my gums on which there is a yellow color spot at the side of it between the cheek and the gum because of which I am having a lot of pain on eating. Please suggest me a home or ayurvedic treatment. Thanks.
Hello doctor I am Rakesh I am 30 yrs old man n I have suffering from cavity problem so what should I do.
I am 35 yrs old female, I have yellow teeth and bad odour in mouth. The odour comes when I don't eat for 2-3 hours. What to do?
How to protect my teeth from germs, how can I improve my teeth color according to white like a cute baby. How can I care about my hair also?
Women 57 years, some teeth has infection, esr level 95%, hemoglobin level 13.5%, treatment continue, sir what to do?
Hi doctor I have done silver filing few years back now that teeth is paining and swallow around the gums. And the pain is unbearable. Please suggest something to reduce the pain.
The last molar teeth in the mouth are called as wisdom teeth. While in some people they erupt completely into the mouth and function with no problem whatsoever, in others, they remain embedded in the bone, erupt incompletely, erupt at an angle, or are covered by bone or a flap of tissue. They are absent in many.
Of late, dentists recommend removal of wisdom teeth, more a preventative than remedial measure. Some of the reasons for wisdom tooth removal are listed below-
Impaction: Often, wisdom teeth do not have enough space to erupt in their normal position. This can only be evaluated properly on an x-ray. If the x-ray shows that the tooth is unlikely to erupt because of being blocked by a root or bone, this needs to be removed.
Pericoronitis: The tooth partially erupts into the mouth but is covered by a flap of gum. This attracts food and bacteria to accumulate, leading to decay and infection, a condition called as pericoronitis. Very common in the lower wisdom teeth, it leads to severe tooth pain, painful swallowing and swelling of the lymph nodes. This is the most common cause for wisdom teeth to be removed. An x-ray will reveal the tooth to be infected and sometimes periapical abscess may also be present.
Cysts: Impacted teeth can develop fluid-filled cysts which can cause severe and even permanent damage to the jaw bone, adjacent teeth and nerves. Dentigerous cysts are the most common type.
Alignment: Misaligned wisdom teeth exert a constant mild pressure on the adjacent teeth which can hamper the alignment and reverse the effects produced by braces. The bite may be altered also, thereby necessitating removal.
Adjacent Tooth Damage: If the malposed wisdom tooth is causing pocket formation or decay in the adjacent teeth, it is time to get them removed.
Recurrent Sinus Infections: With their proximity to sinuses, there could be constant pain and pressure and infection of the sinuses. This is another indication for their removal.
However, not all wisdom teeth need to be removed. If they have erupted fully, are healthy, produce a good bite, and can be cleaned easily, they do not require removal.
During the teenage years and through 20s, check with your dentist on the health of the wisdom teeth. X-rays can be taken to monitor them and for early identification of problems. If they need to be removed, it is easier to take them out when you're young. The bone surrounding the impacted tooth is less dense, and therefore easier. The ability of the body in general and the jaw bones in particular to heal is also better at a younger age.