Periodontitis? Let’s check diabetes first!

Gingival bleeding and oral odor are mistaken for excessive internal heat by many people. Even when gingival recession and loose teeth have already caused serious oral problems, many oral problems still cannot be faced squarely.

Many middle-aged and elderly friends ignore this problem and mistakenly think that [teeth will definitely be loose when they get older]. The health headline should tell everyone that this understanding is wrong.

Periodontitis is the most common cause of oral problems. If it is not treated, it may even cause alveolar bone atrophy, oral cavity will collapse, and teeth will naturally loosen and fall off.

Is what periodontitis?

Simply put, periodontitis is inflammation of the periodontal tissue and has caused its destruction. Periodontal, as its name implies, is the tissue around the tooth or the supporting tissue of the tooth, including gum, periodontal membrane, cementum and alveolar bone under the gum.

In our country, the incidence rate of adult periodontitis is as high as 80 ~ 90%, and with the increase of age, the incidence rate of periodontitis increases.

Periodontitis is a disease caused by many causes, but its main culprit is dental plaque biofilm formed by some bacteria attached to our oral cavity. This bacterial plaque will produce various toxic factors and endanger our periodontal health.


Studies have shown that the incidence rate of periodontitis in diabetic patients is significantly higher than that in healthy people, and the disease is more serious.

This is mainly because the high blood sugar content in the blood of diabetic patients will cause a series of pathological changes in the body:

    Leukocyte function defect reduces the immune defense function of the body and increases the susceptibility of periodontitis. The basement membrane of small and medium blood vessels in gingival tissue thickens, resulting in a decrease in local oxygen partial pressure, which is conducive to the growth of anaerobic bacteria and the occurrence of infection. Inflammatory mediators are secreted in large quantities, which promotes excessive inflammatory reaction and destroys periodontal tissue. The activity of fibroblasts and osteoblasts decreases, which reduces the repair and regeneration ability of periodontal tissue and is not conducive to the healing of periodontal tissue.


As mentioned earlier, periodontitis is an infectious disease of periodontal tissue caused by plaque biofilm. Studies have found that the content of some inflammatory factors in serum of patients with chronic periodontitis is higher than that of normal people, and these inflammatory factors will reduce the effect of insulin, affect the control of blood sugar in diabetics, and further aggravate the condition of diabetes.

Therefore, we say that diabetes and periodontitis interact with each other, and there is a dangerous relationship between them. If they are not well controlled, a vicious circle will be formed, causing serious consequences.

That is to say, if a good periodontal condition is maintained or blood sugar is controlled at a good level, it is very beneficial to both the treatment of diabetes and periodontitis.

How to treat it clinically?

Clinically, For diabetic patients with periodontitis, Stomatologists usually emphasize the importance of controlling blood sugar to patients, but physicians often ignore the attention to periodontal health when treating diabetes. Therefore, in the treatment process of diabetes, if the effect of blood sugar control has not been ideal, then don’t forget to see if there is a periodontal problem.

Studies have shown that safe and effective periodontal non-surgical treatment and regular periodontal maintenance and examination can obviously improve the blood sugar, blood lipid and periodontitis symptoms of diabetic patients, and can effectively ensure the stability and long-term efficacy of diabetes and periodontitis.


Regular visits to the hospital for examination

Each of us has 28 to 32 teeth, The probability of problems is much higher than that of other organs, But chronic periodontitis does not have what’s obvious symptoms in the early stage, Even some people have no special discomfort in the late stage of periodontitis, and can only be found through the doctor’s examination. Therefore, we might as well regard the oral hospital as the 4S store of our teeth, regularly check and maintain, and control the disease in the initial stage, which is not only beneficial to our oral health, but also beneficial to our whole body health.

Brush your teeth in the right way

The most basic periodontal care is brushing teeth, Brushing your teeth with the right method can effectively remove dental plaque (see Dr. Clove for details of the right brushing method. Over the years, Your brushing method may be wrong > >). However, brushing teeth can only remove about 70% of dental plaque, and there are often residual plaque between teeth, which requires us to learn to use floss or gap brushing to remove plaque between the adjacent surfaces of the two teeth, so as to achieve [all aspects].

Regular tooth cleaning

However, most of the time, Although we have taken care of our teeth with great care, There will still be some places [cannot be prevented], leading to the generation of dental calculus. This requires us to go to the hospital for tooth washing, and remove the dental calculus attached to our teeth in time, because dental calculus is the most important local stimulation factor of periodontal disease, and tooth washing is the most effective method to remove dental calculus.

Therefore, as long as there is a good awareness of periodontal health care and active cooperation with clinicians, I believe that both patients with periodontitis and patients with diabetes will have great improvement in their physical condition and quality of life.