Diabetes and Oral Health Approximately 2.25 million Canadians have diabetes Nearly 1 million people with diabetes live in Ontario By monitoring any oral infections that affect your gums and jaw, your dentist may help detect signs of early onset diabetes
Diabetes and Oral Health • Overview • What is diabetes? • How does diabetes affect my oral health? • What are some of the risk factors/symptoms? • Taking control • Proper oral hygiene • Questions?
Diabetes and Oral Health What is diabetes? Diabetes is a condition in which the body does not produce or properly use insulin – a hormone needed to absorb sugar (the basic fuel for cells). As a result, the body cannot use sugars from food.
Diabetes and Oral Health Facts about diabetes* • More than 2 million Canadians suffer from diabetes • The number is expected to grow to 3 million in the next 4 years • Among people with diabetes 80% will die of stroke or heart disease • 1,000 + Ontarians every week learn that they have diabetes • Ontarians with diabetes make up 7.5% of the population, but account for: 32% of heart attacks 30% of strokes 51% of new dialysis cases 70% of limb amputations# *Canadian Diabetes Association – Snapshot on Diabetes: The Ontario Report # ICES Practice Atlas: Diabetes in Ontario, June 2003
Diabetes and Oral Health • In type 1 diabetes the body makes little or no insulin • This often leads to total insulin deficiency • This condition tends to occur in individuals under 30 years of age, most often in childhood or during the teen years; older patients exhibit this form of diabetes on occasion © 2005 WebMD Inc. All rights reserved. http://www.ghi.com/yourhealth/encyclopedia/articles/diabetes_basics.html
Diabetes and Oral Health • In type 2 diabetes the cells in the body do not respond properly to insulin produced • patients still produce insulin, but the body doesn’t respond properly to the hormone. • Direct relationship between the degree of obesity and the risk of developing type 2 diabetes in both children and adults © 2005 WebMD Inc. All rights reserved. http://www.ghi.com/yourhealth/encyclopedia/articles/diabetes_basics.html
Diabetes and Oral Health Risk Factors • 40 or older? You may be at risk of type 2 diabetes • Testing every three years is recommended • Other risk factors that may require more frequent testing: • Member of a high-risk group • Overweight • Family member with diabetes • Had/have gestational diabetes • High blood pressure • High cholesterol
Diabetes and Oral Health Symptoms • Unusual thirst • Frequent urination • Weight change (gain or loss) • Extreme fatigue/lack of energy • Blurred vision • Frequent or recurring infections • Cuts and bruises that are slow to heal • Tingling or numbness in the hands or feet • Trouble getting or maintaining an erection NOTE: Many people with type 2 diabetes display no symptoms
Diabetes and Oral Health Diabetes • Left untreated, diabetes can result in a variety of complications, such as: • Heart disease • Kidney disease • Eye disease • Problems with erection (impotence) • Nerve damage • Infections and other serious complications • People with diabetes also face a greater risk of developing oral infections and gum disease
Diabetes and Oral Health Oral health problems associated with diabetes: • Tooth decay • Gum disease • Dry mouth • Fungal infections • Lesions in the mouth • Taste impairment • Infection • Delayed healing
Diabetes and Oral Health There is some good news! • The good news is that treatment of either disease can lead to improvements in the other. • Focus on: • Healthy eating • Watching your weight • Physical activity • Taking control
Diabetes and Oral Health Take control: • Stay in touch with your dentist and other health providers • Let your dentist know: • If you have been diagnosed with diabetes • If the disease is under control • If you take insulin, and when your last dose was administered • If there has been any other change in your medical history, and • The names of all prescription and over-the-counter drugs
Diabetes and Oral Health Your oral hygiene routine should include: • Brushing 2-3 times a day (whether real or replacement teeth) • Flossing once daily • Using toothpaste containing fluoride • Limiting sweets; and • Visiting your dentist regularly.
Diabetes and Oral Health Summary • Your oral health and overall health are related, so talk to your dentist • Research shows that gum disease and diabetes can affect each other • Good oral hygiene and regular dental exams are important steps in preserving good health
Diabetes and Oral Health ? THANK YOU. Any questions?