Hosted by Ray Shields, MD

Periodontal (gum) disease, an infection of the supporting tissues of the teeth caused by specific bacteria, is a common complication of diabetes. Therefore, patients with diabetes are at increased risk of periodontal disease.  Among American Indians/ Alaskan Natives (AI/AN) with diabetes, advanced periodontal disease occurs at rates 2 to 3 times higher than for individuals who do not have diabetes.  Infections, associated with advanced periodontal disease, can interfere with an individual’s blood sugar control and can actually cause blood sugar levels to rise. 
 

Periodontal disease can result in the loss of all teeth in approximately one third of AI/AN adults with diabetes. People with no teeth can suffer not only emotionally from the social embarrassment of an unacceptable appearance, but nutritionally, due to inability to eat many types of important foods.

All adults with diabetes should have an annual screen for periodontal disease and other oral pathology. Regular dental examinations provide opportunities for prevention, early detection, and treatment of periodontal disease. Regular dental cleaning has been shown to improve glycemic control in patients with poorly controlled diabetes.