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When you have diabetes, you are at greater risk for periodontal disease (infection of the gums and tissues supporting the teeth). Any periodontal disease you may develop can be more severe and harder to control. Preventing or controlling periodontal disease requires ongoing care.
Bacteria in your mouth form a sticky, whitish film (plaque) on teeth. If plaque is not removed daily, it can harden into a rough yellow or brown deposit (tartar). Tartar is harder to remove from your teeth than plaque. Bacteria from plaque and tartar can cause swollen, infected, and receding gums. More severe gum and bone disease may then occur.
Follow the guidelines below to help prevent periodontal disease.
Use good oral hygiene. Brush your teeth after each meal and floss daily. Don’t forget to also brush your tongue. Your dentist may suggest special aids to help keep your teeth clean.
See your dentist regularly. Your dentist may want to see you every 3–4 months for exams and cleanings. How often you visit your dentist will depend on how severe your periodontal disease is. It may also depend on your plaque and tartar buildup, and how well you care for your teeth and gums. Tell your dentist if you have any problems controlling your blood sugar.
Control your blood sugar. Keeping your blood sugar at a healthy level will help control your diabetes. Doing so will also help your body fight infections and may lessen the severity of your periodontal disease. Take your diabetes medication as instructed.
If you have periodontal disease, your dentist may suggest any of the treatment plans below.
Scaling and root planing. These techniques remove plaque and tartar from teeth, above and below the gumline. Scaling and root planing also help control gum and bone disease.
Antibiotics. Antibiotics are medications that kill bacteria. You may receive antibiotics as pills or in topical form (applied to the area).
Gum surgery. Gum surgery is a way to remove all deep deposits of plaque and tartar. It may be done for advanced infections that don’t respond to other types of treatments.