Diabetes can cause a double risk of oral diseases, and these oral diseases will also become the cause of the aggravation of diabetes, resulting in poor blood glucose control. Therefore, it is not enough to care about the blood glucose level only, diabetes patients must also pay attention to the maintaining of good oral health just like the management of blood glucose.
Diabetes patients should follow the following principles when carry out oral care:
Control blood sugar
The key to the treatment of all oral diseases is to control blood glucose. All the treatment of oral disease is difficult to take effect if the blood glucose is higher than the normal level.
Prevent Dry Mouth
Saliva can prevent dental plaque buildup, scour the bacteria and protect the enamel. But the high blood glucose level and some oral hypoglycemic drugs administration can cause dry mouth. To stimulate the production of saliva, diabetes patients can use specifically designed fluoride toothpaste to prevent dryness of the mouth, chew sugarless gum, drink plenty of water, avoid eating salty, sweet and sour food.
Maintain a good mood
Previous studies have found that there is a significant correlation between stress and oral health status. Stress can confound the human immune system, which makes it more likely to be infected. So diabetes patients should maintain a good mood.
Diabetes patients must quit smoking, which is beneficial for the control of blood glucose and oral health.
Brush teeth every morning and evening, the basic procedure of which shall cost no less than three minutes each time. Best to brush teeth after every meal, and with the use of mouthwash slobber (such as the 3% sodium bicarbonate solutions). Diabetes patients have no need to brush their teeth with great effort, most soft toothbrush should be selected, to reduce the damage to the gums and protect the enamel, as well as to avoid the formation of periodontal pocket (bacteria will enter the periodontal pocket to induce periodontitis). Also be sure to change a toothbrush every 3-4 months.
Diabetes patients suffering from periodontitis are not only recommended to keep a daily brushing habit as many people, but also suggest the use of flossing, it can remove dental plaque on the contact surface of tooth, and remove the food stuck between the teeth, thereby reducing the growth of bacteria and relieving periodontal inflammation.
Diabetes patients with gingival atrophy and larger slit between the teeth should apply the interdental brush, which can play the role of cleaning that beyond the reach of ordinary toothbrush. Foreign bodies in stuck between the teeth can be removed by a toothpick, but be gentle and careful to avoid injury to the gums.
Have regular scaling when diabetes patients want to care for a good mouth. Generally, the teeth can be washed once every six months to a year. Some diabetes patients with tartar produced quickly, there is hence a need to take a wash every 3 to 6 months, such frequency differs from man to man. The scaling is very beneficial to the diabetes patients, not only clean the mouth, also have a good effect to reduce periodontal inflammation and relieve bleeding gums. Healthy people should do at least wash the teeth once every one to two years.
Diabetics with dentures
For diabetes patients wearing dentures, dentures should be removed after each meal to rinse with water. Besides, remove the denture and immerse overnight every night before going to bed. For diabetes patients with good oral status, the denture can be rinsed and soaked with the tap water. It is required to use alkalescent solution to immerse the denture if there is a slight oral inflammation of the diabetes patients. And for diabetes patients with more severe inflammation, denture cleanser should be used to wash and soak, which can completely remove the remnants of the fungus on the denture. It is necessary to pay attention of the denture cleanser, which is inhibited to put into the mouth directly, denture socked with the cleanser should be rinsed with tap water before wearing. Patients with diabetes should go to the hospital for regular anti-fungal treatment if there is a denture stomatitis.
Diabetes patients can prepare xylitol chewing gum if they want to keep the teeth clean at all times. Xylitol is a low calorie sweetener. However, low heat does not mean that xylitol containing food is healthy. Even if without sugar, these foods will generally contain starch and other components that can be converted into sugar and increase the calorie. Therefore, diabetes patients should make a rational choice in face of these food and strict the control of calorie intake.
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