It is known that there is a higher probability of bone loss or periodontal disease among diabetic patients. But the information from those studies does not include caries or tooth decay information for diabetics.
In reality, dental caries causes gingivitis, gingivitis advances and causes periodontal disease or bone loss.
Our blood turns a lot of the food we eat into sugar for our bodies to use for energy. A hormone secreted by the pancreas called insulin helps sugar in our blood get into the cells of our bodies. The American Diabetes Association says that if your body doesn’t make enough insulin, as in type 1 diabetes, or if the insulin doesn’t work the way it should, as in type 2 diabetes, blood sugar can’t get into your cells and instead stays in your blood, raising your blood sugar level.
Optimum salivary flow rate is responsible for establishing protective environment against dental caries, according to a recent study at Department of Biochemistry at the Liaquat College of Medicine and Dentistry in Pakistan. Tooth decay or cavities are consequences of caries. If left untreated, the disease can lead to pain, tooth loss, infection, and, in severe cases, death.
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According to a study done at the Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, in Thailand, It appears that Type 2 Diabetes Melitis is a significant risk factor for root surface, but not for coronal caries. Periodontal disease should be treated early in type 2 diabetic subjects to reduce the risk of subsequent root surface caries.
What they are saying is that bacteria that gets under the gums on the roots of the teeth is more of a risk factor than bacteria on the visible portion of the teeth for type 2 diabetics.
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