Your Mother Always Said... It’s What’s on the Inside That Counts!(Part 5 of a Series)
The American Diabetes Association states that approximately 20% of the American population is affected by Diabetes.
13 million people or 4.3% of the population have diagnosed diabetes. 5.2 million people have undiagnosed diabetes.
41 million people, or about 14% of the population are pre-diabetics. 10% of the 13 million have Type 1, insulin dependent diabetes 90% of the 13 million are Type 2 diabetic, who do not process sugar properly.
RATE OF PERIODONTAL DISEASE IN DIABETICS For the normal population, it is rare to have periodontal disease prior to age 20. However, about 30% of 20 year old diabetics have periodontal disease. This percent climbs to 50% by age 35, and escalates to 80% as they age to 45-54. Diabetics have double the rate of periodontal disease in relationship to the non-diabetic population, according to the American Academy of Periodontology
RISK OF PERIODONTAL DISEASE FOR DIABETICS The risk increases for periodontal patients due to the bacteria which live in the deep pockets characteristic of periodontal disease. These bacteria are anaerobic in nature, which means that they do not require oxygen to survive and will in fact die when exposed to an oxygen rich environment. These bacteria migrate systemically through your blood stream and lymphatic system making it more diffi cult for a diabetic to control their blood sugar. According to studies published in 2005 by the National Institute of Diabetes and Digestive and Kidney Disease these dangerous pathogens increase the mortality rate in a diabetic by as much as 7.5 times (that’s 750%). The primary causes of death due to periodontal disease were heart attacks triggered by ischemic heart disease and diabetic nephropathy. Research shows that as these anaerobic bacteria get into the blood stream it can increase HbA1c levels. HbA1c, or how your extra glucose glycates or attaches to the hemoglobin, can be measured with a blood test. The percentage of the hemoglobin that is glycated is an indication of your level of glucose control over the last two-three months. A value of less than 5% is considered normal, while a value over 7% is considered by the American Diabetes Association to be indicative of diabetes. A value of between 6-7% is considered to be pre-diabetic.
TREATMENT OF PERIODONTAL DISEASE FOR THE DIABETIC Because these anaerobic periodontal bacterial enter into the bloodstream, they can increase blood sugar and HbA1c levels. Therefore it is imperative that the periodontal disease be treated. Treating the periodontal disease with an aggressive protocol which includes laser therapies at optimal healing increments, ozone treatments of the infected tissue, nutrition, and testing before and after treatment to measure success. We have found in our own offi ce that “The Diabetic In The Dental Chair” presents a unique set of challenges. Increased infl ammation, nutritional diffi culties due to absorption issues, diffi culty in resolving the infected areas, and healing/reattachment of the affected tissue due to decreased circulation. Our unique protocol addresses these specifi c challenges and we have had tremendous success in lowering not only the HbA1c levels, but the CRP (C-Reactive Protein) levels as well. Our ultimate goal is to create a Periodontal Disease free patient by elimination of the pathogenic bacteria and diseased tissue thereby allowing the mouth to heal and the tissue to reattach. Dr. Rush teaches this protocol to 100’s of diabetics and healthcare providers when presenting as an educator for the American Diabetes Association. If you are diabetic and have questions about your periodontal status, please contact our offi ce for a free bacterial screening test and periodontal evaluation.
Ahwatukee Family Dental 11022 South 51st Street, Suite 105
480.893.7674 Dr. David Rush
To learn more about Diabetes and Periodontal Disease visit our website, or call to make an appointment!
www.DrDavidRush.com
Fulton Ranch Dental 4909 South Alma School Road, Suite 1
480.895.7070
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