The Effect Of Full Mouth Disinfection On Insulin Sensitivity

Dental insurance coverage is a key determinant on whether to seek care or not. The exclusion of our mouths from the rest of our body parts and not receiving the care it requires is quite impossible to rationalize (McClymont, 2015). Dental care is essential in the maintenance of good oral health and in the identification of symptoms of systemic conditions that most likely are manifested through the mouth. As striking and conspicuous as it may sound, Canada has indeed a type of health care system wherein mouth is excepted as a part of the body. As a matter of fact, our lips, tongues, and throats are securely covered while our teeth and gums are left out from the privilege. The most common infectious disease in the world are dental diseases, and the fact that many health issues can be first diagnosed through the oral cavity validates its importance and co-relevance to the rest of our body. Studies have linked poor oral health such as severity of gum infection to AIDS, first stages of osteoporosis, reveal nutritional deficiencies, immune disorders, cancer, and so on and so forth. Xerostomia or dry mouth for an instance is often a symptom of undetected diabetes. Diabetic patients have higher risks of gum infection caused by increased blood sugar, thickening of blood vessels resulting to hindered healing process that is why they are obligated to undergo pre-medication as a form

“The impact of unmet oral health care needs is magnified by the well-established connection between oral health and overall health” (Fineberg, H. 2011, p. ix). Oral health status is linked with general health, as evidenced by the association between poor oral health and chronic diseases, such as diabetes, cardiovascular disease, and respiratory disease. Poor oral hygiene can also lead to other health issues such as, oral facial pain and digestive problems. “The silent epidemic of oral diseases disproportionately affects disadvantaged communities,

The purpose of this paper is to show if periodontal therapy on type 2 diabetic patients can have an impact on metabolic control, compared to type 2 diabetic patients who do not receive periodontal therapy. The fact that diabetic patients have high risk of periodontal disease is well known. On the other hand, it is not much known that how the periodontal therapy impact the metabolic control in diabetic patients. It is important to discuss about this topic not only because type 2 diabetes mellitus is a common disease in worldwide but also because, according to the World Health Organization, current prevalence may double by the year 2030, and diabetes-related health care expenditures range from 2.5% to 15% of annual health care budgets. (Engebretson et al, 2013)

As stated by the Center for Disease Control and Prevention, “Each year, more than 30,000 new cases of cancer of the oral cavity and pharynx are diagnosed and over 8,000 deaths due to oral cancer occur.” (CDC). Most adults are unaware that they have periodontal disease or gum disease, this occurs because they do not maintain routine checkups with their dentist. When we insert food and other bacteria into our mouths, it affects our teeth and gums. We need routine dental checkups and cleanings throughout our lives. Dental checkups usually involve x-rays, cleanings, and the examination of the mouth.

Periodontal disease can lead you to lose all of your teeth. The mouth is the gateway to the rest of the body; it can be the entering passage between healthy and sick. The moment an infection grows in the mouth, the entire body automatically starts to try to fight it. “…due to significant findings supporting the association between periodontal disease and systemic conditions such as cardiovascular disease, type 2 diabetes mellitus, adverse pregnancy outcomes, and osteoporosis” (Amar and Kim). It has been suggested that the bacteria of this infection may enter the bloodstream and attach themselves to the blood vessels which then increase clot formation. These clots then lower the blood flow to the heart indicating that a heart attack is a common consequence of gum

Since diabetes depresses wound healing and creates blood vessel changes, Alice is at an increase risk of gingivitis and periodontitis. I can provide periodontal therapy if Alice is diagnosed with gum disease (Little et al., 2013, p. 236).

Oral health seems to all link together, by not treating one side effect different concerns can occur in the oral cavity. Periodontal disease is a disease that involves inflammation of the periodontium. “Periodontal disease causes a breakdown of the periodontium, resulting in loss of tissue attachment and destruction of the alveolar bone.” (Bird, 2015) Which means that once it’s lost, you can’t get it back. “Periodontal disease is the lead cause of tooth loss and almost 75 percent of adults have some form of periodontal disease.” (Bird, 2015) The primary cause of periodontal disease is plaque. Plaque cannot be easily removed by rinsing the mouth, so if plaque builds up and isn’t removed for a long period of time, a patient with xerostomia and bad oral hygiene can be susceptible to periodontal disease. That’s why deep cleanings performed by a dentist or hygienist is so important. A dentist or hygienist uses a scaler that is used to scrap off plaque from above and below the gum line. In some cases, a laser may also be used to remove plaque which results in the procedure being more comfortable for the patient. That’s why patients need to be informed about removing plaque themselves at least once a day. Periodontal disease begins with a vast amount of bacterial plaque, but medications can also trigger periodontal

Each and every human mouth contains microorganisms, good and bad. It has been concluded that there are up to 1,000 variety of microorganisms residing in the oral cavity. Many of these bacteria are harmless to humans and are natural to the body. However, there are several that can cause decay and chronic infection in the oral cavity, which are also known as gram negative bacteria (Gehrig & Willmann, 2016). Biofilm, also known as plaque that forms on teeth, contains an organized matrix of microorganisms, which consists of these gram negative bacteria that can cause periodontitis. There are several types of biofilm in nature, but plaque in the oral cavity can be very destructive to a human’s periodontium and can place other organ systems at risk for harm. Bacteria reproduce very quickly and form huge colonies quickly as well (Gehrig & Willmann, 2016). It is important for women, who are pregnant or whom are trying to become pregnant, to have a thorough periodontal exam,

As a hygienist, I see the need to educate patients about gum disease, its implications, how bacteria from the mouth can travel to the body through the bloodstream and cause systemic problem, as well as how to prevent tooth loss due to periodontal

The Effects of Full Mouth Disinfection on Insulin Sensitivity in Type 2 Diabetes with and without Chronic Periodontitis the experimental research was aimed toward the problem of the high periodontal disease prevalence amongst individuals with poorly controlled type 2 diabetes: admittedly the researchers found periodontal prevalence rates to be generally higher in diabetics than in those free of the systemic disease (as cited Srirangarajan, Setty, Satvanaravan, & Shetty S, 2016). Literature review can be found within column 2 on page 103, and columns 1 and 2 on page 104. The report used 48 references: 48 of the 34 references came from primary sources, while the remaining 14 came from secondary sources. Experiments were aimed “to

Type 1 diabetes occurs when the glucose level in the blood is too high; whereas type 2 diabetes occurs when the glucose level in the blood is too low. I have learned that people with diabetes are 2 to 4 time at higher risk to be affected by periodontal diseases than non-diabetes individuals. diabetic Individuals who take Zoloft are most likely to get xerostomia. Xerostomia can contribute to opportunistic infection such us oral candidiasis. I’ve learned that patients with diabetes must come back every 3 months for prophylaxis, since oral infections can progress more quickly on diabetic patient than non-diabetes individuals. They must be fully cooperative, motivated on taking care of their oral health care and must seek regular professional care. I also learned that diabetic patient with fixed prosthesis must use interdental aids to remove food debris and biofilm from abutment and pontics surfaces. Therefore, following a good oral hygiene care is crucial part to individuals with

Diabetes affects nearly 30 million Americans each year. Diabetes is a disease that can cause problems with the eyes, nerves, kidneys, and heart. Oral health problems associated with diabetes are lesser known, but equally important. Diabetics who do not have good control over their blood sugar levels tend to have more oral health problems. The most common oral health problem associated with diabetics is gingivitis. Gingivitis is an inflammation usually caused by the presence of bacteria in plaque. This inflammation can cause the destruction of the tissues that support your teeth, gums, bones, and fibers that surround the teeth. Other oral health problems that can come about are: tooth decay, periodontal (gum) disease, salivary gland dysfunction, fungal infections, lichen planus and lichenoid reactions (inflammatory skin disease), infection/delayed healing, and taste impairment. It is important to keep medical records up to date and inform the dentist if the disease is under control. They also need to be aware of any changes in the medical history and the names of all prescriptions and over the counter medications taken. Regular dental check-ups are advised for every patient, but even more so for diabetics.

Dental examinations- It is important to be pro-active with dental hygiene and exams to avoid periodontitis which is a condition which diabetic patient can face it results from the gums pulling away from the teeth and forming pus pockets at the gum line and excessive germs, although the condition does not always occur in all diabetic patients it’s important to monitor your dental health and have regular exams.

Optimal dental health is indicated with the control and prevention of gum disease, gingivitis, bacterial carries, cavities, and periodontal disease (PD). Alternatively, signs of poor oral health can be seen with the accumulation of bacterial pathogens in the area between the tooth and gingiva, known as the gingival sulcus (see Figure 1). PD is a severe condition due to its chronic inflammatory nature that leads to tooth decay and eventual tooth loss. The pathogenesis of PD involves bacterial invasion of the gingival sulcus, which stimulates a host reaction of leukocytes and lymphocytes. This immune response constitutes a progressive, destructive, and inflammatory

Lastly the most severe dental disease that comes with not practicing good oral hygiene is periodontal disease. If it is left to itself and not treated, it will lead to tooth loss. In order to fix periodontal disease, a hygienist needs to place a probe in the gap of your gums and insert fake gums to keep bacteria from going in the hole. There are many factors that cause periodontal disease, but the main cause is bacteria. Without proper home care, your chances of getting it increase. The other factors vary and can affect the health of your gums. The most severe case of not having good oral hygiene is periodontal disease, and it is very painful.