糖尿病与牙周疾病

为什么牙龈疾病在糖尿病患身上更明显？

身为糖尿病患者，你对感染疾病的免疫反应有所下降。如果你的糖尿病未能得到很好的控制，你就有可能患上牙周疾病，同时你也患有牙周脓肿的可能。牙周脓肿是围绕特定牙龈组织的肿大。这些牙龈组织感染、发炎，并常伴有疼痛。牙周疾病的存在也可能影响身体对胰岛素的运用。这就导致了你的糖尿病更难以控制，而你的牙周疾病也就变得比非糖尿病病人更为严重。

还会有什么其他的症状吗？

除了更易患有牙周疾病外，你可能还会发现以下病状：

• 损伤愈合过程的减慢（包括口腔溃疡、拔牙伤口、口腔手术伤口）
• 唾液流量低
• 口腔或舌上的烧灼感

这些症状较易在你糖尿病未能很好控制的情况下发生。

糖尿病是一种严重的疾病，它使患者的身体失去对血糖的控制能力。它可由身体中产出不足，或身体运用荷尔蒙的能力不足而产生。

此外，如果你是一名患者，你需要保持口腔和牙龈免受感染。这对于你控制糖尿病病情也具有重要意义。

牙周疾病最近被认为是第六个糖尿病的主要并发症。糖尿病病患牙周疾病的比率更高，病情更重，病程更快。

Gum Disease—The ‘Sixth’ Major Complication of Diabetes

Why is gum disease significant to me as a diabetic?

As a diabetic, you have a poorer immune response to infection. If your diabetes is not well-controlled, you are more likely to have periodontal disease. You may also develop abscesses (gum boils). Abscesses are swellings of the gums that have become infected and are often painful. The presence of periodontal disease may also affect your body’s ability to process and use insulin. This may cause your diabetes to be more difficult to control, resulting in your periodontal disease becoming more severe than a non-diabetic.

What other symptoms may I have?

In addition to being more susceptible to periodontal disease, you may also experience:

• Delayed wound healing (mouth ulcers, tooth sockets after extractions, oral surgical wounds)
• Decreased or reduced flow of saliva
• Burning sensation in the mouth or the tongue

These symptoms are more likely to occur if your diabetes is not well-controlled.

How can I prevent Periodontal Disease?

Since bacteria in plaque cause the disease, you have to remove plaque from your teeth daily by careful, effective brushing and flossing. Regular visits to your dentist are also necessary. Your dentist will check the status of your gums and teeth, and perform a professional cleaning to remove the calculus and plaque that has built up in areas that have missed out during your own cleaning. If you have already been treated for periodontal disease, you will require more frequent visits to your dentist to check for recurrence of disease for you maintenance care.

Diabetes is a serious disease in which the body loses its ability to control the level of sugar in the blood. It is caused by either a deficiency in insulin production, or an inability of the level body to utilize the hormone.

It’s essential for diabetics to monitor and keep their condition under control. While some control their diabetes with insulin, most control it through medication, diet and exercise. In addition, if you are a diabetic, you need to keep your mouth and gums free from infection, as this may have a significant impact on the control of your diabetes.

Diabetics have a higher prevalence of periodontal disease as well as more severe and more rapidly progressive forms of periodontal disease than non-diabetics. Individuals with poorly controlled blood sugar levels also tend to exhibit more periodontal disease than well-controlled diabetics.

激光在牙科治疗中的应用

随着科学技术的发展，激光在牙科领域的应用范围越来越广泛，激光在传统牙科治疗的基础上，给我们多了一个治疗疾病的机会和选择，是牙科治疗进入一个新的领域。


激光在牙科领域的应用范围.....


牙周病治疗：
激光不仅可以減少和控制病菌的数量，而且可以去除牙周袋的炎性肉芽组织。对难治性，局限性或惧怕牙周手术的牙周病患者无疑是个福音。同时对进行化疗及做過过牙周手术的病例也都适用。激光牙周治疗过程无明显不适，治疗后可减低炎症，牙龈出血減少，牙袋变浅。有效控制牙周病，可降低心脏病，糖尿病等全身疾病风险。 

牙龈塑性及切除术：

由于牙齿排列及牙周疾病等原因，

相邻的牙齿牙龈位置有时会高低不齐，

使牙齿显得长短不一，影响美观。

牙龈整形术可以对牙龈高低進行重塑，

使牙齿排列更协调。 


激光治疗特点：

• 治疗过程中多无需麻醉，无痛，出血少，愈合快。因为激光有很好的杀菌，止痛和止血的功效。
• 激光治疗时间短，恢复快，安全性高。
• 激光手术后无需缝合，不影响患者生活和饮食习惯，减少心理压力。

Laser Use In Dentistry

Dentistry today has changed in a dramatic way. The gruesome thought of visiting a dentist is history.Painless and bloodless, no risk of infections. The newest Laser technology can make your dentist to become a friend.

Applications in the dental field are...

Endodontic

• Germ reduction in the root channel, also inside the dentin tubule.

Periodontology 

Similar to conventional therapy:

• Gingival treatment
• Periimplantitis
• Gingival forming
• Cleaning of the gingival bags and germ reduction
 

 Surgery

• Lip-/lingual frenulum

• Coverd implants and tooth

• Coagulation

• Aphthen

• Herpes

• Cysts

• Fistula

• Fibroms

• Prothesis mould

 Aesthetics

• Bleaching

GC Tooth Mousse

Certain everyday activities, ageing, consuming acidic foods and drinks, medical conditions and many other situations can create an oral acid imbalance. When that happens, you may experience losing essential minerals from your teeth leading to sensitivity, erosion and tooth decay.

GC Tooth Mousse restores those minerals to create a healthy oral environment. With its ability to condition and revitalize teeth by fortifying them with minerals, using GC Tooth Mousse is like using “vitamins” for your teeth.

Containing calcium and phosphate, the major minerals teeth are made from, GC Tooth Mousse plays a role in maintaining the PH of our oral environment at normal level. 

It is especially beneficial to people with an active lifestyle or with certain medical conditions and can be used as a preventive approach to good oral health. 

Which toothbrush is best?

Tooth brushing plays an important role for personal oral hygiene. Brushing helps remove plaque (a sticky film of bacteria that can irritate the gums). Plaque that is not removed can harden into tartar. As a result, the irritated gum tissue may swell or bleed. This is called gingivitis, the early stage of periodontal (gum) disease.

Toothbrushes can vary between

1.   Manual and electric

2.   Variety of sizes

3.   Bristle strengths. 

Find out which characteristics you should look for in a toothbrush.

1.   Manual & electric

Both types of toothbrushes are equally effective at preventing gum disease and removing plaque as long as the patient is thorough and uses it consistently. Persons who have difficulty using a manual toothbrush may find a powered toothbrush easier to use or more comfortable. Choose a toothbrush that you like and find easy to us regardless manual or powered toothbrush.

2.   Sizes

The best toothbrush head for you should allow you easy access to all surfaces of your teeth. Many tend to use the brush that’s too big for their mouth which is not easy to clean thoroughly at certain hard-to-reach areas, such as the sides and backs of your molars. The toothbrush should have a long enough handle so you can comfortably hold it in your hand.

3.   Bristles strength

Bristle types vary from soft, medium and hard. For most adults and children, a toothbrush with soft bristles and rounded tips is the most appropriate. This type of toothbrush is gentle on gums but still allows you to effectively clean your teeth.

Depending on how vigorously you brush your teeth and the strength of your teeth, medium- and hard-bristled brushes could actually damage the gums, root surface, and protective tooth enamel. 

In conclusion, brushing teeth twice a day for two minutes is not only important for good oral health and overall health, it contributes to attractive smile, a pleasing appearance and more social confidence.