Saying Ahhhh..What Your Dentist Sees & Knows
If your tooth enamel is worn down, for example, that’s a sign that you may be suffering from stress and grinding your teeth at night. Swollen and receding gums can be an early sign of diabetes, and sores in your mouth that don’t heal can sometimes indicate oral cancer.
A dentist or periodontist may be the first to notice these symptoms and can tell you which additional tests or treatments you may need. In some cases, they’ll work closely with your primary care doctor to help manage your follow-up care.
“Dentists and periodontists are concerned about more than saving your teeth – they’re looking at how oral health fits into your overall well-being,” says Steven Offenbacher, DDS, PhD, chair of the department of periodontology and director of the Center for Oral and Systemic Diseases at the School of Dentistry at the University of North Carolina at Chapel Hill.
Here are some of the most common conditions dentists look out for that can affect your oral health.
People with type 1 and type 2 diabetes are more likely to develop gum disease.
That’s because they may have a decreased ability to fight bacterial infections, including those that occur in the mouth. In addition, serious gum disease can make it more difficult for people with diabetes to control their blood sugar.
“When I see a patient with symptoms like frequent gum abscesses, swelling, a lot of bone loss in a short amount of time, and gum disease that doesn’t respond to normal treatment, those can be signs that they have diabetes,” says Sally Cram, DDS, a periodontist in Washington, D.C., and spokeswoman for the American Dental Association. “Over the years, I’ve had at least a dozen patients who I identified as diabetic and they didn’t know it.”
If your dentist suspects that you have undiagnosed diabetes, he or she will advise you to go to an endocrinologist or to your primary care doctor for testing.
Once you’ve been diagnosed as having prediabetes or diabetes, your dentist may send status reports to your doctor — letting him know, for instance, if they suspect your blood sugar is not well controlled because your gum disease has been difficult to treat.
Also, your dentist or periodontist may recommend that you schedule dental exams more frequently — for example, every three months — if you have a history of diabetes and gum disease.