Oral health is a key part of overall health and well-being. It includes the health of your gums, teeth, and other oral tissues. A healthy mouth can help prevent a wide range of problems, including tooth decay, gum disease, and even systemic diseases like diabetes.

Diabetes and periodontal disease are two chronic conditions that often go hand in hand. In fact, people with diabetes are twice as likely to develop periodontal disease as those without diabetes. This is because diabetes can weaken the immune system, making it harder for the body to fight off infection, including gum disease.

If you have diabetes, it is important to be aware of the connection between diabetes and periodontal disease.

Periodontitis and Diabetes: A Two-Way Street

Diabetes and periodontics are related in both directions. Diabetes patients have elevated blood sugar levels, which promote the growth of bacteria in the mouth, especially in plaque and tartar. These bacteria produce toxins that cause gum inflammation, which leads to periodontal disease.

Periodontitis, on the other hand, can worsen diabetes control. Chronic inflammation linked to periodontitis can interfere with the body’s capacity to control blood sugar levels, making it more difficult for diabetics to effectively manage their condition.

This vicious cycle can result in a variety of complications, such as cardiovascular disease, stroke, and kidney disease.

Common Signs and Symptoms

The common symptoms of periodontic-related diabetes

  • Dry mouth (xerostomia): Reduced saliva production can lead to a dry, sticky feeling in the mouth, increasing the risk of tooth decay and periodontal disease.
  • Frequent urination: Elevated blood sugar levels in diabetics and chronic inflammation associated with periodontics can both contribute to excessive urination.
  • Slow-healing sores: Impaired blood flow and reduced immune function in diabetics can slow down
  • Loose or sensitive teeth: Loss of bone support due to periodontal disease can make teeth loose or sensitive.
  • Bad breath (Halitosis): It is a sign of periodontal disease because it is often associated with bacteria in the mouth.
  • Red, swollen, or bleeding gums: They are early signs of gum diseases like gingivitis
  • Pus between the teeth and Gums: The pus between the teeth and gum creates the space for more infection and further damage.
  • Receding gums: As periodontal disease worsens, the gums may begin to pull away from the teeth, exposing the tooth roots.

Factors Increasing the Association Between Diabetes and Periodontics

Diabetes and periodontics have a complicated relationship that can be worsened by a number of factors. When these conditions are present, they may worsen overall diabetes control and greatly raise the risk of periodontitis in diabetics.

Factors Description
Poor Glycaemic ControlIncreased blood sugar levels worsen the inflammatory response in the gums by creating an ideal environment for bacterial growth.
SmokingImpairs blood flow to the gums, hindering nutrient delivery and immune function, and increasing susceptibility to periodontal infections.
GeneticsCertain genetic variations can affect insulin sensitivity, increasing the risk of diabetes, as well as periodontal disease susceptibility.
Nutritional DeficienciesInadequate nutrient intake, particularly vitamin C, can weaken gums, making them more susceptible to infections and periodontal destruction.
StressChronic stress may worsen diabetes and periodontitis by impairing blood sugar control and suppressing the immune system.
Certain MedicationsCorticosteroids and immunosuppressants can weaken the immune system and make blood sugar control more difficult, worsening the link between diabetes and periodontics.

Treatments for Periodontal Disease

Individuals with diabetes require special considerations when undergoing dental procedures, as their condition can affect wound healing and blood sugar control.

  • Scaling and root planing: This is a deep cleaning procedure that involves removing plaque and tartar from the teeth and roots, followed by smoothing the root surfaces to prevent bacterial reattachment.
  • Periodontal Surgery: To repair and regenerate damaged tissues in more advanced cases, surgical interventions such as flap surgery, bone or tissue grafts, and guided tissue regeneration may be required.
  • Antibiotics: In some cases, antibiotics may be prescribed to treat bacterial infections associated with periodontal disease. These can be topically applied (applied directly to the affected area) or systemically administered (oral or injected).
  • Laser Therapy: Using lasers to treat gum inflammation and encourage the growth of new, healthy tissue.
  • Maintenance Therapy: For managing periodontal disease and preventing recurrence, regular follow-up appointments for professional cleanings and ongoing monitoring of oral health are essential.

Diabetes Management and Oral Health

A healthy diet and Lifestyle are essential for diabetes management and oral health. You can effectively control your blood sugar levels, reduce inflammation, and protect your periodontal tissues by making conscious choices.

  • Carbohydrate balance
  • Protein intake
  • Fibre-rich choices
  • Limit sugary foods and beverages
  • Plenty of Hydration
  • Regular exercise
  • Limit Alcohol consumption
  • Rinse with mouthwash after brushing
  • Quit Smoking

How to prevent Periodontal Disease?

Effective oral hygiene practices are essential for diabetics to prevent and manage periodontal disease.

  • Brushing twice a day with soft bristle toothbrush and fluoride toothpaste
  • Flossing daily after every meal
  • Regular dental and diabetic control check-ups


If you have diabetes, you should be aware of the link between diabetes and periodontal disease and take precautions to protect your oral health. The Dental Lounges Dental Clinic can assist you in managing your periodontitis and improving your overall health. We treat periodontal disease with a variety of services, including scaling and root planing, periodontal surgery, and antibiotic therapy. We also offer education and counseling to help you maintain good oral hygiene and avoid the recurrence of periodontal disease.

Make an appointment today to learn more about how we can assist you in achieving your periodontal health objectives.