Examination at the dentist makes Muhardjo surprised. The reason, the doctor asked if they suffered from diabetes mellitus (DM) aka diabetes. Although not feel as diabetes mellitus patient, Muhardjo follow the advice of the doctor to check her blood sugar levels. The result, they was suffering from type-2 DM.
So, what to do with teeth? According to the Secretary of Section Periodontology at the Faculty of Dentistry, University of Gajah Mada (UGM), drg H Ahmad Syaify, Sp. Perio diabetes does cause complications in lots of ways. Including of them is periodontitis.
His face winced. Muhardjo gum (55 years) to swell. Not only that, it is simple for some time his teeth wobbly. Finally, of his teeth were dated.
Almost''about 80 percent of DM patients, gum issues,''said Syaify who is currently researching for his dissertation S3 on the Body Defense Method Disorders in Patients with Periodontitis diabetic.
Broken tooth foundation Periodontitis is an inflammation of the tooth supporting tissues (gums and bone). Of all the complications of diabetes, periodontitis is a complication of the sixth largest among the various kinds of diseases. DM is the largest number particular complication in the oral cavity.
According Syaify, signs of periodontitis, among others: the patient complained her gums bleed basically, gums a small bit of other color that is shiny, skin texture orange (stippling) is lost, the gum pockets, there is damage to the bone around the teeth, the patient complained of wobbly teeth, and straightforward off .
''While the comparatively young age of about 45-50 years, had lost his teeth, but teeth are not damaged, but the foundation of his teeth broken,''he explained. From various studies show that individuals who basically falter and loose teeth were suffering from DM. Even cases of periodontitis in patients with DM over in non-DM patients.
DM is usually composed of types namely: type one and type five. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) in the United States explains, for type one, patients dependent on insulin supply from outside. In this type, the production of insulin by the pancreas disrupted or absent altogether.
''So, DM disease could have known from the oral cavity, for patients who have no idea that they suffered from diabetes,''said Syaify. DM is a metabolic disorder characterized by hyperglicemia (elevated blood sugar concentration). In Indonesia, people with diabetes in 2000 is estimated as lots of as three million people, whereas in 2010 predicted DM patients about 6 million people. DM is actually a huge issue, said Syaify.
Whereas in type five diabetes, write the NIDDK, the pancreas still produces insulin. Regrettably, insulin is unable to answer the food intake in to the digestive tract. Lack of activity and fat patients with diabetes mellitus irritate this type.
Type five diabetes is suffered by about 90 percent of all patients with DM. Usually the new signs was at the age of 45 years. Without treatment, patients usually experience the classic signs of diabetes are polyuria (excessive urine out, at night), polydipsia (excessive thirst) and polyphagia (excessive appetite), as well as itching, weakness and fatigue.
Because there's millions of bacteria in the mouth is necessary (normal flora). But there's bacteria-specific bacteria called periodonpatik bacteria, because bacteria are usually present in periodontal tissue or called an anaerobe gram-negative bacteria (bacteria that can live without oxygen). ''You can imagine, they have pockets in the gums and are increasingly getting to the bottom there is no oxygen, so that the anaerobic bacteria prosper,''said Syaify.
Why assault the gums?
At the mouth was inflamed - in this case of periodontitis - the body's defense cells will release TNF-alpha (Tumor Necrosis Factor). According to the U.S. health care institutions, the Mayo Clinic, these proteins function to mobilize white blood cells to fight infections and other invaders. Regrettably, this resulted in insulin resistance. Because the body so unable to make use of insulin produced by the pancreas.
''If we are brushing your teeth, bacteria can be eliminated is the kind of aerobe (bacteria that life requires oxygen, red). If anaerobe bacteria can not be eliminated with a toothbrush, so that anaerobe bacteria may cause issues in the bag of teeth.''Patients DM when experiencing more extreme periodontitis than healthy people, because: First, the immune method in diabetic patient lower than healthy people. The cells of the body's defense (monocyt, neutrophils, and macrophages) are also weak functions.
''If plaque at the gum pockets to tidy, now her teeth cleaned, the bacteria expelled, radangnya appeased, then the DM condition it can be improved,''he said.
Thus, Syaify said, when his gums diseases in the tackle, icing conditions will be better. The diabetic patient ought to start to look to check his gums. In case you suffer from periodontitis, immediately overcome, so the teeth can survive and plasma glucose was not worse.
Greater benefit is to prevent other diseases that can be amplified by the severity oral cavity conditions including: diabetes disease, heart disease, Rheumatoid arthritis, stroke, miscarriage, and others.
Individuals who tidy the tartar can have lots of advantages such as in terms of aesthetics could be cleaner, in terms of appearance could be better, in terms of association, the mouth was no longer smell.
* Control blood sugar on a regular basis because of the condition of lovely blood sugar, will fix the tooth supporting tissue disease
* Check the gums / tissues supporting the teeth and tidy the tartar on a regular basis three times a maximum of 3-6 months. Lots of studies the past ten years shows the condition of lovely dental buffer network will improve the condition of the patient's blood sugar Diabetes mellitus.
* Fix the pattern of life, away from the stressor.
* Use a lovely toothbrush and do the correct way of brushing teeth.
* If there is caries (cavities) ought to be addressed immediately.
* If there's teeth that date must get replaced immediately''.''
DM Patient Care tips:
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