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Orthodontic Interventions For Diabetic Patients

If you have diabetes, especially if your diabetes is not well-managed, then you will need to see your orthodontist more frequently if you wear braces. Not only can uncontrolled diabetes lead to systemic issues such as kidney problems and cardiovascular disease, but it can also cause abnormal manifestations inside your mouth which can complicate your braces treatment. Here are some orthodontic interventions you may require if you are a diabetic who wears braces. 

Antimicrobial Treatment

People with poorly managed blood sugar levels often develop high concentrations of glucose inside their oral cavities. Because of this, their mouths become a hospitable environment for fungal infections such as candidiasis. Untreated candidiasis infections can cause painful white patches to develop on the mucus membranes of the mouth, which can cause gingival inflammation. When your gingival tissue becomes inflamed as a result of a fungal infection, your wires may accidentally poke into the soft tissue, causing pain and injury.

In addition to more frequent checkups, your orthodontist may prescribe an antifungal mouthwash to discourage the development of candidiasis infection. To further discourage the development of oral fungal infections, it is essential that you see your primary care physician on a regular basis to ensure that your blood glucose levels stay within normal limits.

More Frequent Adjustment Appointments

If you have diabetes, you may be at a higher risk of developing periodontal disease. Not only can periodontal disease cause gum problems such as inflammation, bleeding, irritation, and recession, but it can also damage the underlying bones that support your teeth. It is for this reason that you should schedule more frequent adjustment appointments with your orthodontist.

Because of its effects on the jawbone, periodontal disease may change the way your braces fit, and if the hardware is not adjusted on a frequent basis, your braces treatment may not be as effective in correcting your bite. During your adjustment appointments, your dentist will evaluate your jawbones, teeth, brackets, and wires. If your braces need to be tightened, which is the most likely scenario, your dentist will tighten them. Conversely, if your braces feel too tight because of diabetes-related jaw problems or periodontal disease, the orthodontist can loosen them.

If you are a diabetic who wears braces, see both your primary care physician and your orthodontist on a regular basis. When you see these healthcare professionals regularly, you are more likely to enjoy stable blood sugar levels and optimal oral health.


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