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World Diabetes Day – November 14

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Dental health is important for everyone.

The most important part of dental care is to brush and floss your teeth regularly (at least twice a day, better yet after every meal or snack) based on the advice of your dentist. This will help prevent acid attack to your teeth and help avoid plaque formation.


  • Food particles left between your teeth will break down and become acidic. Food does not have to be sugary or sweet to cause a cavity.
  • Gum disease can reach an advanced and serious stage before you feel any pain or notice any bleeding during brushing.

At the dental office

With very few exceptions, people with diabetes can be treated by dentists the same way as those without diabetes.

  • Your teeth may be cleaned by removing all deposits formed in between teeth as well as under the gum line. If this is uncomfortable, ask your dentist for “freezing”. Your dentist should do everything he or she can to eliminate pain during treatment.
  • If you take insulin, your dentist should be told. The dental staff can then confirm with you that you took your usual insulin dosage and will ask you to let them know if any signs of insulin reaction occur.
  • During a dental appointment, stressed patients release hormones that can affect insulin uptake and blood glucose (sugar) levels. It is very important that you take insulin/medications at the appropriate time and follow your meal plan to keep your blood glucose (sugar) levels stable.

If gum surgery or tooth extraction is required, or if implants are to be placed, a very careful follow-up should be planned. This will include special dietary instructions and very close observation of the healing process. You may be asked to measure your blood glucose (sugar) level more frequently and to test your urine for ketones.

You may also be prescribed antibiotics. If you take any oral diabetes medications, you should speak with your doctor to ensure that there will be no reaction between your diabetes medication and the suggested antibiotic.

Final thoughts

Regular dental checkups are important. In the fight to control and stop gum disease from advancing quickly, the time between dental visits should not exceed three months.

Periodontists (gum specialists) have discovered that if you wait longer than 90 days between professional cleanings, a worsening of periodontal (gum) disease occurs because the bacteria become more aggressive and more damaging to the gums surrounding your teeth.

If you suspect a problem, call your dental office as soon as possible. Your dentist will always make time for you, especially if there is a problem.

Unlike teeth, dental problems do not go away if ignored.

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Written by Fotini Molnar

Dr. Fotini Molnar started her dental experience working as a dental assistant in a co-op program during high school. She went on to complete her Bachelor of Science, majoring in biotechnology at York University and then obtained her Doctor of Dental Surgery (DDS) degree from the University of Toronto. Prior to her career in dentistry, Dr. Molnar researched neuroblastoma at Sick Kids Hospital.
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