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DiabetesDoesntHavetoStopYouFromAcquiringDentalImplants

One of the best and most successful tooth replacement choices available is the dental implant. No other restorative method is as similar in both form and function to a real tooth as an implant; and with a success rate of 95-plus percent after ten years, it’s one of the most durable.

But there can be extenuating circumstances that make obtaining an implant difficult or sometimes impossible. One possible problematic situation is the systemic disease diabetes.

Diabetes is a hormonal condition in which the body is unable to sufficiently regulate the amount of glucose (a basic sugar that provides energy to the body’s cells) within the blood stream. Normally, the pancreas produces the hormone insulin to reduce excess glucose. But diabetes interferes with this insulin production: if you have Type 1 diabetes, the pancreas has stopped producing insulin altogether; if you have the more common Type 2, the body doesn’t produce adequate insulin or it doesn’t respond sufficiently to the insulin produced.

Over time diabetes can affect other areas of health, especially wound healing. Because the condition gradually causes blood vessels to narrow and stiffen, the normal inflammatory response to disease or trauma can become prolonged. This in turn slows the rate of wound healing.

Slow wound healing can have a bearing on the recovery period just after implant surgery, especially the necessary integration process that takes place between the bone and the titanium metal implant that provides its signature strength. If that process is impeded by slow wound healing caused by diabetes, the risk increases dramatically for implant failure.

That’s the worst case scenario if you have diabetes, but only if your condition is out of control. If, however, you have your blood sugar levels well regulated through medication, diet and exercise, then your chances for implant success could easily be on par with someone without diabetes.

So if you’re diabetic and are considering dental implants for missing teeth, it’s important to discuss the possibility of obtaining them with both your dentist and the physician caring for your diabetes. With your overall healthcare team working together, there’s no reason why diabetes should stop you from enjoying this premiere restoration for missing teeth.

If you would like more information on obtaining dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implants & Diabetes.”

YoucanStillhaveImplantswithDiabetes-ifyouhaveitunderControl

If you're one of the more than 26 million people in the U.S. with diabetes, you know first hand how the disease impacts your life. That includes your dental health — and whether or not implants are a good tooth replacement option for you.

Diabetes is actually the name for a group of diseases affecting how your body processes glucose, a simple sugar that provides energy for the body's cells. The level of glucose in the blood is regulated by insulin, a hormone produced in the pancreas. Diabetes causes the pancreas to either stop producing insulin (Type 1) or not produce enough (Type 2). Also in Type 2, the body can become unresponsive to the insulin produced.

The implications for either type are serious and can be life-threatening. If glucose levels are chronically too low or high the patient could eventually go blind, suffer nerve damage, or develop kidney disease. Diabetes also interferes with wound healing and creates a greater susceptibility for gangrene: diabetics thus have a higher risk for losing fingers, toes and limbs, and can even succumb to coma or death.

Type 2 is the most common form of diabetes. Fortunately, most people with this type can effectively manage it through diet, exercise and regular glucose monitoring; if need be, prescription medication can help regulate their levels. Even so, diabetics with their disease under control must still be alert to slower wound healing and a higher risk of infection.

Because implant placement is a minor surgical procedure, the aspects of diabetes related to healing, infection and inflammation could have an adverse impact on the ultimate success of the placement. Implant surgery creates a wound in the surrounding gum tissues and bone that will need to heal; the body's immune response in a diabetic can interfere with that process. And if infection sets in, the risks of implant failure increase.

But research has shown that diabetics with good glucose management have as high a success rate (over 95% after ten years) as non-diabetic patients. That means the implant option is a viable one for you as a diabetic — but only if you have your disease under control.

If you would like more information on the relationship between dental implants and other health conditions, please contact us or schedule an appointment for a consultation.

By Randall Furman DDS
November 15, 2013
Category: Oral Health
Tags: celebrity smiles   diabetes   sealants  
MariaMenounosDiscussesDiabetesDietAndDentalSealants

As the youngest person ever to host Entertainment Tonight, Maria Menounos, an independent filmmaker, actress, and co-host of daily entertainment news program Extra, has made a huge splash in the world of entertainment journalism. However, she is also an avid ambassador for the American Diabetes Association, a cause that is very dear to her heart because her father is a diabetic.

Her father's illness taught Menounos and her family about the importance of maintaining good general and dental health. This included a diet packed with fruits and vegetables, many of which they raised themselves. According to Menounos, they also ate little-to-no junk food. These habits still help keep the busy celebrity journalist fit and smiling with beautiful, healthy teeth.

Speaking of her smile, Menounos openly discusses her oral health in her interview with Dear Doctor magazine. She has had no major dental enhancements — not even braces — but does occasionally brighten her smile with tooth whitening. She also feels that her teeth are healthy due to the sealants she had as a child.

We could not agree more with Maria! Sealants for the tiny grooves in teeth known as “pits and fissures” are something that every parent or caregiver should consider for their children. The enamel of newly erupted teeth is more permeable, meaning that the acids produced by bacteria in the mouth can damage these teeth more easily, making them more susceptible and less resistant to decay. The good news is that dental sealants help protect teeth until the enamel has matured. Because of sealants — along with fluoride, good hygiene, and better nutrition (including less sugar consumption), tooth decay has been dramatically reduced.

If you are interested in learning more about dental sealants, contact us today to schedule an appointment so that we can conduct a thorough examination. During this private consultation, we will also discuss any questions you have as well as what treatment options will be best for you or your children. However, to learn more about dental sealants now, you can continue reading the Dear Doctor magazine article “Sealants for Children.” And to read the entire interview with Maria Menounos, please see the Dear Doctor magazine article “Maria Menounos.”