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People who have diabetes are usually familiar with many of the other health risks they face, including damage to the nerves, eyes, heart, and kidneys. But did you know that if you have diabetes you also have a much greater chance of developing gum disease? It's true, and like other diseases related to diabetes, the risk potential severity of gum disease is directly related to how well blood sugar is controlled.

The Causes

In diabetics, there are two primary mechanisms that increase the risk of developing gum disease, also called periodontal disease:

• Bacterial growth: Bacteria love sugar including the glucose found in blood and bodily fluids. Elevated levels of sugar in saliva can provide a very hospitable environment for bacterial growth. The risk may be elevated if your gums bleed.
• Circulatory changes: In diabetes, the blood vessels become thick, making it more difficult for blood to carry oxygen to the gums and to carry away harmful waste products. This decrease in circulation can weaken the mouth's natural resistance to decay. If you smoke, circulation can become even more compromised, significantly increasing your risk of periodontal disease.

Preventing Gum Disease

If you're diabetic, the number-one key to preventing gum disease is to make sure you do all you can to keep your blood sugar under control. In fact, studies show diabetics who have excellent control of their blood sugar levels have no more risk for gum disease than those who don't have diabetes. Here are some other tips to keep your gums healthy:

• Floss your teeth gently, curving the floss so it can gently reach just below your gum line to remove plaque and food particles. Rinse your mouth when you're done flossing.
• Use a soft-bristle brush to brush teeth twice daily, using small circular motions. Avoid pressing too hard on tooth surfaces.
• Brush your tongue gently to remove germs that can hide there.
• Use an anti-bacterial mouthwash to kill germs that are hard to reach.
• Keep track of how well your blood sugar is controlled and let Dr. James Robson know at each visit.
• Be aware that having diabetes may mean it takes you longer to heal after undergoing oral surgery.

Most importantly, be sure to visit our East Lyme, CT office for regular checkups and tell Dr. James Robson about your diabetes so you can be sure to get the care you need. Follow these steps, and you can enjoy healthy teeth and gums for years to come.

Periodontal disease is one of the most prevalent health issues in America, with the Centers for Disease Control reporting it affects approximately 65 million people, or roughly 47 percent of the population. People with periodontal disease have bacteria beneath the surface of the gums, which are responsible for tissue inflammation that can lead to pain, bleeding, gum recession, and even permanent tooth loss. Unfortunately, the chances of developing gingivitis and periodontitis only increase with age, with 70 percent of adults over age 65 having at least some degree of gum disease. However, a lot can be done to prevent periodontal disease and keep teeth and gums healthy.

Daily Hygiene

The process you take each day to clean your teeth and gums goes a long way towards preventing periodontal disease. Since gingivitis and periodontitis are caused by plaque build-up, the most important steps you can take to prevent them involve cleaning your teeth each morning, night, and after meals. Start by brushing your teeth and tongue, and follow up with mouthwash to kill any lingering bacteria. At least once per day, take time to floss thoroughly along the gum line to prevent gum infection from occurring in between teeth.

Periodontal Exams

In addition to caring for your teeth and gums at home, it is also important to see Dr. James Robson for comprehensive exams. We can detect gingivitis in its earliest stages and treat it before it has a chance to progress. Everyone needs occasional periodontal exams, though people with certain risk factors may require them more often. Examples include individuals who smoke or have a personal or family history of gum disease.

Treating Periodontal Disease

See Dr. James Robson right away if you suspect that you may be experiencing the warning signs of periodontal disease. Symptoms may include red, swollen, or bleeding gums, gum recession, pockets that have formed between the teeth and the gums, and even tooth loss. If you are diagnosed with periodontal disease, treatments are available to help restore your oral health depending on how advanced your gum disease has become. For example, gingivitis may require only a thorough cleaning and topical antibiotic. Periodontal disease that has been allowed to progress may require scaling and root planing, and in some cases, surgery to prevent tooth, bone, and gum loss.

Contact our East Lyme, CT office to schedule an appointment and learn about the ways we can help prevent and treat periodontal disease.

Our team at Robson Dentistry understands that the sights, sounds and sensations at a dental office can be unsettling for some patients. One effective technique that we use to comfort you is to offer the gas nitrous oxide. Nitrous oxide is a common anesthetic used during many dental procedures.

What is nitrous oxide?

Nitrous oxide is an oxide of nitrogen which has a slight sweet odor and taste. During medical or dental procedures, the gas is mixed with oxygen then inhaled through a mask that covers your nose. Within minutes, you should feel calm and experience an overall sense relaxation. You will be able to breathe on your own, move your limbs, and be conscious enough to hear and respond to our dentist's questions. The effects of nitrous oxide disappear shortly after the mask is removed and the drug is quickly eliminated from your body.

Is nitrous oxide safe?

Recreational use of nitrous oxide for its euphoric effects can be dangerous, however, the drug is combined with oxygen at dental offices. This ensures oxygen reaches the brain and prevents dangerous side effects or hypoxia. Nitrous oxide inhalation is a safe and effective technique to reduce anxiety, produce analgesia, and enhance effective communication.

Nitrous oxide is non-addictive and non-allergic, however, it may cause nausea in up to ten percent of patients. The drug is not recommended for people with some medical conditions such as chronic pulmonary disease. We recognize that all patients are different and encourage you to talk with Dr. James Robson about whether nitrous oxide would be a good option for you.

Our team wants to help all patients in East Lyme, CT to overcome dental anxiety, so please, give us a call at Robson Dentistry.

You have a lot more freedom as a teenager than you did as a young child. You also have a lot more responsibilities, and one of your jobs is to take care of your teeth. Develop and maintain good dental habits now so you can have great dental health for life!

Tooth Decay

As a teenager, you risk tooth decay, or dental cavities, if you are not careful. In fact, 59% of adolescents aged 12 to 19 have at least one cavity, according to the National Institute of Dental and Craniofacial Research. Dr. James Robson and our staff recommend keeping your teeth strong and healthy by brushing at least twice a day and flossing every day.

If you suspect that you have tooth decay, do not be embarrassed. Instead, ask your parents to bring you to Robson Dentistry to get it looked at. When you do not treat your dental cavities, they can turn into more serious problems. A severely damaged tooth may need to be treated with a root canal or even an extraction.

You can take easy steps to prevent tooth decay when you are at school or hanging out with your friends. Carry a bottle of water around with you so you can take a sip after you eat any kind of food. Choose water or milk instead of soda or sports drinks, and if you chew gum, select a sugar-free flavor.

Other Oral Health Concerns

You can probably think of many reasons why you should not smoke or use tobacco. Your oral health is another one. Tobacco gives you bad breath and stains your teeth yellow. It also increases your risk for gum disease and cancer of the mouth. Smoking even slows the speed of healing after you have dental procedures done.

Here are a few more tips that can keep your mouth attractive and healthy during your teen years.

• Drink plenty of milk.
• Limit candies and sugary snacks.
• Wear a mouthguard if you play a contact sport.
• Visit Robson Dentistry twice a year.
• Reduce infections and avoid piercing your tongue and lips.

You only get one set of permanent teeth in your life, so get in the habit of taking care of them now!