For about six years, I relied on continuous glucose monitoring (CGM) to guide my approach to periodontal work in private practice.
I would hold off on aggressive treatments like surgery or deep cleanings until a patient’s diabetes is under control.
This wasn’t just a personal preference; it’s the right thing to do.
Dentists must stop treating periodontal disease in patients with unmanaged diabetes. This practice wastes time and money while ignoring the root cause of their oral health issues.
Once diabetes is stabilized, the improvements we can make in periodontal health become clearer and more impactful for our patients.
The science is clear. Isn’t it time we do things differently?
Insulin sensitivity plays a pivotal role in managing gum disease. It’s surprising how many dentists still operate under an outdated paradigm, overlooking this critical element. This isn’t just an academic concern; it has real implications for patient care and treatment outcomes.
Traditionally, we’ve focused on gum disease, or periodontal disease, through the lens of oral hygiene—brushing and flossing, plaque and tartar. While these are undoubtedly important, they often overshadow a vital link: the connection between metabolic health, especially insulin sensitivity, and periodontal health. This gap in understanding can lead to a significant shortfall in the care we provide.
Studies have shown that diabetic patients are at a higher risk for periodontal disease due to their bodies’ struggles with glucose management, which can trigger inflammation and weaken immune responses. Moreover, insulin resistance—a common precursor to type 2 diabetes—may worsen gum disease, even in patients who aren’t diabetic.
One study revealed that individuals with insulin resistance tend to have elevated inflammatory markers linked to gum disease. This finding suggests that addressing insulin sensitivity is crucial to effectively treating periodontal disease, especially compared to traditional methods. The study titled “Periodontal Disease and Diabetes: A Two-Way Relationship” emphasizes the importance of improving insulin sensitivity to bolster periodontal health.
The consequences of sticking to outdated guidelines are serious. Ignoring the role of insulin sensitivity can lead us to unintentionally worsen our patients’ conditions. Those with poor metabolic health often don’t respond well to standard gum disease treatments, creating a frustrating cycle of repeated procedures and less-than-satisfactory outcomes. This situation not only affects patient satisfaction but also raises ethical questions about the care we deliver.
This challenge mirrors broader themes in the medical community, where there’s often resistance to dissenting views and a tendency to prioritize consensus over solid evidence. Despite the significant advancements we’ve made, a reliance on traditional guidelines can stifle innovation and critical thinking in our field. This reluctance can create an environment where new evidence—like the importance of insulin sensitivity—is overlooked, ultimately compromising the quality of care we provide.
As dental professionals, we must question the status quo. Our Hippocratic oath demands that we prioritize patient health, urging us to challenge outdated practices and advocate for comprehensive care.
Recognizing the connection between insulin sensitivity and gum disease isn’t just an academic exercise; it’s essential for the evolution of dentistry. We must advocate for our patients, considering their overall metabolic health alongside their oral health.
CGM (Continuous Glucose Monitoring) holds immense potential for dentistry. By tracking glucose levels in real time, we can gain invaluable insights into a patient’s metabolic health and how it relates to their periodontal condition. Imagine a world where dentists monitor glucose trends alongside plaque levels to tailor treatment plans more effectively!
As we embrace the future of dentistry, I urge my fellow practitioners to consider integrating CGM into your practice. This technology not only empowers us to make better-informed decisions but also encourages patients to take an active role in their health journey.
I implore patients to discuss CGM with their dentists—don’t hesitate to forward this newsletter to your dental team!
For those looking to connect with forward-thinking professionals, the Functional Dentist Directory is an excellent resource. Here, you can find dentists who prioritize holistic approaches and understand the interconnectedness of systemic and oral health.
It’s time to move beyond traditional methods and engage with the latest evidence. The call to action is clear: question established norms, embrace skepticism, and consider how metabolic health influences oral health. Only then can we provide the comprehensive care our patients truly deserve.
So, what’s next? I encourage you to reach out to your dental professionals about integrating this innovative approach. While research linking CGM directly to dental health is still emerging, the potential for real-time insights into metabolic states could revolutionize our management of gum disease.
Let’s start a conversation about how CGM could enhance our practice. If you have questions or need further assistance, feel free to reach out.
Warmly,
Dr. Mark Burhenne
P.S. I love these dark chocolate hazelnut butter Keto Cups. When I have my continuous glucose monitor on, these Keto Cups don’t spike me at all. They have MCT oil, which is great for before bed. You will always see a bag of these in our pantry.
Cited Studies:
- Epidemiological Data on Diabetes and Periodontitis
This study confirms the correlation between diabetes and the severity of periodontitis, highlighting the impact of hyperglycemia on oral health. Link to study. - Diabetes and Periodontal Disease: An Update
This article provides a comprehensive overview of the relationship between diabetes and periodontal disease, offering insights into clinical management. Link to study. - Effect of Periodontal Treatment on Glycemic Control
This research examines how periodontal treatment can positively affect glycemic control in patients with diabetes. Link to study. - Comprehensive Insights on Diabetes and Oral Health
This article discusses recent findings on the interplay between diabetes and oral health, emphasizing the importance of integrated care. Link to study.
