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Periodontal Disease ?

Question:

Well, that's just scarey as hell to me! Not that I have oral problems, but . . . What can you tell me about inflammatory disease Alan? My nutritionist just touched on it a little. Said there's lots of new reseach going on. There's apparently a test, C Reactive Test, that I may want to get. Has anyone had it? Did the results impact your treatment?


Answer: I can say a little about perio but I don't pretend to know much about inflammation - except to avoid it where possible. We do have some people here who do have knowledge there, hopefully they will answer.

I can tell you this, I'm a type two who let my BGs go crazy. I was experiencing some discomfort and swelling in my right jaw. I thought it was a bad tooth. The dentist took xrays and said my teeth were fine but my gums were diseased due to lack of flossing and possibly high BGs.

Resulted in what was called a deep cleaning which involves 4 treatments. You must be numbed[unless you're crazy] and they dig below your gum line to clean out the infection. Quite expensive....bout $700.00.

Uncontrolled BGs are a major cause of gum problems and inflamation. Even with regular brushing and flossing I could not overcome gum problems even after gum surgery. Gaining control of my BGs made the gum problems a non-issue.

yes., I've had a C-Reactive Protein test done. They did it to check for RA. -- It basically shows inflamation in the body in general. Which for me is kinda scewed... Since I have inflamation due to an old injury which is why mine was high, think it was like 13.. range was 1 - 5.. But I'm dealing with it on a different level then a T2 mostly would

But I find when my swelling is under control my glucose is more controled also.

C-Reactive Protein is what they test for. I'll be having my measured in about a month when I get my labs done for my next endo appointment. My endo says that at their center they're now doing it routinely for diabetics (and probably a bunch of other folks as well).

I can't tell you more about it, but I'm sure others will, and chances are I'll get much better educated about it in about 6 weeks.

I was first diagnosed with periodontal disease just before I left the RAAF 21 years ago. I had the same cleaning routine, every three months for a year, with the service paying. I didn't continue after that, because everything seemed good.

Over the next ten years, I had some minor dental work, but no serious problems.

Then, quite suddenly, I got a major infection and abscess and was told that I needed treatment by the periodontist again. That was the first time I was told that it was an incurable disease, and that I should have been getting regular periodontal cleaning treatment ever since the first diagnosis.

Over the next five years, under the best periodontist in Melbourne, I managed to retain most of my teeth (lost four) and had several flare-ups. One of those I ignored for a few days because I was travelling; that one nearly killed me when it got out of control and I was treated just in time. I now carry Amoxycillin when I travel, just in case.

Now for the good news. At the time I was diagnosed with diabetes I was seeing the periodontist every three months. He commented that I had improved significantly after a year of no smoking. But the improvement a year later when I had reduced my A1c and gained some control over my BGs was dramatic - and continuing.

I now only attend every four months, and on two of those appointments I see the much cheaper dental hygienist because I've improved too much to justify the periodontist's time.

I'd suggest that you have a chat to the specialist who treated you about how regularly you may need re-treatment; hopefully, what you had is not what I have. But I suspect that it may be.








 
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