Brits who suspect they might have diabetes should make a visit to the dentist, an oral hygienist has warned, as several early signs often materialise in the mouth. Leading dentist Rizwan Mahmood says fruity smelling breath and a dry mouth are just some of the red flags that could indicate a person has the condition.
The expert dentist at Rüh Dental says many symptoms manifest in the mouth first, which is why it should be the initial port of call when looking for warning signs he says. "As dentists we are at the forefront of spotting serious health conditions, like diabetes, which can be developing in the body without the host’s knowledge, he added.
"This is why people should visit their dentist at least twice a year for check-ups and cleaning. Analysing oral health regularly, along with brushing and flossing at home, can help keep your physical health in good order too.
"It’s also wise to be aware of any changes in the mouth. If you notice anything untoward, see your dentist or medical practitioner."
Besides fruity smelling breath and a dry mouth, other symptoms people should look out for include bleeding and sore gums. "Gum disease can be prevalent in people with underlying conditions such as diabetes, which can weaken the immune system – putting you in danger of infection," Dr Mahmood continues.
"If you have diabetes, you’re more likely to suffer with a gum disease known as periodontal disease. This is inflammation in the gums and the bones around your teeth. Periodontal disease also causes bad breath (halitosis) and even loss of teeth.
"Diabetes can cause a dry mouth because of a lack of saliva which in turn can cause ulceration and tooth decay. Furthermore, you are also prone to developing oral thrush as it can impact the way your body fights off infections.
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"This can put your gums at risk of inflammation because of the bacteria living in plaque. Other signs of diabetes include oral fungal infections, dry mouth, and fruity smelling breath.
"Fruity-smelling breath can be a sign of diabetic ketoacidosis which is a dangerous and potentially life-threatening condition in which your blood sugar is so high it starts turning acidic. But as dentists we are constantly working around the mouth and can pick up on this distinctive oral scent."
If your teeth are wobbly or falling out, it may also be a sign of advanced gum disease because of diabetes. Halitosis, as it’s also known, can occur because of a diabetic dry mouth.
"Bad breath can also be symptomatic for something underlying, something more serious," Dr Mahmood said. "But it could be a pointer to diabetes. Keep up with regular check-ups so your dentist can monitor any changes orally."
