Monitoring the Gums in Diabetes
Gum monitoring is an overlooked but practical part of managing diabetes.
Why the relationship runs both ways
High blood sugar affects small blood vessels and the working of defence cells, so the gum responds less well to inflammation, heals more slowly and is colonised more easily. In the other direction, ongoing inflammation in deep pockets places a continuous burden on the body that is known to affect glycaemic balance. Periodontal treatment therefore matters beyond the mouth.
Appointments and follow-up
- The recall interval is shortened for most patients
- Appointments are set after a meal and medicines
- Morning slots are preferred for longer procedures
- Share your recent blood sugar records
- Keep a fast-acting sugar source with you
- Healing is monitored more closely after surgery
Findings that call for closer follow-up
Bleeding on brushing, redness and swelling at the gum margin are the first warnings; with bad breath, recession and new gaps between teeth the inflammation is likely to have reached the bone. Dry mouth, a burning tongue and fungal infection are also more common — redness under a denture can be a sign. Slow wound healing deserves assessment too.
Getting Here, Booking and Emergencies from Sarilar
Route, booking and emergency arrangements for patients from Sarilar.
Getting here from Sarilar
Sarılar lies in the Manavgat district of Antalya; Manavgat is a coastal tourism district, about 75 kilometres from the clinic. We also see patients from neighbouring areas that share the route from Sarilar, such as Salur, Sorgun, Tilkiler, Yavrudoğan. You can ask for the location on WhatsApp when travelling from Sarilar.
Appointments for Sarilar
Because a trip from Sarılar takes a day, the schedule for staged treatment is drawn up at the outset and given to you as a whole. As with patients from Manavgat generally, appointments for families from Sarilar can be scheduled consecutively.
Emergencies from Sarilar
Always call before setting out from Sarılar at night; over this distance the guidance you receive on the phone matters in keeping the situation from worsening. For patients coming from Dental Clinic in Sarilar, the clinic is open 24/7 and in an emergency the order is set by severity rather than arrival time. For spreading facial swelling, difficulty swallowing or breathing, or toothache with fever, go to the nearest emergency department.
The Temporary Crown: The Unseen Work of the Interim
A temporary crown is not a simple filler placed until the permanent one arrives. Over those two weeks it does four separate jobs, and if it comes off all four are disrupted.
Its four jobs
All four directly affect how the definitive crown will seat:
- It insulates the prepared tooth; preventing sensitivity
- It stops the neighbouring and opposing teeth drifting
- It stops the gum growing over the preparation line
- It serves as a trial of the planned shape; changes are asked for here
What happens if it comes off
Within a few days the gum grows over the preparation line and the margin of the definitive crown will not seat; the impression may have to be retaken. The opposing tooth begins to over-erupt and the neighbours tip into the space, so the crown already at the laboratory no longer fits. The exposed dentine also becomes sensitive and open to bacteria. Call the same day it comes off — a few days' wait can undo two weeks of work.
How to behave in the interim
Do not chew hard or sticky food on that side; a temporary crown is held with a much weaker cement than the final one — deliberately, since it must be removable. When flossing, slide the floss out sideways rather than pulling it up; pulling up lifts the temporary off. Do not stop brushing — the margin must stay clean.
