Obtaining dental care is more difficult during the current pandemic and this is causing an increase in dental problems such as dental cavity formation and gum disease. Researchers have introduced a home-use method for the reduction and prevention of dental disease.
Gum disease goes often without symptoms. For people with diabetes, this condition is more common.
Gingivitis is an infection of the gums. It is caused by residual plaque on the teeth and gumline. The plaque bacteria irritate the gum tissue, and as a result, the gums get inflamed. Signs of gingivitis include swollen, tender or puffy gums, bleeding when brushing or flossing teeth, and a bad breath.
If left untreated, gingivitis may lead to gum disease. Gum disease – or periodontitis – is a more severe infection, that gradually destroys the soft tissue and bone that support your teeth.
This chronic bacterial infection that damages the gums is a surprisingly widespread ailment in adults. Severe periodontitis affects 10-15% of adults and moderate 40-60%.
Among the people who have diabetes, the disease is even more common.
Although periodontitis affects health and quality of life in many ways, it's difficult to identify due to its mild symptoms. Studies have shown that diabetes is a significant risk factor for periodontitis.
How does diabetes affect your gum health?
People with diabetes are three times more likely to develop gum disease. There is also a direct link between periodontitis and high blood sugar.1
A growing body of scientific evidence shows that there is a two-way effect between diabetes and periodontitis. Diabetes increases the risk of gingivitis and gingivitis has a detrimental effect on glycemic control. The incidence of chronic renal failure is three times higher in diabetics with severe gingivitis than in diabetics with no gingivitis.1
Although gingivitis mainly affects the adult population, type I diabetes also predisposes to periodontitis. All people with diabetes, including young adults and children, are more vulnerable to periodontitis. 1
How can the development of periodontitis be prevented?
The most important aspect of preventing gingivitis is effective dental hygiene. Inflammation develops due to the chronic biofilm, that forms on the tooth surface and at the gumline. Gingivitis will occur every time, that enough plaque accumulates on the teeth. The plaque may not be visible, though. It resides in the curves of the tooth surface, that is never completely smooth. Bacteria attach to irregularities the size of micrometres on the tooth surface, where the bristles of the toothbrush cannot reach.
Even the microsopic plaque bacteria can irritate the gums.
The size difference between the toothbrush and the bacteria is demonstrated in the figure above. The drawing illustrates the irregularities of a few dozen micrometres on the tooth surface. A single toothbrush bristle is shown in the form of a semicircle. The image shows how impossible it is for the bristles to reach the bacteria when the microscopic plaque resides in the tiny dents of the teeth.
Lumoral is a precision tool against bacteria
Lumoral is a proven antibacterial method against the plaque bacteria. It is effective against bacteria and biofilms also in continuous use. The bacteria are not able to form a resistance against Lumoral action. The hi-tech mouthwash attaches tightly to the plaque and gets activated by the Lumoral light activator.
The effect of the hi-tech mouthwash is not based on mechanical removal, but it affects every bacterium, thus making it a precision tool.
The image above shows an electron microscopy scan of one Streptococcus mutans bacterium treated with the Lumoral method. The light-activated hi-tech mouthwash has made a hole in the bacterial surface membrane. Bacteria get eliminated during the treatment and are unable to form a new biofilm. They can be removed with a toothbrush and rinsing with water.
Also, the near-infrared light contained in Lumoral stimulates the gingival tissue, strengthening it and accelerating its healing.2–4
The most important elements of treating periodontitis are frequent visits to the dentist and regular dental care at home. The daily dental care is crucial. If a visit to the dentist gets delayed, Lumoral will significantly improve the quality of self-care at home. However, you should not forget your regular dental appointments.
- Chee B, Park B, Bartold PM. Periodontitis and type II diabetes: A two-way relationship. Int J Evid Based Healthc. 2013. doi:10.1111/1744-1609.12038
- Nikinmaa S, Alapulli H, Auvinen P, et al. Dual-light photodynamic therapy administered daily provides a sustained antibacterial effect on biofilm and prevents Streptococcus mutans adaptation. PLOS ONE. 2020:2020.01.09.899963. DOI: 10.1371/journal.pone.0232775
- Yassaei S, Fekrazad R, Shahraki N, Shahraki N. Effect of Low Level Laser Therapy on Orthodontic Tooth Movement: A Review Article. Vol 10.; 2013. www.jdt.tums.ac.ir. Accessed June 20, 2019.
- De Freitas LF, Hamblin MR. Proposed Mechanisms of Photobiomodulation or Low-Level Light Therapy. IEEE J Sel Top Quantum Electron. 2016;22(3). doi:10.1109/JSTQE.2016.2561201
Teeth cleaning is a very efficient way of preventing many annoying problems.
Children should be taught to look after their teeth, as good dental hygiene equals a healthy mouth.
According to Dr. Jukka H. Meurman, Professor Emeritus of the Department of Oral and Maxillofacial Diseases at the University of Helsinki, how well Finnish people look after their teeth varies considerably.
- Dental care is a part of a healthy lifestyle. The different attitudes to health also apply to dental hygiene.
It is recommended that teeth are brushed twice a day with fluoride toothpaste and flossed regularly. Brushing keeps teeth and gingival pockets clean, which reduces tooth decay and gingivitis.
Regular visits to the dentist are also important, as oral health is not a small matter.
Dr. Meurman reminds us that numerous studies have verified the link between oral health and, for example, cardiovascular diseases.
- Diabetics and patients with cardiovascular diseases often neglect to look after their oral health. The same goes with many other general diseases.
Periodontitis can be completely asymptomatic
Bad habits for oral health are the same as bad choices general health. Unhealthy lifestyle affects teeth.
“From an oral health perspective, healthy and sensible eating habits mean limiting meals to five times a day and avoiding alcohol use,” says Meurman.
Snacking and sipping acidic or sweet drinks causes constant demineralisation, which allows bacteria to thrive. Smoking should also be avoided, as smokers almost always suffer from gum infections and deepened gingival pockets. Smoking also increases the risk of oral cancer.
If the teeth are not cleaned properly, the plaque accumulates on the teeth surface and the gingival pockets. The process of dental decay begins. The bacteria in the plaque irritates the gums and causes gum infection.
According to Dr. Meurman, if gingivitis is left untreated it can progress to gum disease (periodontitis), which weakens the connective tissue of the tooth and can lead to a very unpleasant outcome.
- Periodontitis is an inflammation of the tooth's supporting tissue, which is practically due to a lack of oral hygiene. It is caused by bacteria living in the mouth that form plaque and tartar and irritates the tissue. The first symptoms are bleeding gums, but the disease is insidious and often almost asymptomatic: it gradually removes teeth from the mouth.
Dr. Meurman encourages people to follow simple dental care guidelines, as caries, gingivitis and periodontitis are completely preventable.
The Lumoral method helps when enhanced hygiene is needed
What if the aforementioned methods are not enough? For some people, it is not enough to simply brush and floss the teeth to prevent oral diseases. It's known that more than 70% of Finns suffer from gum infection.
The Lumoral method was developed with dentists to enhance the care and cleaning of teeth. It helps in situations where traditional tooth brushing and flossing is not enough and doesn't achieve good enough dental hygiene. The effectiveness of Lumoral is based on a unique technical mouthwash that has previously only been used by dentists.
In the Lumoral method, technical mouthwash is activated by light, which has an antibacterial effect to the dental plaque and gingival border. The method also affects the invisible plaque that the toothbrush does not normally remove. The teeth are brushed after the treatment, and the enhanced cleanliness makes the teeth feel smoother and more slippery. The antibacterial effect targets the plaque and the normal bacterial flora of the mouth is not disturbed.
Regular use of Lumoral reduces the formation of new plaque and tartar. Good oral hygiene, supported by Lumoral, prevents cavities and gingivitis, and the development of these comorbidities. Better condition of the gums supports fresh breath due to the reduced number of anaerobic bacteria in the gingival border, gingival pockets and interdental spaces.