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Diabetics with Gum Disease Benefit from Coordinating Treatment for Both

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If you have periodontal (gum) disease, you probably already know you’re in danger of eventual tooth and bone loss if the infection isn’t brought under control. But if you also have diabetes, the effects from gum disease could extend well beyond your mouth.

Gum disease is a bacterial infection caused by plaque, a film of food remnant that builds up on tooth surfaces mainly due to poor oral hygiene. As the infection grows, your body’s immune system responds by flooding your gum tissues with antibodies to fight it, resulting in inflammation. As the inflammation persists, though, it damages the gum and underlying bone tissue, which in turn leads to gum and bone loss from the teeth.

Diabetes also causes an inflammatory response within the body. The disease develops either as a result of the body’s decreased ability to produce insulin to balance the glucose (sugar) levels in the bloodstream (Type 1) or the body develops a resistance to insulin’s effects (Type 2). As a result diabetics experience abnormally high blood glucose levels, a condition called hyperglycemia. This triggers chronic inflammation that can lead to inhibited wound healing, increased risk of heart, kidney or eye disease, coma or death.

Gum disease can worsen diabetic inflammation, and vice versa. The effects of the oral infection add to the body’s already overloaded response to diabetes. In turn, the immune system is already compromised due to diabetes, which can then increase the severity of the gum disease.

Research and experience, though, have found that pursuing treatment and disease management for either condition has a positive effect on managing the other. Treating gum disease through plaque removal, antibiotic therapy, surgery (if needed) and renewed oral hygiene will diminish the oral infection and reduce the body’s immune response. Caring for diabetes through medication, diet, exercise and lifestyle changes like quitting smoking will in turn contribute to a quicker healing process for infected gum tissues.

Treating gum disease when you have diabetes calls for a coordinated approach on both fronts. By caring for both conditions you’ll have a more positive effect on your overall health.

If you would like more information on the relationship between diabetes and gum disease, please contact us to schedule an appointment for a consultation.

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Monday:

7:30 am-2:00 pm

Tuesday:

8:00 am-8:00 pm

Wednesday:

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Thursday:

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Patient Reviews

  • "Pleasant and professional.
    Dr Shukla and staff provide excellent dental and dental hygiene services. Have been coming to this office for over 25 years. Recommended to all."
    Keith K.
  • "Excellent dentist.
    I had a great experience at Great Smiles, my tooth was filled with no problems and the staff is wonderful."
    Linda F.
  • "Everyone in Dr. Sukla’s office received me with cheerful and friendly attitude. Though it was my first visit, I felt very much at home with her great staff. Dr. Sukla had also talked to me with politeness and did a very good job in attending to my dental requirements."
    S K.
  • "Gentle lady! Friendly and knowlegeable! A fun visit -- you can believe me."
    Florence D.
  • "Dr Shukla, Donna, Diane, Joy and Priscilla are terrific. Professional, knowledgeable, thorough, clean, on time, and very friendly. I have to keep reminding myself that I’m actually at the dentist. There can’t be a better dental office anywhere."
    Jim F.
  • "Super friendly staff & very professional.
    Everyone in the office is so nice and friendly and accommodating...Dr is soooo sweet and very professional...highly recommend this place to anyone looking for a great dentist!!! And great customer service and professionalism!!"
    Marcie M.
  • "Always good.
    Dr. Shukla’s staff always provide warm, caring & professional service!"
    Keith P.
  • "Great experience.
    Very grateful a appointment was arranged immediately as I was in pain, even though I was a new patient. The office and appointment rooms clean and comfortable. I was very impressed with the kind professional attention given and how Quickly my problem was addressed. Great experience! I have been searching for a good dentist in the area and am happy to have found one."
    Shirley W.
  • "High quality, professional dental care.
    Doctor Shukla is a great, highly skilled and very thorough dentist. A few months ago Dr Shukla placed a new crown on a tooth (recommended by Dr Swingle) , which went extremely well. Also it is always a pleasure to have the teeth cleaned by Donna, a very professional and friendly dental hygienist."
    Elizabeth S.
  • "High quality of service, professional.
    Dr Shukla provided excellent service and comfort during the procedure."
    Gary F.
  • "High quality service.
    Dr Shukla and staff are very friendly and personable. I’ve had several tooth emergencies and Dr Shukla and staff have helped me out even on their off days. Dr Shukla is very focused on patient satisfaction. I would definitely recommend Great Smiles to anyone in need of a dentist."
    Aurea M.
  • "Professional and friendly.
    Dr Shukla and her team are very caring and accommodating. I actually look forward to my dental appointments!"
    Peter G.
  • "Dental Work.
    Doctor is very patient and caring. I would highly recommend!"
    Donna W.
  • "Always high quality care.
    I have gone to this practice for years and have come to know the staff well. They are all great! Dr. Shukla provides excellent examinations and kind, careful treatment. Donna is a wonderful hygienist; not only does she do expert teeth cleaning, but she answers all questions thoroughly. She clearly takes pride in her profession and is up to date on current standards of care. I highly recommend 'Great Smiles.'"
    Julie D.
  • "Great service by wonderful people.
    The entire staff are welcoming and thoughtful. Dr Shutla is a great dentist who I highly recommend."
    Russ G.
  • "Dental work? No big deal.
    Dr. Shukla & her staff are always friendly, helpful, calming & efficient, making dental visits easy & stress-free."
    Pat G.
  • "Very professional. Dr. AND STAFF are excellent."
    Patti S.
  • "Excellent dentist and staff
    Our family has been going to this office for at least 25 years. The staff there are more than wonderful. When Dr. Swingle retired we were hoping the new dentist would be good so we could continue our relationships there. Well, we are delighted with Dr. Shukla’s care! Always thorough, gentle, very competent and just personally lovely. Office immaculately clean too. Some nice added amenities like beverages and TVs which frankly are pleasant but not necessary when the professional services (from cleanings to crowns) are first rate!"
    Liz F.
  • "Great group!
    Very friendly, efficient and professional!"
    Stan K K.
  • "Very professional and friendly.
    Dr. Shukla and her staff provide a very professional and relaxed atmosphere. I find everyone to be extremely accommodating and friendly."
    John B.
  • "Professional and friendly... It's like visiting family!
    Always enjoy seeing the folks at Great Smiles... Always on top of things, efficient and effective!!!"
    Peter G.
  • "High Quality Service.
    Awesome office....Very Professional staff... Dentist and staff intently listens to your concerns... Very happy!!"
    Laura D.
  • "Crown prep.
    Dr . Shukla is an excellent doctor . Very caring and gentle during the procedure for my crown ....dental hygienist Priscilla was very good and easy to work with ."
    Bob F.
  • "I love the warm and caring personality of Dr Shukla. This warmth is carried over to her staff who are both professional and caring."
    Florence D.
  • "I love the warm and caring personality of Dr Shukla. This warmth is carried over to her staff who are both professional and caring."
    Florence D.
  • "Professional and friendly"
    Karen F.
  • "Always a pleasure."
    Teri B.
  • "Always great care, timely, efficient and very kind staff"
    Richard S.
  • "High quality service.
    Wonderful and efficient staff!"
    L P.
  • "I just went for my 6 month cleaning and checkup . It’s always a great experience ( the best you could have at a dentist!!) the whole office staff are so friendly and yet professional. Dr. Shukla is very thorough, gentle , professional and nice !! Couldn’t be better :) I highly recommend them!"
    Joanne C.
  • "Professional & friendly service.
    When you open the door to Great Smiles you are greeted with a smile. The staff does everything to make you feel relaxed and at ease. Very professional on all fronts and answer questions with just the right amount of information. I would definitely recommend Great Smiles."
    Trisha Y.
  • "The best.
    Great attention. Always on time. You will feel so confident!"
    Gloria L.
  • "High quality dentistry.
    Great smiles dental has high quality service with a team that makes you feel at home. They always explain what they are doing or going to do helping to keep you informed about your teeth and mouth."
    Mickey C.
  • "High quality very professional friendly service.
    Dr Shukla is a exceptional dentist and her entire staff and office are all 5 stars ⭐️ I absolutely have and will continue to recommend Dr Shukla."
    Shirley W.
  • "Very friendly and professional staff.
    Been going here for over 20 years.... Always great service and always on schedule with minimal wait times... All staff is super friendly and professional... HIGHLY recommend for anyone looking for a dentist in the Westfield area!"
    Marcie M.
  • "Because you should want to go to your dentist
    Another good visit to Dr Shukla at Great Smiles. Always a pleasure checking in to the office and the waiting room is now equipped with cold drinks and Nespresso coffee maker, although I actually didn't have to wait. Came in for teeth cleaning with Donna, followed by a dental exam. Dr Shukla is thorough, gentle and caring, clearly taking a long-term view toward maintaining heathy teeth and gums. Many thanks, see you in six months!"
    Malcolm W.
  • "Dr. Shukla is the best!!!
    I have been a patient of Dr. Shukla for several years. I called the office with a dental issue this afternoon and saw her within an hour. Dr. Shukla is empathetic and reassuring, and she always takes the time to answer any questions you may have. I am very happy with this dental practice and highly recommend Dr. Shukla!"
    Jackie B.
  • "Dr. Shukla and all support staff at Great Smiles are highly competent, caring and efficient! My family of 6 has been receiving wonderful dental care from them for years."
    Lucy R.
  • "Careful, thorough, and proficient.
    Dr. Shukla has a calm and pleasant demeanor. She is careful, thorough and proficient in her dental work. All of her staff are experienced, friendly, and very professional."
    Rob L.
  • "Great experience.
    Doctor Shukla is a great, highly skilled and very thorough dentist."
    Anuj G.
  • "Wonderful dentist and staff !
    Everyone at Great Smiles are professional, friendly and a pleasure to deal with. I actually, kind of, look forward to going. I highly recommend Dr. Shukla and her entire staff."
    Russ G.