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Oral Hygiene, Periodontal Disease And Heart Disease

The well-known risks for heart disease include smoking, obesity, high cholesterol, and high blood pressure. Now evidence suggests that having gum disease puts you at greater risk for cardiovascular (heart) disease.

The bacterial infection that causes periodontal disease also may affect the heart. In fact, all other conditions being equal, people with periodontal disease may have twice the risk of having a fatal heart attack as people that don't have periodontal disease. By taking care of your periodontal health, you can prevent or help control one of the risk factors for heart disease.

Although the exact mechanism of infection has not been determined, it is possible that the bacteria that cause periodontal disease enter the blood stream directly through the gum tissue. This can be precipitated by normal oral activities, such as brushing and chewing, that create tiny injuries in the gum and then release bacteria into the blood stream.

The bacteria can contribute to small blood clots that clog the arteries. There also is the possibility that the inflammation caused by periodontal disease contributes to the build-up of fatty deposits inside the heart arteries and the formation of blood clots. These clots can obstruct the normal blood flow, restricting the amount of nutrients and oxygen to the heart and resulting in a heart attack.

Oral bacteria can also travel to the heart and cause an infection of the lining or valves of the heart called infective endocarditis. People with a history of rheumatic heart disease, mitral valve prolapse with regurgitation, or heart murmur associated with various heart conditions are at greater risk of developing infective endocarditis and may require antibiotic treatment before dental procedures that may induce bleeding.

These procedures include oral surgery, tooth extraction, and routine cleanings. The best way to avoid infective endocarditis is by maintaining good oral health. But if you have any of the conditions that put you at greater risk for infective endocarditis, consult your cardiologist and dentist before starting any dental treatment.

Treatment of periodontal disease may be one of the ways you can help prevent heart disease and a heart attack. With meticulous oral hygiene, daily brushing and flossing, professional cleanings, and periodontal screenings, you may help save your teeth and your life.

By Laura Minsk, DMD

Gingivitis and Gum Disease Basics

It afflicts as many as nine in ten adults at some point in their lives, as well as teenagers and children as young as five or six years of age. Yet, many suffer from it without even suspecting anything is wrong.

"It" is periodontal disease, or gingivitis - in the minds of most dentists, Public Enemy Number one for teeth.

Only for the last 30 years have researchers understood that gum disease is an infectious disorder, caused by many different species of bacteria. But even today, there is no cure. Fortunately, we have learned a good deal about what periodontal disease is and what can be done about it.

Behind the scenes

The culprits in gum disease are the bacteria that thrive in the crevices between gums and teeth, accumulating in the form of plaque, a hard, colorless film. Plaque produces toxins that not only irritate gums and cause bad breath, but can eventually attack connective tissue, bone and teeth.

These crevices become "pockets" where the bacteria lodge and begin to erode the tissues that connect gums with teeth. If periodontal disease isn't checked, the pockets deepen. The havoc spreads. Eventually, the bone around the teeth and roots is destroyed - and the teeth soon follow.

Sounding the alarm

How can you tell if you have a periodontal problem?

If you have bleeding gums or if you have swollen gums, gingivitis may be the reason why. But mouth disease can strike silently, without any pain or obvious signs.

Any bleeding from your gums should be a tip-off. Make sure you're doing a thorough but gentle job of brushing and flossing every day. If bleeding persists, it's time to see your periodontist. Different people have different levels of susceptibility to periodontal disease, and some forms - including those that affect children and adolescents - can develop quite rapidly.

Not everyone who has gingivitis disease goes on to develop more serious periodontal problems. Some people manage to reverse the disease or stop the progress of chronic gingivitis when it flares up.

Until there's a cure, the fundamentals of gum disease prevention - regular professional care and careful brushing and flossing at home - are still the best line of offense for good dental health.

Ways to fight back

• Periodontal disease can be checked and often reversed with simple preventive measures: brushing, flossing and professional cleaning to remove plaque and stimulate gum circulation.
• If the problem has become more serious, the dentist may do what's called scaling and planing - deep scraping of plaque from under the gum line, and smoothing of root and tooth surfaces so gum tissues have a better chance to reattach.
• Promising new gum disease treatment is already on the horizon: antiseptic or antibiotic drugs placed at the site of infection. And new chlorhexidine mouthwashes that may help prevent the formation of plaque.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.