Brush Your Teeth—It's Good for Your Heart
Mom's constant reminders to brush your teeth may be helping your heart. Good oral hygiene aids in preventing plaque build-up that characterizes both cardiac and gum diseases.
There is growing evidence that hardening of the arteries, or atherosclerosis, is somehow related to infection and inflammation.
The primary form of periodontal disease occurs when bacteria invade the gums, bones, and tissue that support the teeth. Many adults suffer from periodontal disease, but most do not realize it until substantial damage has already occurred. Often painless, gum disease progresses relentlessly. Gums separate from teeth, pockets form and deepen, and bacteria-produced toxins destroy tissue. While in its earliest stage, known as gingivitis, professional dental care and good oral hygiene can reverse the damage.
For hundreds of years, people have recognized a connection between oral infections and systemic conditions. More recent investigations have found an association between gum disease and cardiovascular disease, low birth-weight babies, respiratory infections, and diabetes. One study found people with periodontal bone loss had twice the chance of fatal heart disease. The exact mechanism that increases cardiovascular risk remains murky, but experts believe bacteria from the chronic gum infection enter the bloodstream and cause white blood cells that fight infections to release inflammatory chemicals that create a build-up of fatty deposits and clots in the arteries. Studies have shown that chronic infections in other parts of the body can cause a similar response.
Improving your dental hygiene will help prevent periodontal disease and may also reduce your risk of coronary artery disease as a result.
To minimize your risk:
Several factors can place you at increased risk for periodontal disease.
Although slow-moving at first, gum disease will steadily become worse without treatment. Symptoms include:
If you notice any of these symptoms, contact your dentist for a referral or call a periodontist directly.
In its earliest stages, good oral hygiene and frequent professional cleaning will clear up the condition. If not, a periodontist can remove plaque from below the gum line and smooth or plane the tooth root to enable the gum to reattach. With more advanced cases, surgery may be required to clean up the infected area and rebuild damaged bone.
Often, periodontists will add a course of antimicrobial therapy—pastes, gels, or polymers applied topically, or antibiotic pills to eliminate more aggressive bacteria. The specialists may also order Periostat, a pill that decreases the concentration of destructive enzymes called collagenases around the teeth and protects the tissue from additional damage. Treatment can prevent further deterioration associated with periodontal disease.
Unfortunately, it is not known whether treating periodontal disease will decrease your risk for coronary artery disease. While researchers determine if treatment can reduce the cardiac risk, professional care will minimize tooth loss. Tooth loss is clearly associated with risk of heart disease. The best bet for oral health remains prevention and minimizing periodontal risk factors.
American Academy of Periodontology
National Institute of Dental and Craniofacial Research:
Public Health Agency of Canada
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Last reviewed August 2013 by Michael Woods, MD