NavigationThe Oral-Systemic Link
Research has recently proven what dentists have long suspected: that there is a strong connection between periodontal disease and other chronic conditions such as diabetes, heart disease and osteoporosis.
Periodontal disease is characterized by inflammation of the gum tissue, presence of disease-causing bacteria, and infection below the gum line. Infections and bacteria in the mouth can spread throughout the body and lead to a host of problematic health issues. Therefore, maintaining excellent oral hygiene and reducing the progression of periodontal disease through treatment will have benefits beyond preventing gum disease and bone loss. It can also save you from the chance of developing another serious condition.
- Periodontal Disease and Diabetes
- Periodontal Disease, Heart Disease and Stroke
- Periodontal Disease and Pregnancy
- Periodontal Disease and Respiratory Disease
- Periodontal Disease and Osteoporosis
Periodontal Disease and Diabetes
Diabetes, a serious disease that affects between 12 and 14 million Americans, can lead to a variety of health issues, such as heart disease and stroke. A diabetic, is at a greater risk of suffering from oral infections and diseases, including periodontal disease.
Diabetes contributes to periodontal disease in three ways: it lowers your body’s ability to fight off infection, results in high blood sugar levels, and causes dry mouth.
Diabetes lowers the body’s resistance to infection by causing blood vessels to thicken and become less elastic. This decreases the flow of white blood cells, oxygen, and nutrients to the body’s tissues and slows the removal of harmful wastes. This can weaken your mouth’s resistance to infections like periodontal disease.
Having poorly controlled diabetes means that there are often excess levels of glucose in the blood and saliva. The harmful bacteria in your mouth that are responsible for periodontal disease thrive on this sugar.
Diabetics who do not successfully control their blood sugar levels also frequently experience a decrease in the flow of saliva, which can lead to a condition called dry mouth, or xerostomia. Saliva is vital for helping wash away the bacteria that cause periodontal disease. A lack of saliva allows plaque to build up easily on teeth.
If you are diabetic, it is important for you to prevent or control periodontal disease. Infections, such as periodontal disease, can cause blood sugar levels to rise, making it much harder to control your diabetes.
Smoking and tobacco use is detrimental to anyone’s oral and overall health, but it is particularly harmful to diabetics. Diabetic smokers 45 and older are in fact 20 times more likely to develop periodontal disease than those who do no smoke.
Periodontal Disease, Heart Disease and Stroke
Research has shown that if you have periodontal disease, you may have an increased risk of coronary heart disease, stroke, and infective endocarditis.
Even with early periodontal disease, bleeding gums can offer significant opportunity for harmful bacteria to enter your bloodstream.
The bacteria associated with periodontal disease may cause inflammation in the arteries. This inflammation could lead to the build-up of fatty deposits and the formation of blood clots that can block your arteries and even trigger a heart attack.
These deposits may also build up in the carotid arteries in your neck. In serious cases, if these fat deposits break apart and are carried away in your bloodstream, they can lodge in your brain, block a blood vessel, and cause a stroke.
Additionally, some studies have shown that when plaque bacteria enter the bloodstream through infected gums, you may develop a heart condition called infective endocarditis. This is a potentially fatal bacterial infection that inflames the sac around the heart, the valves of the heart, and the muscle itself.
So, as you can see, it is vital to your overall health, as well as your oral health, to keep your gums healthy. Treating periodontal disease can help to reduce your risk of cardiovascular disease and promote a better overall state of health.
Periodontal Disease and Pregnancy
Pregnant women with periodontal disease expose their unborn children to a variety of risks and possible complications. Pregnancy causes many hormonal changes in women, which increase the likelihood of developing periodontal disease such as gingivitis, or gum inflammation. These oral problems have been linked to preeclampsia, or low birth weight of the baby, as well as premature birth. Fortunately, halting the progression of periodontal disease through practicing high standards of oral hygiene and treating existing problems can help reduce the risk of periodontal disease-related complications by up to 50%.
There are several factors that contribute to why periodontal disease may affect the mother and her unborn child. One is an increase in prostaglandin in mothers with advanced stages of periodontal disease, particularly periodontitis. Prostaglandin is a labor-inducing compound found in the oral bacteria associated with periodontitis. Because periodontitis increases the levels of prostaglandin, the mother may go into labor prematurely and deliver a baby with a low birth weight.
Another compound that has recently been linked to premature birth and low birth weights is C-reactive protein (CRP). CRP is a protein that has long-been associated with heart disease. Periodontal disease increases CRP levels in the body, which then amplify the body’s natural inflammatory response. Bacteria from periodontal disease may enter the bloodstream, causing the liver to produce extra CRP, which then leads to inflamed arteries and possibly blood clots. Inflamed arteries can lead to blockage, which can cause heart attacks or strokes. Although it is not completely understood why elevated CRP also causes preeclampsia, studies have overwhelmingly proven that an extremely high rates of CRP in early pregnancy definitely increases the risk.
Finally, the bacteria that invade and live in the gum sockets in a diseased mouth can travel through the bloodstream and affect other parts of the body. For pregnant women, research has shown that these bacteria may colonize in the internal mammary glands and coronary arteries.
If you are pregnant, it is important to practice effective home care for preventing gum disease. Dr. Huber can help assess your level of oral health and develop preventative measures and treatment plans to best protect you and your baby.
Periodontal Disease and Respiratory Disease
Respiratory disease occurs when fine droplets are inhaled from the mouth and throat into the lungs. These droplets contain germs that can spread and multiply within the lungs to impair breathing. Recent research had also proven that bacteria found in the mouth and throat can be drawn into the lower respiratory tract and cause infection or worsen existing lung conditions.
Bacteria that grow in the oral cavity and travels into the lungs can cause respiratory problems such as pneumonia. This occurs mostly in patients with periodontal disease. Periodontal disease has also been proven to have a role in the contraction of bronchitis and emphysema. Chronic obstructive pulmonary disease (COPD), a respiratory condition characterized by blockage of the airways, and caused mostly by smoking, has also been proven to worsen if the patient also has periodontal disease.
One of the reasons for the connection between respiratory problems and periodontal disease is low immunity. Patients who experience respiratory problems generally have low immunity, meaning bacteria can easily grow above and below the gum lines without being confronted by the body’s immune system. Once periodontal disease is contracted in this way, it will only progress and worsen respiratory issues.
Inflammation of the oral tissue has also been linked to respiratory problems. Oral bacteria causing the irritation can travel to the lungs, and contribute to the inflammation of the lung lining. This creates respiratory problems because it limits the amount of air that can be passed freely through the lungs.
If you are diagnosed with respiratory disease or periodontal disease, it is possible Dr. Huber will work with your physician to plan how to best treat both conditions and eliminate further complications.
Periodontal Disease and Osteoporosis
Osteoporosis is a condition common in older patients, and particularly women, that is characterized by the thinning of bone tissue and loss of bone density over time. Osteoporosis occurs when the body fails to form enough new bone, or when the body absorbs too much old bone. The leading cause of osteoporosis is a drop in estrogen in menopausal women, or a drop in testosterone among men. Sufferers of osteoporosis must take extra care in daily activities, as they are at increased risk for bone fractures.
Because periodontal disease can also lead to bone loss, the two diseases have been studied for possible connections. Research found that women with periodontal bacteria in their mouths were more likely to have bone loss in the oral cavity and jaw, which can lead to tooth loss. Studies conducted over a period of 10 years also discovered that osteoporosis patients could significantly reduce tooth loss by controlling periodontal disease. Further, it was found that post-menopausal women who suffer from osteoporosis are 86% more likely to also develop periodontal disease.
One of the reasons for the connection between osteoporosis and periodontal disease is an estrogen deficiency. Estrogen deficiency speeds up the progression of both oral bone loss and other bone loss. It also accelerates the rate of loss of fibers and tissues which keep the teeth stable. Tooth loss occurs when these fibers are destroyed.
Low mineral bone density is one of the several causes of osteoporosis. The inflammation from periodontal disease weakens bones more prone to break down. This is why periodontitis can be particularly detrimental and progressive to patients with osteoporosis.
If you are diagnosed with osteoporosis, it is extremely important to take preventative measures against periodontal disease to protect your teeth and oral bones.
