Stop smoking, exercise, lose some weight, and watch your diet. How often is it that we hear these fundamentals from our doctors and drug companies when it comes to having a healthy heart? I’ll toss out another-brush your teeth and have your gums checked regularly.
Yes there is gathering evidence that heart disease is twice as high in people who have periodontal (gum and tooth supporting bone) disease. It seems that the most common bacteria in the gums may cause blood clots increasing the incidence of heart attacks and strokes. Furthermore, the same bacteria can infect the heart valves.
How do the bacteria from the mouth get into the bloodstream become harmful? Bacteria cause periodontal disease. We know there are many types of bacteria in the mouth. When the disease causing bacteria are in high enough population the host (you) may develop an immune reaction. If you have bleeding in your body you should be very concerned. Likewise when there is bleeding in the gums you should have the same response. Chronic recurring bleeding is not good anywhere. Bleeding indicates that tiny blood vessels are opened up and become a pathway for bacterial infection in the blood stream. The presence of bacteria in the blood is bacteremia and over time it may spread to other body tissues like the heart.
The first line of defense is maintaining a healthy mouth. This requires meaningful brushing, flossing, and dental checkups. The dental hygienist is your best friend. The hygienist will check to see if the gums are infected, bleeding, or swollen. Then they will check to see if any bone loss or breakdown in the gum attachment to the tooth has occurred. Remember that periodontal disease (over 50% of us have it) is painless and progressive. You may not be aware of it until the end stages of the disease.
Warning signs that you should know about include gums that bleed when you brush, gums that are red swollen or tender, gums that pull away from teeth, pus or loose teeth, front teeth that begin separating and persistent bad breath. Periodontal disease has a very characteristic odor and can be sensed by those around you. It is a complicating factor for those afflicted with diabetes, stroke, pulmonary disease, and gastric ulcers.
Treatment will vary according to the severity. The first steps will be good oral hygiene instruction and frequent monitoring. Regular cleanings of the bacteria encrusted surfaces of your teeth is a proven method to stop the destruction caused by these bugs. Surgery may be needed from the periodontist. Maintenance is required because these bugs can double in population every twenty minutes. I have seen periodontal disease that has been in remission only to suddenly (within 6 weeks) strike up again. That is why frequent monitoring is crucial.
Periodontal disease is something that you have to live with but it is controllable. Keep up with your dental checkups!
For answers to your dental questions
Douglas Urban, D.D.S.
Cerritos, CA 90703
562 924-1523
www.DrDouglasUrban.com
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