Periodontal disease, heart disease and stroke may seem to be unlikely bedfellows, but researchers have found that gum disease sufferers are nearly twice as likely to also suffer from coronary heart disease. In addition, research studies have discovered that oral infection is indeed a risk factor for stroke. People diagnosed with acute cerebrovascular ischemia were more likely to also be experiencing some degree of periodontal disease.
Periodontal disease is a progressive condition in which the gingival tissue surrounding the teeth is infected by the colonization of bacteria. Bacteria found in plaque colonize first above, then below the g gumline causing the tissue to pull away from the teeth. If periodontal disease is left untreated, deep pockets form between the gums and the teeth and the tissue of the underlying jawbone is also destroyed. The destruction of bone tissue causes the teeth to shift, wobble or completely detach from the bone.
Coronary heart disease occurs when the walls of the coronary arteries become progressively thicker due to the buildup of fatty proteins. The heart then suffers from a lack of oxygen and must labor significantly harder to pump blood to the rest of the body. Coronary heart disease sufferers sometimes experience blood clots which obstruct normal blood flow and reduce the amount of vital nutrients and oxygen the heart needs to function properly. This phenomenon often leads to heart attacks.
There is little doubt that the presence of periodontal disease can exacerbate existing heart conditions. The periodontist and cardiologist generally work as a team in order to treat individuals experiencing both conditions.
There are several theories which may explain the link between heart disease, stroke and periodontal disease, which include the following:
Since periodontal disease appears to be a risk factor for both heart attack and stroke, it is extremely important to seek immediate treatment. Initially, the periodontist will conduct thorough examinations to assess the exact condition of the teeth, gums and jawbone. X-rays can be helpful in determining whether bone loss is prevalent in the upper and lower jaw.
The dentist is able to conduct deep cleaning treatments such as scaling and root planing to remove hardened calculus (tartar) deposits from the gum pockets. An antibiotic may be prescribed to ensure that the bacterium is completely destroyed and the periodontal infection does not spread. In most cases, periodontal disease can be prevented with regular cleanings and proper home care.
If you have questions or concerns about periodontal disease and its relation to heart disease and stroke, please ask your dentist.
I am a member of the Academy of General Dentistry, King County Dental Society, South Sound Study Club.
I believe in providing the highest level of dental care possible so that I am caring for my patients the way that I would care for my family. This involves rigorous continuing education in all facets and areas of dentistry and developing good rapport and trust with the patients.
I am a member of the American Dental Association, Seattle-King County Dental Society, Academy of General Dentistry, Academy of Computerized Dentistry, and the Sammamish Kiwanis.
I have had the pleasure of practicing in Sammamish since 1995, was honored in 2012 with the Sammi Award for community service, and have been voted as one of Seattle’s Top Dentists in Seattle Metropolitan Magazine yearly since 2008.