It is estimated that 50% of the European adult population present some form of periodontal disease and that 10-15% have severe periodontitis. In the last decade, there is increasing scientific evidence to show the relationship between periodontal diseasealong with the bacteria that cause it, and systemic diseases that affect other areas of the body, such as cardiovascular disease, diabetes, stroke, and low-weight premature babies.
The relationship between what happens in the mouth and what happens in the rest of the body is a similar inflammatory response.
However, it is important to note that the development of gum inflammation or symptoms of periodontal disease does not mean that a person will definitely develop a systemic condition. There are many other factors that contribute to the development of heart disease, diabetes, stroke, etc.
HOW FAMILY HISTORY / GENETIC PREDISPOSITION CAN HELP PREVENT PERIODONTAL DISEASE
According to the American Academy of Periodontology (AAP), scientific studies have found that about 30 percent of the population may be genetically predisposed to periodontal disease, with different genes that play an important role in the susceptibility of periodontitis.
As a result, despite constant oral hygiene habits, these people may be six times more likely to develop gum disease. The use of a genetic test to identify people who are genetically predisposed to periodontal disease before they even show signs of the disease it can allow them to receive early intervention and treatment from their dentist.
Studies have shown that When people with conditions such as diabetes, coronary artery disease and cerebrovascular disease (CVD), or stroke receive timely periodontal treatments, costs are reduced healthcare partners.
Also, as the Dentists are increasingly aware of the impact that periodontal disease can have on the general health of their patients, they are proactively reinforcing the importance of proper oral care and hygiene during each visit, actively recommending a visit to Periodental Clinics with periodontist dentists. It should be noted the importance of brushing your teeth twice a day and flossing daily as a way to stay healthy.
WHAT ARE THE ASSOCIATIONS OF PERIODONTAL DISEASE WITH OTHER DISEASES?
The relationship between oral diseases and systemic diseases is based on the fact that periodontal bacteria can enter the bloodstream and travel to other parts of the body, where they can initiate new infections and trigger or exacerbate an inflammatory response. It is important to understand that an infection in the mouth is an infection in the body, and like any infection, it can spread. Also, as a result of infection, the body produces certain proteins that circulate in the blood, known as C-Reactive Protein (CRP). These proteins can cause irritation to the walls of the blood vessels that ultimately leads to narrowing of the arteries. This can later lead to a heart attack or stroke.
Between the systemic medical conditions affected by periodontal disease and oral bacteria are the following:
- Atherosclerosis. Atherosclerosis is an inflammatory disease. Periodontal disease and atherosclerosis frequently coexist in the same person. Studies have shown that with the treatment of gum disease, both periodontal and systemic inflammation can decrease. Since atherosclerosis is an inflammatory disease, periodontal treatment can benefit the cardiovascular system. In fact, scientists have shown that intensive periodontal treatments have led to improvements in arterial health. Like cholesterol, the PCR test has become part of the blood tests to detect cardiac risk factors.
- Adverse effects of pregnancy. The presence of periodontal disease in pregnant women has been linked to premature birth, gestational diabetes, pre-eclampsia (a sudden increase in blood pressure in late pregnancy), the birth of low birth weight babies, and the loss of the fetus. . However, researchers have found a reduction in the number of preterm births among women who received periodontal treatment during pregnancy, compared with those who waited until after delivery to receive it. Pregnant women with periodontal disease may be seven times more likely to have a baby that is born too early and too small. Women considering pregnancy are advised to have a complete periodontal exam.
- Pneumonia. Periodontal infections can travel to the neck and chest, as well as lodge in the lungs. In fact, research has shown that bacteria and periodontal pathogens are aspirated (breathed in) into the airways of people with severe gum disease. For this reason, it is important to periodically perform curettage to keep the bacterial load as low as possible.
- Diabetes. Periodontal inflammation is a very common complication of diabetes. People with diabetes are more prone to infections and severe periodontal disease, which means they may need to see the dentist more often for curettage. Reducing gum infections has been shown to improve diabetes control.
- Heart disease. People with uncontrolled periodontitis can suffer infections that cause a high concentration of pathogens in the blood, posing a greater risk of coronary heart disease. What's more, antibiotic treatment has long been recommended for patients with certain heart conditions when undergoing periodontal therapy. Additionally, research has linked periodontal disease and related bacteria to cardiovascular disease, stroke, infective endocarditis, and other heart conditions.
Oral health, as well as periodontic treatments both preventive and to eradicate the infection are of vital importance to avoid the disease itself and others triggered by it, If you want to receive both preventive and eradication treatment of the disease, consult our clinic to receive the most appropriate treatment according to your needs or evolution of the disease. We are periodontist specialists.