It is estimated that 50% of the European adult population have some form of periodontal disease and that between 10-15% have severe periodontitis. In the last decade, There is increasing scientific evidence showing the relationship between periodontal disease, along with the bacteria that cause it, and systemic diseases that affect other parts of the body, such as cardiovascular disease, diabetes, stroke, and low birth 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 gingival 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 onset 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 approximately 30 percent of the population may be genetically predisposed to periodontal disease, with different genes that play an important role in susceptibility to periodontitis.

As a result, despite consistent 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 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 associated health care.

Furthermore, 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 the visit to periodontal clinics with periodontist dentists. It is worth noting 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 OVER 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 the infection, the body produces certain proteins that circulate in the blood, known as C-Reactive Protein (CRP). These proteins can cause irritation to the blood vessel walls, ultimately leading 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 the following are found:

  • atherosclerosis. Atherosclerosis is an inflammatory disease. Periodontal disease and atherosclerosis frequently coexist in the same person. Studies have shown that with 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, CRP testing has become part of blood tests for cardiac risk factors.
  • Adverse effects of pregnancy. The presence of periodontal disease in pregnant women has been linked to preterm birth, gestational diabetes, preeclampsia (a sudden rise in blood pressure late in pregnancy), low birth weight babies, and fetal loss . However, researchers have found a reduction in the number of premature births among women who received periodontal treatment during pregnancy, compared to 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 who are considering becoming pregnant are advised to have a complete periodontal examination.
  • Pneumonia. Periodontal infections can travel to the neck and chest, as well as lodge in the lungs. In fact, research has shown that periodontal bacteria and 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 visit the dentist more often for curettage. Reducing gum infections has been shown to improve diabetes control.
  • Heart disease. People with uncontrolled periodontitis can suffer from infections that cause a high concentration of pathogens in the blood, assuming an increased risk of suffering from coronary diseases. Furthermore, the use of 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 periodontal treatments, both preventive and to eradicate 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 the evolution of the disease.. We are periodontist specialists.

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