Gum Disease & Heart Attacks - Is There a
Connection?
There is growing evidence that the presence of periodontal (gum)
disease can be linked to the incidence of coronary heart disease.
Gums infected with periodontal disease are toxic reservoirs of
disease-causing bacteria. The bacteria hide in pockets next to the
teeth, where the gums have pulled away from the tooth surface. When gums
are this infected, they frequently bleed.
Researchers at the University of Minnesota in Minneapolis recently
discovered that bleeding gums common in severe gum disease provide an
open doorway for plaque bacteria to enter the bloodstream. This bacteria
– Streptococcus sanguis – can cause blood clots which block
arteries and trigger heart attacks.
"Severe periodontitis is the equivalent of about nine square
inches of chronic wound around the teeth," said Dr. Mark Herzberg,
director of the study. "It offers considerable opportunity over
time for these bacteria to enter the blood."
In the study, researchers injected the plaque bacteria into rabbits’
veins, then monitored their hearts. Clots formed immediately, and within
30 minutes, the blood flow to the rabbits’ hearts was reduced,
reported Herzberg.
Researchers caution that they don’t know whether these results can
be reproduced in humans. Nevertheless, this emerging research
strengthens the strong link between poor dental health and heart
disease.
More heartache from gum disease…
Other studies have shown that plaque bacteria entering the
bloodstream through infected gums might also cause a potentially fatal
heart disease called infective endocarditis. This is a bacterial
infection which causes the sac around the heart to become inflamed.
Herzberg has shown that the S. sanguis plaque bacteria is one of the
most frequent causes of endocarditis.
More than just speculation
In a study of 400 older men, researchers in Michigan found that those
with severe gum disease were four and one-half times more likely
to have coronary heart disease than those without gum disease.
The University of Michigan study, conducted by Dr. Walter Loesche,
analyzed a sample of 400 men in long-term care at the Ann Arbor VA
Medical Center. All men were over 60 years of age, and those whose gum
disease correlated with heart disease had bleeding from nearly every
tooth, and had 14 or fewer teeth remaining.
Findings from the same study also revealed a possible relationship
between regular dental exams and a reduced risk of stroke.
"Patients who saw a dentist at least once a year were four times
less likely to have a history of (stroke)," Loesche said.
The lesson to be learned? Brush – floss – see your dentist
regularly. Because we now know that good oral health can prevent more
than just gum disease.
Sources: Dr. Walter Loesche, "The Link Between
Systemic Conditions and Diseases and Oral Health," University of
Michigan.
Dr. Eugene J. Whitaker, Temple University School of Dentistry.
The Academy of General Dentistry
The American Academy of Periodontology
The American Dental Association
American Academy of Neurology - 51st Annual Meeting in Toronto,
Canada, April, 1999.
Last updated April 24, 2000
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