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Periodontal Disease, Heart Disease and Stroke

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.

Reasons for the Connection

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:

  • Oral bacteria affect the heart – There are many different strains of periodontal bacteria.  Researchers assert that some of these strains of bacteria enter the bloodstream and attach to the fatty plaques in the heart blood vessels (coronary arteries).  This attachment then contributes to clot formation causing grave danger to the individual.

  • Inflammation – Periodontal disease causes severe inflammation in the gum tissue which elevates the white blood cell count and also the high sensitivity C-reactive protein levels.  Research studies have shown that elevated levels of C-reactive proteins have been linked to heart disease.

  • Infectious susceptibility – Individuals who experience particularly high levels of oral bacteria may have weaker immune systems and an inadequate host inflammatory response.  These factors may induce specific vascular effects which have previously been shown to contribute in the onset of certain forms of heart disease.

Diagnosis and Treatment

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.

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Testimonials

Thank you for giving me the best dental visit experience I have ever had in my entire life!

From the time I walked in to the office and the time I walked out, it was first class! Actually, that is an understatement.

This was my first appointment and I had my teeth cleaned, fluoride application, x-rays, and a test for oral cancer as I did smoke in the past. It was with great relief that not only did I pass the oral cancer test, but my teeth and gums received an A+ from Jennifer, the girl who cleaned my teeth.
The x-rays were very comfortable in my mouth. Lightweight and with digital imagery.

The office even has a flat tv screen by my chair with remote in case I wanted to watch tv while getting my teeth cleaned.

I could go on and on, but the bottom line is instead of dreading my next dental visit, I am actually looking forward to it!

Tricia Kelly

I wanted to take a moment and share the treatment that my FAMILY has received from Emerald Coast Dentistry. We have been treated with exceptional professionalism, kindness and competency for every dental need we have required. From a son who started his dental requirements at 5 years old; filled with fear, to a father and mother with challenging schedules. Emerald Coast Dentistry has taken the time to truely get to know the invidual needs of our family and actually exceeds expectations for every visit. How often do you hear those words from a long term customer. Imagine, exceeding expectations for over 5 years under challenging circumstances. As a family, we feel very fortunate to be patients of Dr. Erin Sutton and her exceptional staff!

Sincerely, Scott, Beth, and Eric Brubaker

This was my first visit to Emerald Coast Dentistry and I was treated like one of the family. Doctors Sutton and Hills were extremely nice and patient with me and seemed concerned about my past dental problems. They never seemed to be in a hurry and I felt very confident in their treatment and proposed dental plan. I am very thankful I found them.

Margie Hughes

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