DENTAL HEALTH AND ITS LINK TO CARDIOVASULAR HEALTH

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Your oral health has a bigger impact on your overall health than you may suspect. Inflammation and disease in the mouth can have a negative impact throughout your whole body and lead to some very serious conditions. These include arterial disease (heart attack and stroke), metabolic disease (insulin resistance/prediabetes/Type 2 Diabetes), cancer, and inflammatory arthritis.  

One of the key players in this oral systemic connection are the bacteria that live in your mouth. There are both good and bad bacteria that can inhabit your mouth.  The goal is to rid yourself of the bad bacteria and create an environment in the mouth to promote good bacteria.  Brushing and flossing are the foundation of good oral hygiene, but may not be enough to deal with the issue if bad bacteria have taken hold in your mouth.  Visual inspection alone may not pick up the presence of high risk problems, including certain high risk bacteria. Even if your mouth tissues are currently apparently healthy, the presence of these bacteria may indicate subtle pockets of inflammation or be opportunistic for the lapse in hygiene or immunity that can convert colonization into infection and inflammation, both local and systemic.

We use the Oral DNA MyPeriopath test to identify and measure the amount of the bad bacteria in the mouth. Below you will see an example of a portion of the report.

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With these results, a plan can be developed by the dental professional to address this concern. The key is to determine if bad bacteria are present and eliminate them because they contribute to chronic disease, both periodontal and the others previously listed.

Your dentist can also use x-ray and cone beam ct scans to look for abscesses and other issues that are missed by routine examination. These areas can be breeding grounds for bacteria that are carried throughout your whole body.  These conditions don't always cause symptoms that would call attention to them and make you see your dentist.  Sometimes the first symptom is a heart attack! Or it may cause poor control of diabetes and prediabetes.

We recommend our patients get cone beam CT because plain xrays may miss some abscesses (even without symptoms) that  could be driving arterial inflammation and increase the likelihood of a heart attack.  When possible and there is mutual interest in your overall health, we will work with your current dentist to get this information. 

Alternatively, we may refer to dental partners who offer these services for a limited consultation.  We would do this only because our priority is the optimal care for you!

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Making sure that there is not an underlying problem that could lead to further oral damage as well as systemic damage is a key in preventing arterial disease. Addressing any current issues and treating them is key to prevention. 

What Can I Do to Avoid Oral Health Issues?

First, go regularly to your dental professional, make sure they give you an ongoing treatment plan for any issues, and follow their plan. Make sure that the dental professional that you are seeing understands the risks you are concerned about beyond tooth issues. 

Consider the OralDNA MyPeriopath test to find bad bacteria that may be present. We have seen patients that have no obvious issues or new cavities that have significant levels of dangerous bacteria in spite of their current plan. 

Make sure that you are following a daily routine to disinfect your mouth to kill and prevent bacteria from growing in your mouth. Daily brushing and flossing can be accompanied with: use of a waterpik and dental picks, making sure that your are using toothpaste that doesn't contain sugar or alcohol, making sure to brush the entire mouth not just the teeth and gums, and going to bed with a clean mouth. Depending on the level of bacteria or disease discovered antibiotics, special cleaning or dental work may be recommended. 

Make sure that you are regularly getting cleanings and follow the advice of your dental provider. They are you best resource to avoid disease and oral systemic issues that can result. 

Treating and preventing inflammation in your mouth will lower your risk of heart attack and stroke, Type 2 Diabetes and possibly dementia and some cancers.  Something as simple as dental floss can save your life!

Why is this not well known? Traditionally, dentists and doctors work in separate parts of the health care system. The Center for Prevention is collaborating with dentists to encourage them to play a larger role in the overall health of their patients.  Our patients leave their appointment with information to share with their dentist and an invitation to connect and collaborate for the benefit of our patients.