Learn about the Link Between Heart Disease and Oral Health

January 27, 2009

February is American Heart Month.  What does this have to do with dentistry?  Come to find out, alot! Research suggests a significant link between oral and cardiovascular health.

In particular, periodontal health seems to play a major role.  Read what the American Academy of Periodontology has to say about periodontal disease and the heart.

You may also wish to browse this list of recent reviews pertaining to oral health and the heart:

Antibiotic prophylaxis for preventing endocarditis and infection in joint prosthesis after dental treatment: a review of new trends and recommendations in the literature. Kotze MJ. SADJ : journal of the South African Dental Association 2008 Sep;63(8):440-4. Review.

Antibiotics for the prophylaxis of bacterial endocarditis in dentistry. Oliver R, Roberts GJ, Hooper L, Worthington HV. “Cochrane database of systematic reviews . 2008 Oct 8;(4):CD003813. Review.

A change of heart: the new infective endocarditis prophylaxis guidelines. Daly CG, Currie BJ, Jeyasingham MS, Moulds RF, Smith JA, Strathmore NF, Street AC, Goss AN. Australian dental journal 2008 Sep;53(3):196-200; quiz 297. Review.

Cardiovascular disease and periodontitis: an update on the associations and risk. Persson GR, Persson RE. Journal of clinical periodontology. 2008 Sep;35(8 Suppl):362-79.

Inflammation, C-reactive protein, and atherothrombosis.  Ridker PM, Silvertown JD. Journal of periodontology 2008 Aug;79(8 s):1544-51.

Dental treatment, antibiotic cover and infective endocarditis: a major rethink. Seymour RA. Dental update. 2008 Jul-Aug;35(6):366-8, 370. Review.

The effect of chronic periodontitis on the development of atherosclerosis: review of the literature. Niedzielska I, Janic T, Cierpka S, Swietochowska E. Medical science monitor : international medical journal of experimental and clinical research. 2008 Jul;14(7):RA103-6.

The link between periodontal disease and cardiovascular disease is probably inflammation. Davé S, Van Dyke T. Oral Dis. 2008 Mar;14(2):95-101.

Associations between periodontal diseases and systemic diseases: a review of the inter-relationships and interactions with diabetes, respiratory diseases, cardiovascular diseases and osteoporosis. Kuo LC, Polson AM, Kang T. Public Health. 2008 Apr;122(4):417-33. Epub 2007 Oct 29.15.

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Periodontitis/Diabetes Link

July 2, 2008

Evidence of the link between periodontal disease and diabetes continues to grow, as indicated in a recent article by Robert Finn of Elsevier’s Global Medical News. Diabetes appears to induce periodontal disease or cause it to worsen in some patients, but periodontal disease seems to worsen glycemic control.

Evidence to support this conclusion stems in part from the “Scottsdale Project”.  The project consisted of 18 physicians, dentists, and other independent experts who met in Scottsdale, Arizona in April 2007 to review the strength of evidence for associations among periodontitis, diabetes, and cardiovascular disease. Participants conducted a systematic review of 118 published articles in an attempt to answer eight focused questions. 

Other data comes from analyses of the third National Health and Nutrition Examination Survey.

Read the full article, which contains additional resources, here.

Information on the connection between periodontits and systemic diseases was also discussed in an earlier post on this blog.


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