How are Gum Disease and Heart Disease Related?

health wellness

Gum disease and heart disease appear to be related, thanks to several extensive studies in the early 2000s which suggested that people with periodontal disease were twice as likely to also have coronary artery disease, along with other heart-related health conditions. A couple of theories to explain the link between gum disease and heart disease have been posited and tested with additional scientific research. While these studies have not definitively proven that gum disease causes heart disease, they have clearly shown that there is some correlation between the two.

Some researchers argue that the link between gum disease and heart disease has to do with bacteria in the mouth. People with severe gum disease often experience bleeding gums, and nicks and cuts in the gums can provide a way for bacteria to enter the bloodstream. If the bacteria is not attacked by the immune system in time, it can reach the heart and may cause an infection such as endocarditis or damage other organs.

In addition, some oral bacteria appear to secrete sticky proteins which can allow them to adhere to the walls of the arteries, rather than being swept away by the flow of blood. As the bacteria accumulate, they contribute to the narrowing of the arteries which is linked with cardiovascular disease. Bacteria can also promote the formation of blood clots which could severely damage the heart. Some scientists argued that these bacteria should be trapped by the immune system, but when doctors sampled and cultured arterial plaque, they discovered colonies of oral bacteria happily multiplying in their petri dishes, suggesting that the immune system seems to have trouble stopping oral bacteria in the bloodstream.

In studies which attempted to explore the link between gum disease and heart disease, researchers looked at large samples of individuals with and without heart disease and gum disease. What they discovered is that gum disease is linked with heart disease, and cultures of bacteria from the mouth can often be used as a predictor of heart disease, much in the same way that cholesterol levels are utilized.

Obviously, no one wants gum disease. Since prevention of gum disease may also lower your risk of heart disease, it's a good idea to floss and brush regularly, and to visit a dentist on a regular basis for teeth cleaning and checkups. In some cases, people may also need to take antibiotics before dental procedures, to reduce the risk of endocarditis; this is something you should discuss with your dentist.

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New: Discuss this Article

Posted by: muselover
There is no actual proof that heart disease causes gum disease or vice versa. It could be that rather than gum disease causing heart disease (or making it more likely), heart disease actually causes gum disease (or makes it more likely). Or it could be that there is a third, unknown variable involved. For instance, genetic factors could be such a third variable - the same genes that lead to heart disease might also lead to gum disease.

The inclination of humans to see patterns in data (a good, adaptive trait) can lead to problems when we make assumptions based only on studies, like these, which show correlations but cannot provide proof. The way you show proof is by controlling the variables. For instance, if you had two groups of people, and one group was never allowed to brush their teeth and the other group always had to brush their teeth, and then you compared the rate of heart disease in the two groups and found the non-brushers to have a much higher rate of heart disease, then you might be able to show proof that gum disease causes heart disease. Maybe. That's why we do experiments just like this with animals - because no one could ever ethically get away with forcing a group of people to never brush their teeth just for an experiment. It obviously is very complicated. Scientists have to be careful about how they present the results of their studies, and the media should also learn to be careful about how scientific studies are regurgitated into something that the general public can read and understand.

At any rate, there's nothing to prove or disprove that brushing your teeth more often will lead to a healthier heart. But by all means, keep brushing and flossing - please!


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