Healthy Teeth
* Heart-In-Mouth: You may have cultivated an excellent working relationship with your doctor. You may be eating a healthy diet and exercising regularly. But have you seen your dentist lately? This is an important question, because the state of your teeth and gums may impact your cardiovascular system, independent of any healthy habits. The culprit is a common oral problem - periodontal (gum) disease.


Healthy TeethPeriodontal disease is a chronic infection of the gums caused by the buildup of plaque. Most of us have experienced it in its mild form, gingivitis - inflammation of the gums that causes them to redden and swell. However, gingivitis may evolve into periodontitis.

This happens when plaque builds up and the bacteria that live in plaque release a steady stream of toxins, provoking a chronic inflammatory response by the immune system. To fight infection, the body bombards the gums with white blood cells. A combination of toxins from the bacteria and substances released by the white blood cells breaks down the supportive tissue and bones that hold teeth in place. The result is tooth loss.


Recent studies suggest periodontal bacteria and the toxins they produce may have an adverse effect on vascular health. An epidemiological study conducted by the U.S. Centers for Disease Control and Prevention, publishedHealthy Teeth in the journal Stroke, has found that greater tooth loss is associated with a higher risk of heart attack and stroke.

Elsewhere, a combined team of doctors and dentists with the Oral Infections and Vascular Disease Epidemiology Study (INVEST) reported in the journal Circulation that people with high levels of periodontal bacteria also had thicker internal linings of their carotid arteries - a major risk factor for stroke. Other studies suggest that people with periodontal disease had relatively high levels of a lethal type of LDL that may translate into a greater risk of cardiovascular disease.

In addition, some researchers go so far as to warn that periodontal disease may be an independent risk factor, which means that regardless of how healthy your eating habits are, or how diligently you exercise, you may be putting yourself at greater risk for heart attack and stroke if you do not take proper care of your teeth.

The good news: Several trials showed that intensive treatment for periodontal disease reduced blood levels of inflammation-related proteins such as C-reactive protein and interleukin-6, improved artery function, and even led to better cholesterol and blood pressure readings.


Further research still needs to be done to confirm that your oral health can impact your cardiovascular health. Nonetheless; it certainly does not hurt to take better care of your teeth and gums. At the highest risk for periodontitis are smokers, tobacco chewers, and those with diabetes, osteoporosis, or systemic autoimmune diseases like rheumatoid arthritis, which compromise the body's ability to fight infections. Luckily, unlike sweating it out on that treadmill every day, good dental hygiene may be an easy way to help reduce your risk of heart attack and stroke.