periodontics message board According to the American Academy of Periodontology Several Studies Have Shown Periodontal Disease to be Associated with Heart Disease Funny how taking care of your mouth helps the rest of your body, too. Dentaltown.com > Message Boards > Health Topics > The Oral-Systemic Health Connection > According to the American Academy of Periodontology... howard Member Since: 03/28/00 Post: 1 of 10 Related Message Boards The Perio-Restorative Systemic Link Systemic Link Current Scientific Evidence Does Not Establish Causeand-Effect Relationship Between Gum Disease and Heart Disease or Stroke Current Scientific [Editor’s Note: The following excerpt is from the California Dental Association.] According to the American Academy of Periodontology, several studies have shown periodontal disease to be associated with heart disease. “While there’s no proven cause-and-effect relationship between oral health and heart health, research has indicated that gum disease can increase the risk of heart disease,” said California Dental Association President Dr. James Stephens. “In addition to any connection to heart health, maintaining good oral hygiene habits is important in reducing the risk of oral disease and protecting your mouth and overall health.” According to the Centers for Disease Control and Prevention, about 715,000 Americans have a heart attack each year and roughly 600,000 people die from heart disease in the United States each year. As part of American Heart Month, CDA encourages taking steps to learn more about how the health of your mouth, teeth and gums can affect your heart. The mouth is a good indicator of overall health, and prevention is key in reducing the risk of both heart disease and oral health problems. To keep your teeth and gums healthy and to help reduce the risk of heart disease, CDA suggests brushing with fluoride toothpaste for two minutes, twice a day, flossing regularly, avoiding sugary drinks and visiting a dentist for regular checkups. For more information, visit CDA.org. ■ FEB 19 2014 alanrw Member Since: 05/16/11 Post: 2 of 10 Isn’t it easier to make the assumption if someone isn’t taking care of their teeth, they are probably also being as negligent to their overall health and doing everything you are not supposed to do for a long, healthy life? Remember Occam’s Razor: The simplest explanation is usually the correct one. ■ FEB 19 2014 mfdmd Member Since: 06/02/13 Post: 3 of 10 That’s the same theory I have. Perio is common, heart disease is common, if both are common, then wouldn’t you expect to see patients with both diseases? ■ FEB 19 2014 continued on page 26 24 OCTOBER 2014 » dentaltown.com Periodontics_Heart Disease.indd 24 9/22/14 2:58 PM periodontics message board continued from page 24 Jill Kring Carter Member Since: 04/19/10 Posts: 4 & 6 of 10 Was talking with a cardiologist about this just the other day. I happen to be his patient. I happen to be writing an article on the oral-systemic link for an upcoming issue of a health magazine. Consider that you are likely seeing patients with both, much more often than you realize. You see the perio. You may not know they also have cardio involvement. And quite often, neither does the patient yet. Refer the patient for a GP or cardiologist for evaluation if they are otherwise in the risk pool to your knowledge (family history, weight, blood pressure, etc.) and have perio. Same goes for the cardiologist or GP. He or she sees the cardio issues, but not necessarily the perio, nor necessarily does the patient know he or she has perio involvement. So, cardio and GP should be referring these patients for dental care. My cardiologist is on my butt to be in the hygienists chair every three to four months for prevention and because I had a mild perio issue that was resolved in the past through endo, perio (crown lengthening) and crown placement. [Posted: 02/19/14] I’m always surprised how few dentists request copies of annual checkups and lab work from GPs, etc. If I were in practice, I sure as hell would with what we now all know about the oral-systemic link. The physicians with whom I work would not argue your request, and I doubt many patients would either. I’m sure if you instituted your own protocol to request such for all patients over 50, you wouldn’t get much complaint. Of course, once dental care is treated as it should be (just another specialty of medicine in line with primary care) the records will be readily available through network and hospital system electronic health records. I know, dirty words in dentistry: electronic records. ■ FEB 19 2014 mfdmd Member Since: 06/02/13 Post: 7 of 10 My point is these studies don’t really say anything Earth shaking. They show a correlation between two really common diseases, which shouldn’t be shocking considering their prevalence. The way they are presented to the public in the media and by some dental advertising makes it seem like if you get your teeth cleaned, you can prevent or cure heart issues, which is very misleading. ■ FEB 19 2014 hudley Member Since: 09/18/02 Post: 8 of 10 Correlation doesn’t equal causation. [Editor’s note: Go online to view accompanying link.] ■ FEB 19 2014 Jill Kring Carter Member Since: 04/19/10 Post: 9 of 10 You are so right about that. Very misleading how it’s often presented to the public. ■ FEB 20 2014 Join the discussion online at: www.dentaltown.com Heart Disease 26 OCTOBER 2014 » dentaltown.com Periodontics_Heart Disease.indd 26 9/23/14 12:56 PM
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