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Periodontal Disease, Heart Disease and Stroke

Periodontal disease, heart disease and stroke may seem to be unlikely bedfellows, but researchers have found that gum disease sufferers are nearly twice as likely to also suffer from coronary heart disease.  In addition, research studies have discovered that oral infection is indeed a risk factor for stroke.  People diagnosed with acute cerebrovascular ischemia were more likely to also be experiencing some degree of periodontal disease.

Periodontal disease is a progressive condition in which the gingival tissue surrounding the teeth is infected by the colonization of bacteria.  Bacteria found in plaque colonize first above, then below the gumline, causing the tissue to pull away from the teeth.  If periodontal disease is left untreated, deep pockets form between the gums and the teeth and the tissue of the underlying jawbone is also destroyed.  The destruction of bone tissue causes the teeth to shift, wobble or completely detach from the bone.

Coronary heart disease occurs when the walls of the coronary arteries become progressively thicker due to the buildup of fatty proteins.  The heart then suffers from a lack of oxygen and must labor significantly harder to pump blood to the rest of the body.  Coronary heart disease sufferers sometimes experience blood clots which obstruct normal blood flow and reduce the amount of vital nutrients and oxygen the heart needs to function properly.  This phenomenon often leads to heart attacks.

Reasons for the Connection

There is little doubt that the presence of periodontal disease can exacerbate existing heart conditions.  The periodontist and cardiologist generally work as a team in order to treat individuals experiencing both conditions.

There are several theories which may explain the link between heart disease, stroke and periodontal disease, which include the following:

  • Oral bacteria affect the heart – There are many different strains of periodontal bacteria.  Researchers assert that some of these strains of bacteria enter the bloodstream and attach to the fatty plaques in the heart blood vessels (coronary arteries).  This attachment then contributes to clot formation causing grave danger to the individual.

  • Inflammation – Periodontal disease causes severe inflammation in the gum tissue which elevates the white blood cell count and also the high sensitivity C-reactive protein levels.  Research studies have shown that elevated levels of C-reactive proteins have been linked to heart disease.

  • Infectious susceptibility – Individuals who experience particularly high levels of oral bacteria may have weaker immune systems and an inadequate host inflammatory response.  These factors may induce specific vascular effects which have previously been shown to contribute in the onset of certain forms of heart disease.

Diagnosis and Treatment

Since periodontal disease appears to be a risk factor for both heart attack and stroke, it is extremely important to seek immediate treatment.  Initially, the periodontist will conduct thorough examinations to assess the exact condition of the teeth, gums and jawbone.  X-rays can be helpful in determining whether bone loss is prevalent in the upper and lower jaw.

The dentist is able to conduct deep cleaning treatments such as scaling and root planing to remove hardened calculus (tartar) deposits from the gum pockets.  An antibiotic may be prescribed to ensure that the bacterium is completely destroyed and the periodontal infection does not spread.  In most cases, periodontal disease can be prevented with regular cleanings and proper home care.

If you have questions or concerns about periodontal disease and its relation to heart disease and stroke, please contact our office.

Testimonials.

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Testimonials

“We feel like you are all part of our family! I hope we can remain with you for a very long time. Thanks for helping our children understand about their dental health”

Michelle B.

“Have you heard of the movie, “Encino Man?” Well, Dr. Marilyn Calvo is the “Encino Woman!” I have been going to Dr. Calvo for four years now, and I wouldn’t consider going anywhere else. Her whole office radiates such professionalism, warmth, and friendliness. She is so very thorough that even the tiniest cavity can’t get past her. She is truly and artist. So, if you are wise, head out west on Ventura Blvd. to Dr. Marilyn Calvo, the very BEST!”

Bill A.

“Dr. Calvo is not just the most amazing dentist I have ever known, but she is the most amazing down to earth person. I was lucky to discover Dr. Calvo through a friend who highly recommended her. I got veneers done with her and they look AMAZING!! Everyone is jealous of how great my smile is. When I first went in to see her I was blown away with how much attention she paid to me. She always makes sure to spend time with her patients’ one on one and explain exactly what is going on to make sure you are aware.”


“In my past, I went to dentists who never explained anything and just did the routine cleaning without emotion and passion. Dr. Calvo has so much passion and knowledge for the services she provides. She is definitely a dentist who genuinely cares and improves the lives of people around her. I am so grateful to have her. The staff that works with Dr. Calvo are the nicest people I have ever known. I look forward to going to the dentist for the first time in my life.”

Jen C.

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