Oral Health Resources | 28 February, 2024

Six Ways Your Dental Health Can Affect the Health of Your Body

Brushing your teeth, flossing and visiting the dentist regularly are not just important for your smile or your ability to enjoy delicious meals. Your oral health is also an important part of your overall health.

A growing body of research has revealed there is an intimate connection between your oral health and at least six crucial health conditions: Heart Disease, Diabetes, Alzheimer's Disease, Adverse Pregnancy Outcomes, Lung Conditions, and Inflammatory Bowel Disease.

Understanding the dental health connections with the rest of your body can empower you to take better care of your oral health, leading to a healthier, happier life, so let's take a closer look at the six main ways your dental health can be impacting the health of the rest of your body.

Heart Disease and Oral Health

Although the most important behavioural risk factors of heart disease and stroke are unhealthy diet, physical inactivity, tobacco use and harmful use of alcohol, many people are unaware that their dental health is also closely linked to heart disease.

Your heart and mouth may seem unrelated, but research increasingly suggests that poor oral health can impact cardiovascular health.

Gum disease, or periodontitis, causes chronic inflammation, allowing harmful bacteria to enter your bloodstream. Once they get into your bloodstream, these bacteria can travel throughout your body and trigger inflammation in your heart's vessels and infection in your heart valves. They can also contribute to the formation of arterial plaques, increasing your risk of heart disease, heart attacks and strokes.

Practising good dental hygiene can help you prevent and manage these systemic health conditions.

Brushing your teeth twice a day, flossing at least once a day, drinking water and eating a balanced and nutritious diet looks after the health of your teeth as well as having a positive impact on the health of the rest of your body.

To floss your teeth correctly, follow these simple steps:

🦷 Dispense about 30-40 cm of dental floss.
🦷 Hold a short amount of floss between both hands and gently insert it between your teeth.
🦷 Curve the floss around each tooth in a "C" shape.
🦷 Move the floss in a back-and-forth and up-and-down motion
🦷 Be careful not to apply too much pressure and use a new, clean section of floss for each tooth.

Having regular dental check-ups will allow your dentist to monitor or stabilise any diseases in your mouth, preventing harmful bacteria from entering your bloodstream and spreading to other organs in your body.

And if you are already suffering from conditions such as heart disease, diabetes, Alzheimer's disease, adverse pregnancy outcomes, lung conditions, and inflammatory bowel disease your dentist can also help you manage symptoms of these diseases, such as mouth ulcers, common for IBS sufferers and gum swelling, common in pregnancy.

References

HEART DISEASE

Tonetti MS, Van Dyke TE and on behalf of working group 1 of the joint EFP/ AAP workshop. Periodontitis and atherosclerotic cardiovascular disease: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. J Clin Periodontol 2013; 40 (Suppl. 14): S24–S29"

Dietrich, T., Sharma, P., Walter, C., Weston, P. and Beck, J. (2013), The epidemiological evidence behind the association between periodontitis and incident atherosclerotic cardiovascular disease. Journal of Periodontology, 84: S70-S84.

Australian Institute of Health and Welfare. Heart, stroke and vascular disease: Australian facts. AIHW. 9 Feb 2023. Web Report

Sanz M, Marco Del Castillo A, Jepsen S, Gonzalez-Juanatey JR, D'Aiuto F, Bouchard P, Chapple I, Dietrich T, Gotsman I, Graziani F, Herrera D, Loos B, Madianos P, Michel JB, Perel P, Pieske B, Shapira L, Shechter M, Tonetti M, Vlachopoulos C, Wimmer G. Periodontitis and cardiovascular diseases: Consensus report. J Clin Periodontol. 2020 Mar;47(3):268-288

Reyes, L.; Herrera, D.; Kozarov, E.; Roldan, S.; Progulske-Fox, A. Periodontal bacterial invasion and infection: Contribution to atherosclerotic pathology. J. Clin. Periodontol. 2013, 40 (Suppl. 14), S30–S50.

Lalla E, Lamster IB, Hofmann MA, et al. Oral infection with a periodontal pathogen accelerates early atherosclerosis in apolipoprotein E-null mice. Arterioscler Thromb Vasc Biol 2003;23:1405-11

Li L, Messas E, Batista EL Jr, Levine RA, Amar S. Porphyromonas gingivalis infection accelerates the progression of atherosclerosis in a heterozygous apolipoprotein E-deficient murine model. Circulation 2002;105:861-

Haraszthy VI, Zambon JJ, Trevisan M, Zeid M, Genco RJ. Identification of periodontal pathogens in atheromatous plaques. J Periodontol 2000;71:1554-60.

Velsko IM, Chukkapalli SS, Rivera-Kweh MF, Zheng D, Aukhil I, Lucas AR, Larjava H, Kesavalu L. Periodontal pathogens invade gingiva and aortic adventitia and elicit inflammasome activation in αvβ6 integrin-deficient mice. Infect Immun. 2015 Dec;83(12):4582-93.

DIABETES

Chapple ILC, Genco R 2013: Diabetes and periodontal diseases: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. PMID: 23627322 DOI: 10.1111/jcpe.12077

Wu C, Yuan Y, Liu H, Li S, Zhang B, Chen W, An Z, Chen S, Wu Y, Han B, Li C, Li L. Epidemiologic relationship between periodontitis and type 2 diabetes mellitus. BMC Oral Health. 2020: 20; 204

Sanz et al 2020. Scientific evidence on the links between periodontal diseases and diabetes: Consensus report and guidelines of the joint workshop on periodontal diseases and diabetes by the International Diabetes Federation and the European Federation of Periodontology. PMID:29280174 DOI: 10.1111/jcpe.12808

Simpson TC, Clarkson JE, Worthington HV, MacDonald L, Weldon JC, Needleman I, Iheozor-Ejiofor Z, Wild SH, Qureshi A, Walker A, Patel VA, Boyers D, Twigg J. Treatment of periodontitis for glycaemic control in people with diabetes mellitus. Cochrane Database Syst Rev. 2022 Apr 14;4(4):CD004714. PMID: 35420698 doi: 10.1002/14651858.CD004714.pub4.

ALZHEIMER'S DISEASE

Health direct. Alzheimer’s disease. 2022 website

Ryder M, Xenoudi P. Alzheimer disease and the periodontal patient: New insights, connections, and therapies. Periodontology 2000. 2021; 87: 132-142

Nascimento PC, Castro MML, Magno MB, Almeida APCPSC, Fagundes NCF, Maia LC and Lima RR (2019) Association Between Periodontitis and Cognitive Impairment in Adults: A Systematic Review. Front. Neurol. 10:323.

PREGNANCY

Manrique-Corredor EJ, Orozco-Beltran D, Lopez-Pineda A. Maternal periodontitis and preterm birth: Systematic review and meta-analysis. Community Dent Oral Epidemiol. 2019 Jun;47(3):243-251.

Ye C, Kapila Y. Oral microbiome shifts during pregnancy and adverse pregnancy outcomes: Hormonal and Immunologic changes at play. Periodontology 2000. 2021; 87: 267-281

Yenen Z, Ataçağ T. Oral care in pregnancy. J Turk Ger Gynecol Assoc. 2019 Nov 28;20(4):264-268. doi: 10.4274/jtgga.galenos.2018.2018.0139. Epub 2018 Dec 17. PMID: 30556662; PMCID: PMC6883753.

Raju K, Berens L. Periodontology and pregnancy: An overview of biomedical and epidemiological evidence. Periodontology 2000 2021. 87:132-142

Jang H, Patoine A, Wu TT, Castillo DA, Xiao J. Oral microflora and pregnancy: a systematic review and meta-analysis. Sci Rep. 2021 Aug 19;11(1):16870.

Daalderop LA, et al. Periodontal Disease and Pregnancy Outcomes: Overview of Systematic Reviews. JDR Clinical & Translational Research. 2018; 3(1):1 0-27. doi:10.1177/2380084417731097

LUNG DISEASE

Gaeckle NT, Pragman AA, Pendleton KM, Baldomero AK, Criner GJ. The Oral-Lung Axis: The Impact of Oral Health on Lung Health. Respir Care. 2020 Aug;65(8):1211-1220.

Molina A, Huck O, Herrera D & Montero E. The association between respiratory diseases and periodontitis: A systematic review and meta-analysis. 2022 Journal of Clinical Periodontology. 1;pp1-46

Dong J, Li W, Wang Q, Chen J, Zu Y, Zhou X & Guo Q. Relationships between Oral Microsystem and Respiratory Diseases. Mol. BiosciI. 2022. Vol 8