Good oral hygiene and regular dental care are the most important ways to reduce risk of a heart infection called infective endocarditis caused by bacteria in the mouth.
There are four categories of heart patients considered to be at highest risk for adverse outcomes from infective endocarditis, and only these patients are recommended to receive preventive antibiotic treatment prior to invasive dental procedures.
American Heart Association (AHA) guidelines issued in 2007 suggested not to use antibiotics before certain dental procedures. These recommendations resulted in a decrease in antibiotic use.
Maintenance of good oral health is more important than use of antibiotics in dental procedures for some heart patients to prevent a heart infection caused by bacteria around the teeth, according to a new American Heart Association (AHA) scientific statement published today in the association’s flagship journal, Circulation.
Infective endocarditis (IE), also called bacterial endocarditis, is a heart infection caused by bacteria that enter the bloodstream and settle in the heart lining, a heart valve or a blood vessel. It is uncommon, but people with heart valve disease or previous valve surgery, congenital heart disease or recurrent infective endocarditis have a greater risk of complications if they develop IE. Intravenous drug use also increases risk for IE. Viridans group streptococcal infective endocarditis (VGS IE) is caused by bacteria that collect in plaque on the tooth surface and cause inflammation and swelling of the gums. There’s been concern that certain dental procedures may increase the risk of developing VGS IE in vulnerable patients.
Dental cavities could significantly increase the risk of a life-threatening stroke from bleeding in the brain, according to new research.
Past studies have shown a link between gum infection and stroke, but few studies have looked into what role dental cavities might play. In the new study, researchers looked specifically at cavities and intracerebral stroke, which occur when an artery in the brain bursts and floods surrounding tissue with blood.
Researchers looked at data from 6,506 people without stroke, and then followed them for 30 years. For the first 15 years, those who developed cavities had a slightly higher risk for stroke from brain bleed, but their risk shot up dramatically in the next 15 years.
In the second half of the study period, people with cavities had 4.5 times higher risk of a stroke from brain bleed than those without cavities, after adjusting for age, gender, race and high blood pressure.
As if there weren’t enough difficulties related to the pandemic, it seems that the stress we are experiencing is affecting our dental as well as our mental health.
More than 70 percent of dentists surveyed by the American Dental Association (ADA) Health Policy Institute are seeing an increase of patients experiencing teeth grinding and clenching, conditions often associated with stress. This is an increase from ADA data released in the fall that showed just under 60 percent of dentists had seen an increase among their patients.
“Our polling has served as a barometer for pandemic stress affecting patients and communities seen through the eyes of dentists,” said Marko Vujicic, Ph.D., chief economist and vice president of the ADA Health Policy Institute. “The increase over time suggests stress-related conditions have become substantially more prevalent since the onset of COVID-19.”
The survey also found a little more than 60 percent of dentists saw an increase in other stress-related dental conditions including chipped and cracked teeth and TMD (temporomandibular joint disorder) symptoms such as headaches and jaw pain.
“As the pandemic continues, dentists are seeing stress-related dental conditions more and more,” said Marcelo Araujo, D.D.S., M.S., Ph.D., ADA chief science officer. “It’s more important than ever for people to maintain their dental health, including seeing the dentist regularly to address any issues that could have long-term impact.”
Despite speculation from recent news reports that frequent mask-wearing may impact dental health and cause “mask mouth,” the survey found no meaningful change in the prevalence reported for conditions such as bad breath and dry mouth compared to pre-pandemic.
Study shows Plaque HD® significantly reduces inflammation throughout the body
For decades, researchers have suggested a link between oral health and inflammatory diseases affecting the entire body — in particular, heart attacks and strokes. Inflammation is intimately involved in the pathogenesis of atherosclerosis and is accurately measured by high sensitivity C-reactive protein (hs-CRP), a sensitive marker for future risks of heart attacks and strokes.
Researchers from Florida Atlantic University’s Schmidt College of Medicine, Marshfield Clinic Research Institute, and the University of Wisconsin School of Medicine and Public Health, collaborated on a randomized trial titled, “Correlation between Oral Health and Systemic Inflammation” (COHESION), to further explore whether Plaque HD®, a plaque identifying toothpaste, reduces hs-CRP. Continue reading →
As a person with no less than three cases of Alzheimer’s/dementia in his family, I have serious interest in anything relating to maintaining brain health and function. So, I was most interested in this item from the University of Bergen.
You don’t only avoid holes in your teeth by keeping good oral hygiene, researchers at the University of Bergen have discovered a clear connection between gum disease and Alzheimer’s disease.
New research published in the January/February 2013 issue of General Dentistry, the peer-reviewed clinical journal of the Academy of General Dentistry (AGD), indicates that the use of a germ-killing mouthrinse in addition to regular toothbrushing can significantly reduce plaque and gingivitis, more so than brushing alone.
“It’s simple—mouthrinses can reach nearly 100 percent of the mouth’s surfaces, while brushing focuses on the teeth, which make up only 25 percent of the mouth,” says Christine A. Charles, RDH, BS, lead author of the study and director of Scientific and Professional Affairs, Global Consumer Healthcare Research and Development, Johnson & Johnson Consumer and Personal Products Worldwide. “Even with regular brushing and flossing, bacteria often are left behind.”
The General Dentistry study found that using a germ-killing mouthrinse twice a day, in addition to regular brushing, can significantly reduce the occurrence of plaque, as well as gingivitis—the beginning stage of gum disease.