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An Oral Approach to Heart Disease
Date:9/11/2008

lly Cram, a Washington, D.C. periodontist who is a consumer adviser to the American Dental Association, "we have a number of studies coming out that indicate a strong relationship between infection in the mouth and gums and other things in your health, such as diabetes and heart disease."

Even although the case may not be completely proven, she added, "I tell my patients that, given that periodontal disease is preventable by doing certain things that take five minutes a day, it is worth doing those things."

Cram's recommendations are standard: brush twice a day, floss once a day, see a dentist regularly or when signs of trouble appear.

"Especially if there is a family history of heart disease or diabetes, it makes common sense to help prevent gum disease," she said.

Good oral hygiene is a necessity because bacteria easily get into the bloodstream from the mouth, from routine activities such as chewing and from tooth brushing, said Peter Lockhart, chairman of the department of oral medicine at the Carolinas Medical Center, in Charlotte, N.C.

Earlier this year, Lockhart published a study of 290 dental patients showing that bacteria could be detected in 23 percent of them after tooth brushing, compared to 30 percent when a tooth was pulled after the patient took an antibiotic and 60 percent when no antibiotic was taken.

So oral hygiene is "a much more appropriate focus for prevention of endocarditis," infection of the lining of the heart or a heart valve, Lockhart said.

More information

Learn about periodontal disease and its prevention from the American Dental Association.



SOURCES: Steve Kerrigan, Ph.D., principal investigator, Royal College of Surgeons, Dublin; Sally Cram, D.D.S., periodontist, Washington D.C.; Peter Lockhart, chairman, oral medicine,
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