Does Oral Health Affect Your Heart?

Brushing your teeth every day keeps them cleaner, improves your breath, and reduces plaque buildup. But did you know that there may be a connection between your dental health and chronic illness? Some scientific evidence suggests that poor dental health may be linked to cardiovascular disease. Although more research is needed to explore this association, it provides yet another reason to brush your teeth twice per day, floss daily, and visit your dentist regularly.

Over 2,400 people die from cardiovascular disease each day, making it an immense public health problem. Cardiovascular disease occurs when arteries become harder, making it more difficult for blood to easily pass through your circulatory system. Plaques also build up in your blood vessels, further restricting blood flow. Periodontal disease, also known as gum disease, affects nearly 75% of the U.S. population, according to the American Academy of Periodontology. It is a chronic inflammatory condition that can cause bone and gum tissue to deteriorate, causing bad breath, swollen or bleeding gums, sensitive teeth, and loose teeth.

If periodontal disease affects your teeth and cardiovascular disease affects your heart, what’s the connection between the two? Scientists have known for years that the two conditions share several risk factors. Increasing age, cigarette smoking, and type 2 diabetes increase your risk of developing both periodontal disease and cardiovascular disease. None of these risk factors, however, explain the causal mechanism connecting the two conditions.

According to a 2009 review article by the editors of the American Journal of Cardiology and the Journal of Periodontology, one possible explanation is inflammation. Moderate to severe periodontal disease triggers chronic systemic inflammation, affecting not only your mouth but also your circulatory system, leading to cardiovascular disease. Another hypothesis is that bacteria from your mouth can cause heart disease. People with periodontal disease have billions of bacteria and other microorganisms teeming in their mouths. Chewing food and brushing your teeth release these bacteria into the bloodstream. The Harvard Heart Letter reports that the types of bacteria that cause periodontitis have been associated with plaque buildup in your arteries.

Not all scientific findings have shown a relationship between the two conditions. In April 2012, the American Heart Association published a scientific statement in the journal Circulation denying that gum disease causes heart attacks or stroke. The American Dental Association’s Council on Scientific Affairs and the World Heart Federation also endorsed the statement, agreeing that there is no conclusive evidence that the conditions are related. More scientific research needs to be performed to determine the exact relationship between periodontal disease and cardiovascular disease.

Although the scientific evidence has been mixed, periodontal disease can be very harmful to your health even if it does not lead to cardiovascular disease. It is important to reduce your risk of gum disease by careful tooth brushing, frequent flossing, and regular trips to the dentist.

Bad Breath is No Good

Bad breath, also called halitosis, can result from poor dental health habits and may be a sign of other health problems. Bad breath can also be made worse by the types of foods you eat and other unhealthy lifestyle habits. You may not even be aware of your own bad breath, so if you’re concerned you may be suffering from it, talk to our team. We can help identify the cause and, if it’s due to an oral condition, develop a treatment plan to treat it.

There are many reasons for bad breath:

• What you eat can also affect the way your breath smells. Certain foods, such as garlic and onions, can have a very strong and lasting odor.
• If you don’t brush and floss daily, particles of food remain in the mouth, collecting bacteria, which can cause bad breath, not to mention tooth decay and gingivitis.
• Bad breath can be caused by dry mouth (xerostomia), which occurs when the flow of saliva decreases. Saliva is necessary to cleanse the mouth and remove particles that may cause odor.
• Tobacco products cause bad breath. If you use tobacco, ask us for tips on kicking the habit.
• Bad breath may be the sign of a medical disorder, such as a local infection in the respiratory tract, chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment. If this is the case, you may be referred to your family doctor or a specialist to determine the cause.

The good news is there are many ways to help eliminate bad breath from your life. Maintaining good oral health is essential to reducing bad breath, so schedule regular dental visits with our office for a professional cleaning and checkup. Brush twice a day with fluoride toothpaste to remove food debris and plaque, and don’t forget to brush your tongue, too!

Helpful Invisalign® tips from Dr. Tieken

The team at Tieken Smiles has blogged about the advantage of Invisalign treatment in the past, and today thought we'd share a few helpful Invisalign tips.

When wearing your Invisalign aligners, Dr. Tieken wants you to ask yourself the following questions:

1. Am I eating with my aligners on? - These aligners are removable and should be taken out when you eat.

2. Am I drinking anything other than water with my aligners on? - Though it's not a necessity for you to take out your aligners while you drink, think about how sticky a soda is. If you take out your aligners when drinking a soda, you have a better chance of keeping your aligners clean.

3. Am I brushing before putting the trays on? - The aligners have both an inside and outside. Keeping the outside clean is easy. Keeping the inside clean is also easy: just make sure you've brushed your teeth before putting the trays on.

These are all very simple steps, and ultimately, they help to keep you building good oral habits. If you have any questions about Invisalign or your treatment at our office, please feel free to give us a call!

Also, a quick reminder: we will be having another Invisalign Special Event in November. Dr. Tieken will be providing Invisalign treatment consultations to answer your questions about Invisalign treatment, the clear way to straighten teeth.

Dr. Tieken and team want to know: What will you remember about 2009?

The year is almost over, and as Dr. Tieken and his team reflect on the year that was, we’d like to ask all our patients: what was memorable about 2009 for you, and what are you looking forward to in 2010? Do you have a New Year’s resolution, or any exciting plans for the coming year?

Have a safe and happy New Year's Eve, from Dr. Tieken and the rest of the team at Tieken Smiles!