How does oral health, specifically the condition of your teeth and gums, play into your overall health? Are there any links to cancer, heart disease, or other general medical problems?
One of the biggest things to recognize when it comes to your oral health and your overall health is that these are two systems in the same body. If you have problems with your teeth and gums, it's very unlikely that those problems will just stay there. It's much more likely that these problems can affect other systems, and those tooth problems can then become systems problems and vice versa.
What are some specific examples of oral health issues affecting overall health?
One of the biggest ones we know about is gum disease, which involves inflammation and irritation of the gums. Our immune system fights diseases, pathogens, bacteria, and other critters that try to invade and make your gums unhealthy. There's a war being waged around people's teeth and gums. Active gum disease is correlated with increased inflammation in our body. For instance, there's a 28% increase in the chance of a heart attack for patients with active gum disease versus those without or where it's controlled. This inflammation doesn't just impact heart health; it affects your entire cardiovascular system and can increase the risk of stroke and other vascular diseases.
Can oral health play a role in diabetes management?
Yes, oral health plays a role in diabetes management, and diabetes management can also affect oral health. Patients with uncontrolled gum disease may have difficulty controlling their blood sugar. Similarly, patients with uncontrolled blood sugar may find it harder to manage oral inflammation. These two are tightly linked, and both the medical and dental communities need to work together. Some dental insurers recognize this connection and offer additional cleanings for patients with diabetes to help control oral inflammation and, in turn, blood sugar levels.
How does diabetes specifically impact oral health?
Diabetes can decrease saliva production, leading to a higher risk of cavities. This condition, xerostomia, can make it difficult to manage oral health. Additionally, diabetes compromises wound care, making it harder for the body to heal and fight infections. Active gum disease is considered an open wound and an active infection, which is harder to manage with diabetes. It's crucial to control both diabetes and gum inflammation proactively.
Is dental care important during pregnancy?
Yes, dental care is important during pregnancy. If you're free of dental disease, you're less likely to have a low birth weight or preterm infant. Many mothers experience pregnancy gingivitis, where gums swell, get red, and puffy. This can be resolved after pregnancy with active care. Some insurers offer additional cleanings during pregnancy, so seeking higher levels of care during this time is advisable.
What about cancer? Is there a relationship between oral health and cancer?
Yes, there is a relationship. Gum disease and the pathogens causing it can affect the mouth and potentially lead to esophageal, stomach, and colorectal cancers. Diagnosed gum disease can double the chances of precancerous tumors in the digestive system. Additionally, losing four or more teeth can increase the risk of these growths. These are significant numbers, but they can be controlled and treated with proper oral care.
What's the overall message regarding oral health and systemic health issues?
The take-home message is that oral health impacts overall health significantly. Inflammation from gum disease can affect various systems, including the immune and endocrine systems, and increase risks for Alzheimer's, cardiovascular disease, diabetes, pregnancy complications, and cancer. Maintaining healthy gums and teeth can contribute to a longer, healthier life with fewer medical issues. It's essential to prioritize oral health, as it's not just a cosmetic issue but crucial for overall well-being.
I'm Dr. Suess at Clackamas Smiles. If you have questions about this or other issues, or if you're ready to prioritize your oral health, please call our office or visit us online. We'd love to help you achieve a healthy smile and a healthier life.