Tooronga Family Dentistry in Glen Iris

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Suite 1.02, 1 Crescent Rd., Glen Iris 3146
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Archives for May 2021

Recent study found link between gum disease and hypertension

Posted on 05.19.21

On March 2021, Dr Francesco D’Aiuto, head of the periodontology unit at University College London Eastman Dental Institute, has published a study outlining the association between severe gum disease and high blood pressure. According to these findings, a person experiencing an advance stage of gum disease is significantly more likely to develop high blood pressure.

Dr D’Aiuto explained that “evidence indicates that periodontal bacteria cause damage to the gums and also triggers inflammatory responses that can impact the development of systemic diseases including high blood pressure”.

The study analysed data from 250 adults with severe periodontitis and 250 adults without gum disease. All the participants were healthy otherwise. The findings were that participants with gum disease were twice as likely to have high systolic blood pressure (140 mm Hg or more), than those with healthy gums (14% and 7%, respectively). The results suggest that 50% of adults could have undetected high blood pressure due to gum disease and consequently many individuals may be unaware that they are at increased risk of heart-related problems.

The author of the present research explained that “Oral health strategies such as brushing teeth twice daily are proven to be very effective in managing and preventing the most common oral conditions, and our study’s results indicate they can also be a powerful and affordable tool to help prevent hypertension”.

Please contact the practice if you have any questions regarding your health condition.

Association between gum disease and severity of COVID‐19 infection

Posted on 05.18.21

A recent study published in February 2021 (https://doi.org/10.1111/jcpe.13435) has found that gum disease or periodontitis is linked to the severity of Covid-19 complications.

According to the authors, COVID‐19 is associated with an exacerbated inflammatory response that can result in fatal outcomes. Since systemic inflammation is also a main characteristic of periodontitis, the association between periodontitis and COVID‐19 complications has been investigated.

COVID‐19 infection severity has been associated with patients suffering from hypertension, diabetes, cardiovascular disease, older age and obesity. However, the specific risk factors leading to severe clinical outcomes are still not clear.

The role of gum disease as exacerbated factor in severe Covid-19 outcomes has been investigated in this research.

Periodontitis is characterized by chronic non‐resolving gingival inflammation resulting in bone loss and teeth detachment, and it has been already linked by multiple studies as a risk factor in other medical conditions, like cardiovascular disease, hypertension, diabetes, renal disease, pneumonia and cancer.

The present study analysed the data of 568 Covid-19 patients. Among them, 40 experienced COVID-19 complications such as death, ICU admission and need for assisted ventilation, and 528 were discharged without any complications. The periodontal status was studied from these patients’ posterior bitewings and panoramic radiographs.

Out of the 568 patients included in the study, 258 presented periodontitis. Among the patients who presented periodontitis, 33 experienced Covid-19 complications, while only 7 of the 310 patients without periodontitis presented COVID‐19 complications

This study identified that the risk of COVID‐19 complications was significantly higher among patients with moderate‐to‐severe periodontitis compared to those with milder or no periodontitis.

Several hypothetical mechanisms may explain the strong associations observed between periodontitis and COVID‐19 severity. The oral cavity, and especially periodontal pockets could act as a viral reservoir and as a consequence the aspiration of periodontopathic bacteria might aggravate COVID‐19 virulence.

Gum disease is one of the most common chronic diseases in the world, although it being preventable and treatable. Multiple studies back the idea that by maintaining good oral health, specifically healthy gums, serious medical complications, from coronavirus included, can be reduced significantly.

Some of the signs of gum disease are bleeding when brushing or eating and bad breath. Since the symptoms are not painful, people tend to ignore them, leaving the disease untreated and increasing the risk of losing teeth and medical complications.

In order to prevent gum disease, it is very important to brush the teeth with a fluoride toothpaste at least twice a day, paying attention to clean along the gum line as well and flossing in between teeth.

Periodical visits to the dentist are important in assessing the teeth and gums condition and providing a professional clean.

For more information about gum disease, or if you are concerned about your oral health, please contact the practice.

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