#5: the link between Heart and Gum diseases

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Episode 5 • 17th June 2023 • The Wonder Tooth Podcast • Dr. Radwa Saad DMD

Today, we have an interview with Dr. Nasser Elmansoury who is one of the top Non-invasive cardiologists in Florida. He is specialized in coronary heart disease, congestive heart failure, cardiac arrhythmia, pacemakers and defibrillators.

Welcome to another episode of The Wonder Tooth Podcast! Hosted by Dr. Radwa Saad, a leading cosmetic dentist, this episode brings in a special guest — a renowned top cardiologist who will provide invaluable insights into the connection between heart disease and gum disease. As one of the most important yet often overlooked aspects of health, the relationship between oral health and heart health has become an increasingly prominent topic of discussion in the medical community. This episode dives deep into the causes, signs, symptoms, and treatment options for both gum disease and heart disease, while also highlighting the critical role that oral care plays in preventing more serious cardiovascular conditions.

Understanding the Connection Between Heart Disease and Gum Disease

At first glance, your oral health and heart health may seem entirely separate. However, extensive research has shown that the condition of your gums can directly affect your heart. This relationship is particularly concerning since both gum disease (periodontal disease) and heart disease are common among adults in the United States. It is estimated that over 70% of adults in the U.S. will experience some form of gum disease in their lifetime, while heart disease remains the leading cause of death.

In this episode of The Wonder Tooth Podcast, Dr. Saad discusses with our guest expert cardiologist the latest findings on how bacteria from the mouth can travel through the bloodstream and contribute to cardiovascular problems. The link between poor oral hygiene and conditions such as heart disease, stroke, and even diabetes is becoming more evident, making the need for good oral care even more urgent.

How Gum Disease Affects Heart Health

To truly understand this connection, it’s important to grasp the basics of both conditions. Gum disease, or periodontal disease, is a bacterial infection that affects the tissues supporting your teeth. The infection starts in the gums, causing inflammation and bleeding, and can progress to more serious stages if left untreated. When gum disease reaches its advanced stages, it can lead to tooth loss and has been associated with systemic conditions such as heart disease.

The key to the connection lies in the inflammatory response. Gum disease triggers a localized inflammatory response, and when bacteria from infected gums enter the bloodstream, they may contribute to the inflammation of blood vessels. This can increase the risk of arterial plaque buildup, a condition known as atherosclerosis, which can block blood flow to the heart and lead to heart attacks or stroke.

Moreover, chronic gum disease has been shown to elevate levels of C-reactive protein (CRP) in the bloodstream, a marker for inflammation that is also associated with a higher risk of cardiovascular disease. The cardiologist in this episode elaborates on these findings and offers a clearer understanding of how ongoing oral health issues can increase the burden on your cardiovascular system.

Causes and Risk Factors for Gum Disease and Heart Disease

Gum Disease Causes:

Gum disease is caused by the accumulation of plaque and bacteria along the gum line, which can infect and irritate the gums. Factors that contribute to gum disease include:

Poor oral hygiene: Inadequate brushing and flossing lead to the formation of plaque, which can harden into tartar and cause gum inflammation.
Smoking and tobacco use: Smoking weakens the immune system and makes it harder for the body to fight off infections, including gum disease.
Genetics: Some people may be more prone to gum disease due to their genetic makeup, even with good oral hygiene.
Diabetes: People with diabetes are more susceptible to infections, including gum disease, due to high blood sugar levels.
Poor nutrition: A diet lacking in essential nutrients, especially vitamin C, can weaken the immune system and make the gums more vulnerable to infection.

Heart Disease Causes:

Heart disease is primarily caused by the buildup of fatty deposits in the arteries, which can restrict blood flow and lead to heart attacks, strokes, and other cardiovascular issues. The causes and risk factors for heart disease include:

High blood pressure: Elevated blood pressure can damage blood vessels over time and increase the risk of cardiovascular disease.
High cholesterol: Excessive cholesterol in the blood can contribute to plaque buildup in the arteries.
Smoking: Tobacco use is a leading cause of heart disease as it increases blood pressure, reduces oxygen in the blood, and raises the risk of clot formation.
Lack of physical activity: Sedentary behavior contributes to obesity, high cholesterol, and high blood pressure, all of which are risk factors for heart disease.
Poor diet: A diet high in saturated fats, trans fats, and sodium can increase the risk of developing heart disease.
Family history: Genetics also plays a role, and those with a family history of heart disease are at greater risk.

Signs and Symptoms to Watch For

Both gum disease and heart disease can develop silently, without any noticeable symptoms in the early stages. However, as they progress, several signs may indicate that something is wrong.

Signs of Gum Disease:

Bleeding gums: Gums that bleed when brushing or flossing are often an early sign of gum disease.
Swollen or red gums: Healthy gums should be firm and pale pink. Swollen, tender, or red gums are a sign of inflammation.
Bad breath: Persistent bad breath or a bad taste in the mouth can indicate gum infection.
Receding gums: When gums begin to pull away from the teeth, it can expose the roots and lead to tooth sensitivity.
Loose teeth: Advanced gum disease can cause teeth to become loose or even fall out.

Signs of Heart Disease:

Chest pain or discomfort: A common sign of heart problems, chest pain can radiate to the arms, neck, jaw, or back.
Shortness of breath: Difficulty breathing or feeling short of breath, especially after exertion, can be a sign of heart issues.
Fatigue: Unexplained fatigue, especially if it limits your normal activities, may be a sign of heart problems.
Swelling in the legs, ankles, or feet: Fluid retention is common in people with heart failure.
Irregular heartbeat: A racing or irregular heartbeat can signal underlying heart disease.

Treatment Options for Gum Disease and Heart Disease

The treatment for both gum disease and heart disease varies depending on the severity of each condition. Here’s a breakdown of common treatments:

Treatment for Gum Disease:

Professional cleaning: A dentist or hygienist will remove plaque and tartar buildup from the teeth and gums.
Scaling and root planing: This deep-cleaning procedure removes tartar from below the gum line and smooths the roots of the teeth.
Medications: In some cases, topical antibiotics or oral medications may be prescribed to treat gum infections.
Surgical treatments: For advanced gum disease, surgery may be required to restore the gums and bone structure.

Treatment for Heart Disease:

Lifestyle changes: Diet modifications, regular exercise, quitting smoking, and managing stress can significantly improve heart health.
Medications: Statins, blood pressure medications, blood thinners, and other medications can help manage risk factors for heart disease.
Surgical interventions: In severe cases, surgeries like bypass surgery, angioplasty, or stent placement may be necessary to improve blood flow to the heart.
Cardiac rehabilitation: A structured program of exercise, education, and counseling can help patients recover and improve heart health.

How Gum Disease Treatment Can Help Protect Your Heart

As we discussed in this episode, treating gum disease can help reduce the overall risk of heart disease. By addressing gum infections early, you can prevent bacteria from entering the bloodstream and causing systemic inflammation that affects your heart. Maintaining a healthy mouth through regular dental visits, proper brushing, and flossing is a critical step in protecting both your oral and cardiovascular health.

Call to Action: Schedule Your Appointment Today

If you’re concerned about your oral health or want to learn more about how your gum health could be affecting your heart, we encourage you to take action today. At Dent Blanche Dental, we specialize in providing comprehensive care for your smile and overall well-being. Don’t wait until it’s too late — contact us at 609-890-1888 to schedule an appointment, or visit our website at www.dentblanchedental.com to learn more about our services and how we can help you maintain a healthy mouth and heart.

Conclusion

In this insightful episode of The Wonder Tooth Podcast, Dr. Radwa Saad and our top cardiologist guest unpack the often-overlooked connection between gum disease and heart disease. By understanding the causes, symptoms, and treatment options for both conditions, you can take proactive steps to protect both your oral and heart health. Remember, good oral hygiene isn’t just about a beautiful smile — it’s about safeguarding your heart and overall health as well.

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