WebMD The Magazine - Feature
Eric Yabu, DDS
When Joanne Maglares, now 50, visited her dentist for a broken tooth from chewing on ice, she had no inkling that her overall health was in jeopardy. A scholarship coordinator at a New York City high school and mother of four, she was so consumed with work and family that she often ignored her own well-being.
But her dentist took one look at her mouth, noticed multiple tooth fractures and rapidly advancing gum (periodontal) disease, and surmised that she had an underlying health problem."Those were red flags that something was not right," says her dentist, Maria Emanuel Ryan, DDS, PhD, professor of oral biology and pathology at Stony Brook University School of Dental Medicine.
Ryan urged Maglares to see her primary care doctor to get to the root of the problem. She was diagnosed and treated for high blood pressure and anemia. Five months later, she suffered a massive heart attack.
Oral Health, Overall Health
Researchers know there's a synergic relationship between oral health and overall wellness. Gum disease is linked to a host of illnesses including heart disease, diabetes, respiratory disease, osteoporosis, and rheumatoid arthritis. By combing through 1,000-plus medical histories, researchers at the University of North Carolina School of Dentistry found that people with gum disease were twice as likely as others to die from a heart attack and three times as likely to have a stroke.
Gum disease is the most common chronic inflammatory condition in the world, yet it's often a silent disease, Ryan says. Why? The mouth can act as a portal of entry for an infection, says Salomon Amar, DMD, PhD, professor and director at the Center for Anti-inflammatory Therapeutics at Boston University School of Dental Medicine. Ongoing inflammation in your mouth can allow bacteria to enter the bloodstream, which may lead to more inflammation in other parts of your body, such as the heart.
Some studies point to a reciprocal relationship between gum disease and diabetes."When you treat and control diabetes, immediately the condition in the mouth improves. And when you treat periodontal disease, the need for insulin is reduced," Amar says.
Maglares is on the road to recovery and indebted to her dentist. "If I hadn't gone to the dentist, I don't know if I'd be alive today. I pay a lot more attention to my teeth and gums. I believe it's all connected."
SOURCES:Maria Emanuel Ryan DDS, PhD, periodontist and professor of oral biology and pathology, Stony Brook University, School of Dental Medicine, Stony Brook, N.Y.Salomon Amar, DMD, PhD, professor and director, Center for Anti-inflammatory Therapeutics, Boston University School of Dental Medicine, Massachusetts.Offenbacher, S. Annals of Periodontology, 1996; vol 1: pp 821-878.Beck, J. Annals of Periodontology, 1998; vol 3: pp 127-141.Eke, P. Journal of Dental Research, 2010; vol 89: pp 1208-1213.Li, L. Circulation, 2002; vol 105: pp 861-867.Office of the Surgeon General: "Oral Health in America: A Report of the Surgeon General," May 2000.Albandar, J. Journal of Periodontology, 1999; vol 70: pp 13-29.Oral Cancer Foundation.Taylor, G. Oral Diseases, 2008; vol 3: pp 191-203.Demmer, R. Diabetes Care, 2008; vol 7: pp 1373-1379.Demmer, R. Journal of American Dental Association, 2006; vol 137: pp 14S-20S.
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