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While current research does not yet provide evidence of a
causal relationship between the two diseases, scientists have identified
biologic factors, such as chronic inflammation, that independently link
periodontal disease to the development or progression of cardiovascular disease
in some patients.
The lack of causal evidence should not diminish concern
about the impact of periodontal status on cardiovascular health. According to
Pamela McClain, DDS, president of the American Academy of Periodontology and a
practicing periodontist in Aurora, Colorado, "Periodontal disease and
cardiovascular disease are both complex, multi-factorial diseases that develop
over time. It may be overly simplistic to expect a direct causal link. The
relationship between the diseases is more likely to be mediated by numerous
other factors, mechanisms, and circumstances that we have yet to uncover.
However, as the AHA statement points out, the association is real and
independent of shared risk factors. Patients and healthcare providers should
not ignore the increased risk of heart disease associated with gum disease just
because we do not have all the answers yet."
The AAP believes additional long-term interventional studies
are needed to better understand the specific nature of the relationship between
periodontal disease and cardiovascular disease. Patients’ periodontal status
should also be added to future longitudinal studies of cardiovascular disease.
The AAP hopes that the American Heart Association’s statement brings attention
to the association between the two diseases and the need for additional
research in this area.
Dr. McClain encourages physicians and dentists to
communicate the association between cardiovascular disease and periodontal
disease to patients. “It is not as simple as telling a patient that brushing
and flossing will ward off a heart attack,” says Dr. McClain. “Patients should
be aware that by maintaining periodontal health, they are helping to reduce
harmful inflammation in the body, which has been shown to reduce the risk of
cardiovascular disease.”
Patients should expect to receive a comprehensive
periodontal evaluation from their dental professional at least once a year,
adds Dr. McClain. This includes a detailed examination of the teeth and gums,
and an assessment of risk factors such as smoking, age, and overall health
status. In addition, patients diagnosed with periodontal disease should be sure
to inform their general health care provider and/or cardiologist to encourage
better integration of their care.
“There is no compelling evidence to support that treating
periodontal disease will reduce cardiovascular disease at this time,” says Dr.
McClain, “but we do know that periodontal care will improve your oral health
status, reduce systemic inflammation, and might be good for your heart as
well.”
Article from: www.perio.org
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