I recently came across an excellent article on the Mayo Clinic website at: http://www.mayoclinic.com/health/dental/DE00001.  The article “Oral Health: A window to your overall health,” discusses the connection between oral health and overall health.  It explains that your mouth may harbor the first signs of disease and that diseases of the mouth, such as gum disease, can cause problems in other parts of the body.
Your mouth is loaded with bacteria which can be kept under control with brushing, flossing and regular dental visits. Saliva also defends against bacteria because it contains enzymes that destroy bacteria. But if the bacteria are not kept in control, a gum infection, or periodontitis, can result.  Gum disease may provide bacteria with a means to enter your bloodstream. Dental treatment might also be a means whereby bacteria can enter the bloodstream.
•     Research has shown that heart disease, stroke and clogged arteries may be linked to oral health and periodontal disease.
•    Gum disease has also been linked to premature births.
•    Diabetes increases your risk of gum disease and oral infections. And poor oral health can make your diabetes more difficult to control.  Oral infections can cause your blood sugar to rise, requiring more insulin for its control.
•    People who have HIV/AIDS often exhibit oral manifestations, including ulcers, dry mouth and painful fungal, viral or bacterial lesions. One of the first signs of AIDS may be severe gum infection.
•    The first stages of osteoporosis, or bone loss, may manifest in loss of supporting bone of the teeth, resulting in loose teeth.
•    Other conditions that may first exhibit in your mouth include Sjogren’s syndrome, some cancers, eating disorders, sexually transmitted diseases and substance abuse.

The relationship between your oral health and your overall health provides another good reason to take care of your teeth and gums.  An investment in your oral health is an investment in your overall health!

An overwhelming majority of people who have periodontal (gum) disease are also at high risk for diabetes and should have screening for diabetes. A recent study showed that 93% of subjects who had gum disease were at high risk for diabetes compared to 63% of subjects without the disease. The study recommended diabetes screening for people over 45 years of age who have a body mass index (BMI measuring weight and height) of 25 or more and for people under 45 with a BMI of 25 or more and one additional risk factor. The study can be found in the Journal of Public Health Dentistry at http://www3.interscience.wiley.com/journal/123210997/abstract.

For more information about periodontal disease visit www.drterryshapiro.com/peri.html.

Are you old enough to remember the Ipana toothpaste ads from the 1950’s?
Well, those ads highlighted Bucky Beaver advocating that “You should brush three times a day and visit your dentist two times a year!”   Thus it was a Madison Avenue advertising executive who created the 6-month checkup!  There was no scientific basis at all for this 6 month interval.

While it’s not a bad idea to have twice yearly visits to the dentist, more frequent visits may be indicated for patients with gum disease.  Laboratory research shows that the bacteria associated with periodontal disease become more active after 90 days. If these bacteria are periodically disturbed and debrided, the tissue will show a healthy response.  At 3-months, less destruction will have taken place and the tissue will be healthier than if the patient waits six months.

We’ll be happy to see you at our East Setauket dental office and evaluate your periodontal status.

When I read about Supreme Court nominee Judge Sonia Sotomayor’s finances, I noticed that she owed money to her dentist. I haven’t had a good look at her teeth, but as she does have diabetes and there is a strong link between diabetes and gum disease, there is a strong possibility that she suffers from the latter. Gum disease needs to be controlled with frequent visits to the dentist for periodontal scalings. If neglected, surgery and/or tooth loss can result. This can be costly. If you suffer from diabetes, be sure to visit the dentist regularly for a periodontal examination. Healthy gums should have a firm, stippled consistency, should not be swollen or bleed or have an odor.

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When asked about his propensity for gaffes, Vice President Joseph Biden told Brian Williams of NBC TV, “I’m too long of tooth to change who I am.” Did he really mean this? Does the VP have periodontal disease? Or was he just being metaphorical? If he has gum disease, maybe he’ll come out publicly like Whoopi Goldberg did recently (see my blog entry of May 17, 2009). He could tell us how he neglected his dental health until it was too late and how gum disease destroyed his teeth’s supporting tissues.

If people were thereby motivated to seek professional care, what a benefit to the nation’s dental health that would be! (Long of tooth refers to the length of the tooth as the gums recede and more of the tooth’s root is exposed.) If you notice any change in your gums or teeth (bleeding, swelling, odor, tooth movement, change in bite) contact our Long Island Dental office and we’ll do a periodontal evaluation of your teeth and supporting structures.charlie s angels download

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