Oral health and cardiovascular care: Perceptions of people with cardiovascular disease
While some of this theory is indeed true, bacteria from gum disease does relate to heart problems. But the real link between teeth and heart health goes much. It's common to hear that oral health is vital for overall health. But there are now two specific relationships between oral health and heart disease. Is there a connection between dental disease and heart disease? Although the experts continue to debate it, they agree on this advice: Take.
Seeking professional dental care every six months Brushing your teeth a minimum of twice daily Regularly flossing your teeth Making sure dentures fit properly If you have cardiovascular disease, what should you tell your dentist?
First, make sure you give your dentist a complete medical history and list of the names and dosages of all the drugs you are taking for your cardiovascular condition as well as any other prescription or nonprescription drugs you might be taking.
This will help your dentist determine the best treatment for you, including medication selection for dental procedures.
Second, make sure to give your dentist the name and phone number of your doctor s in case your dentist needs to speak to him or her about your care. Third, if you are particularly nervous about undergoing a dental procedure because you believe your stress, worry and fears could make your cardiovascular condition worse, talk with your dentist.
He or she can provide you with information and work with you on strategies to control dental pain and ease your fears.
What cardiovascular diseases require specific care? The following list contains information about some of these conditions and the proper precautions you may need to take.
Heart disease prevention: Does oral health matter? - Mayo Clinic
Please note that this is not an all-inclusive list of conditions. If you have any questions or concerns about dental care and your particular cardiovascular condition, be sure to talk to your dentist.
If you have cardiovascular disease and need oral surgery, you should talk to your dentist or surgeon about plans for pain control during and after surgery, including the use of anesthetics and sedation. Endocarditis Some people are at high risk of developing an infection of the inner lining of the heart bacterial endocarditis. These patients must take special care to practice good oral hygiene every day. Traditionally, many of these patients were advised to take antibiotics before having dental work; however, the American Heart Association revised their guidelines to state that only people who are at the highest risk of developing bacterial endocarditis will reasonably benefit from taking preventive antibiotics before certain procedures.
Learn about endocarditis and those at high risk. Your doctor can tell you if you fall into the high-risk group. All patients scheduled for valve surgery need to have excellent oral hygiene and see a dentist before surgery because unhealthy teeth are one source of bacteria that can cause endocarditis.
Heart attack myocardial infarction It is best to wait a minimum of six months after a heart attack before undergoing any extensive dental treatments. You do not need to wait to have a dental cleaning.Gum Disease and Heart Disease: Surprising Link- Kaiser Permanente
Ask your dentist if oxygen and nitroglycerin are available in case a medical emergency should arise during your office visit. Anticoagulants and Antiplatelet Medications Be sure to tell your dentist if you are taking anticoagulants blood-thinning drugs such as warfarin Coumadin.
These medications could result in excessive bleeding during some oral surgery procedures. Many patients with cardiovascular disease take an antiplatelet medication called clopidogrel Plavixparticularly patients with drug-eluting stents. Never stop taking Plavix without talking to your cardiologist. Some studies linked oral disease to CVD through some reaction which could also happen with mouth diseases [ 78 ].
These studies showed that microbial plaque, induced periodontal diseases, and dental infection could initiate an inflammatory response which could act as a risk factor for cardiac events.
The findings of the present study are important from two points of view: Secondly it seems that there are some common risk factors for oral diseases and CVD that contribute to severity of both conditions which have not been investigated.
So the study results for association of CVD risk factors with oral health condition as a risk factor for cardiac diseases could be interpreted independently. Because except cigarette smoking and diabetic condition as CVD risk factors which could affect oral health as it was confirmed by the study finding, other factors are not linked with oral health directly.
However an indirect association and independent pathway is plausible. It is understandable that most people with many background risk factors for cardiac diseases suffer from many problems which push their oral health and hygiene in the bottom of health priority table. As the results of current study showed many of those risk factors could affect oral health independently, in this regard a significant association between self-reported oral hygiene, systemic inflammation, and some CVD risk factors has been reported by Frisbee et al.
However due to high sample size in the current study and budget restrictions we did not measure the markers of systemic inflammation and also screening of the population with cardiac diseases through clinical examination was not the goal of the study. Increasing risk for decayed or lost teeth in older age, with cigarette smoking and opium addiction is another important aspect of some common risk factors between oral diseases and CVD which was confirmed by the study results.
A recent scientific statement from the American Heart Association has reviewed the possible link between oral health and CVD. The review showed that a casual relationship between two conditions could not be supported by observational studies. And also proposed that periodontal and cardiovascular diseases share multiple risk factors that are prevalent and powerful promoters of disease, including tobacco use, diabetes mellitus, and age.
The results of present study confirmed this review' findings [ 29 ]. Therefore it can be concluded that many CVD risk factors were not associated to oral health status in this study but some common risk factors could be assumed for both conditions. These common factors could act independently as a risk factor for oral health and also for cardiac diseases as the study confirmed it.
Both diseases are prevalent and receive major concern from public health aspect so preventive programs on the basis of common risk approach could be the best way to prevent the both issues. Conflict of Interests The authors confirm that there is no conflict of interests in this study.
Oral Health & Risk for CV Disease
Acknowledgments The authors give sincere thanks to all participants of the study. They also show their gratitude to Omrani F dentist ; Interviewers: Montezarolghaem R, Namjoo H. Doost Mohammadi M, Sheikholeslami Y.
They also send their best gratitude to Dr. Maliheh Shadkam Farrokhi God bless her soul who has done a lot for the project and unfortunately passed away in the middle of the study.
Gum disease and the connection to heart disease - Harvard Health
The research has been supported financially by vice chancellor of research, Kerman University of Medical Sciences in Iran. Alternative projections of mortality and disability by cause — Global Burden of Disease Study. Features of Death in 18 Province of Iran in Prevalence of coronary heart disease among Tehran adults: Tehran Lipid and Glucose Study.
Eastern Mediterranean Health Journal.
Naghavi M, Jafari N. Death Registration in 29 Provinces in Iran in The Ministry of Health and Medical Education; An epidemiological model on cardiovascular disease in Iran. Major risk factors for cardiovascular disease mortality in adults: International Journal of Epidemiology.
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- Oral health and cardiovascular care: Perceptions of people with cardiovascular disease
Role of infection as a risk factor for atherosclerosis, myocardial infarction, and stroke.