http://www.shinedentalgroup.com/denta... - (516) 348-8500 Dr. Mittle discusses the connection between the health of your gums and systemic diseases, such as heart disease, diabetes, kidney disease, GERD, acid reflux, liver disease, etc. The inflammatory process that begins in the mouth can travel to other parts of the body. Periodontal Disease Can Lead to Heart Disease, Diabetes and Kidney Disease There are strong connections associated between periodontal disease and some of the systemic infections that are out there, such as heart disease, diabetes, liver problems, kidney problems, gird and acid reflux and even premature births. Everyone always asks how is that possible? I thought the mouth is separate from the body. The answer is no, not anymore. When we have inflammation of the mouth because of plague and bacteria, your body responds to it by sending out certain chemical mediators in the mouth. Remember, it's the same blood that circulates from your gum tissue to the rest of your body. So those inflammatory markers -- we'll just call it that -- goes out now to the heart and to the liver and the prostaglandins and the CRPs and what you normally hear about either on TV or newspapers. Remember, it's all generated from your gum tissue, from the plaque and bacteria, and then your blood. Remember, the same blood from your gum tissue goes to your heart and it takes all those infections, those inflammatory markers and even some of the bacteria. It's been shown on microscopes the fact that it actually gets to your heart and that can cause, again, heart disease. That's what heart disease is, inflammatory disease. Diabetes is an inflammatory disease. In fact, if you even treat your periodontal condition it has been shown, even in medical journals, your diabetes actually decreases. Your AIC, the number that everyone always talks about with diabetes has been shown to go down. When you have gum inflammation, some of the markers out there I was talking about, prostaglandins, well that's the same thing that is caused when you want to induce a baby during birth, when they go through induction. Well, that's the same chemical that they inject in you and that's the same chemical that is produced in your gum tissue. So if you're pregnant and you have severe periodontal disease or sever gum inflammation, it can actually spread throughout your body. It goes into your body and it's the same thing for the prostaglandins that can actually induce and cause premature births. In fact, now the endocrinologists and even the OBs actually recommend getting cleanings while you're pregnant because it's very important. They're recognizing the fact that we want to eliminate all these inflammatory markers and try to get a healthy baby. If you have any questions regarding periodontal disease and the connections to systemic diseases, please call us at the number below for a complimentary consultation and I'll be happy to answer all of your questions. Dr. Vikas Mittle - Board Certified Periodontist Shine Dental Associates of the North Shore 400 Jericho Turnpike Syosset, NY 11791
Oxldl In Diabetes Mellitus Patients And Disease Periodontal
Periodontal disease (PD) and diabetes mellitus type 2 (DM2) have the same inflammatory etiopathogenesis and demonstrate a bidirectional relationship, for DM2 affects the severity of PD, and this may contribute to the overall inflammatory burden of the individual, influencing the natural course DM2. The aim of this study is to establish whether individuals with DM with or without chronic periodontitis have an increase in oxLDL and what is the influence of periodontal treatment in the reduction of oxLDL with consequent improvement in Diabetes Mellitus parameters. Periodontal disease (PD) and diabetes mellitus type 2 (DM2) have the same inflammatory etiopathogenesis and demonstrate a bidirectional relationship, for DM2 affects the severity of PD, and this may contribute to the overall inflammatory burden of the individual, influencing the natural course DM2. The aim of this study is to establish whether individuals with DM with or without chronic periodontitis have an increase in oxLDL and what is the influence of periodontal treatment in the reduction of oxLDL with consequent improvement in Diabetes Mellitus parameters. 44 patients will be divided into 2 groups: Diabetic Patients wit
Abstract Infections of the tissue surrounding the teeth (periodontitis) are usually caused by anaerobic gram-negative microorganisms. This infection causes destruction of the supporting alveolar bone and can lead to tooth loss. Removal of these microorganisms can slow or arrest the progression of periodontitis. Diabetes patients are at greater risk of developing periodontitis, may not respond as well to periodontal therapy as nondiabetic patients, and may require more aggressive treatment to manage periodontitis. Microorganisms that cause periodontitis and the host response to these may increase insulin resistance in diabetic patients. Treatment of periodontitis could improve glycemic control. A model is presented in which periodontal pathogens may cause increases in proinflammatory cytokines that mediate increases in insulin resistance, resulting in an increase in blood glucose. Following periodontal therapy, this process may be reversed. Preview Unable to display preview. Download preview PDF.
Periodontitis Treatment - Miracle Cure of Gum Disease and Periodontitis For more info: http://bit.ly/PeriodontitisTreatment Periodontitis, also known as gum disease and pyorrhea, is a set of inflammatory diseases affecting the tissues surrounding the teeth. Periodontitis involves progressive loss of the alveolar bone around the teeth, and if left untreated, can lead to the loosening and subsequent loss of teeth. Periodontitis is caused by microorganisms that adhere to and grow on the tooth's surfaces, along with an over-aggressive immune response against these microorganisms. A diagnosis of periodontitis is established by inspecting the soft gum tissues around the teeth with a probe (i.e., a clinical examination) and by evaluating the patient's X-ray films (i.e., a radiographic examination), to determine the amount of bone loss around the teeth. Specialists in the treatment of periodontitis are periodontists; their field is known as "periodontology" or "periodontics". Causes Periodontitis is an inflammation of the periodontium, i.e., the tissues that support the teeth. The periodontium consists of four tissues: gingiva, or gum tissue, cementum, or outer layer of the roots of teeth, alveolar bone, or the bony sockets into which the teeth are anchored, and periodontal ligaments (PDLs), which are the connective tissue fibers that run between the cementum and the alveolar bone. This X-ray film displays two lone-standing mandibular teeth, the lower left first premolar and canine, exhibiting severe bone loss of 3050%. Widening of the periodontal ligament surrounding the premolar is due to secondary occlusal trauma. The primary cause of gingivitis is poor or ineffective oral hygiene, which leads to the accumulation of a mycotic[and bacterial matrix at the gum line, called dental plaque. Other contributors are poor nutrition and underlying medical issues such as diabetes. Diabetics must be meticulous with their homecare to control periodontal disease. New finger prick tests have been approved by the Food and Drug Administration in the US, and are being used in dental offices to identify and screen patients for possible contributory causes of gum disease, such as diabetes. In some people, gingivitis progresses to periodontitis with the destruction of the gingival fibers, the gum tissues separate from the tooth and deepened sulcus, called a periodontal pocket. Subgingival microorganisms (those that exist under the gum line) colonize the periodontal pockets and cause further inflammation in the gum tissues and progressive bone loss. Examples of secondary causes are those things that, by definition, cause microbic plaque accumulation, such as restoration overhangs and root proximity. The excess restorative material that exceeds the natural contours of restored teeth, such as these, are termed "overhangs", and serve to trap microbic plaque, potentially leading to localized periodontitis. Smoking is another factor that increases the occurrence of periodontitis, directly or indirectly, and may interfere with or adversely affect its treatment. EhlersDanlos syndrome is a periodontitis risk factor and so is the PapillonLefvre syndrome also known as palmoplantar keratoderma. If left undisturbed, microbial plaque calcifies to form calculus, which is commonly called tartar. Calculus above and below the gum line must be removed completely by the dental hygienist or dentist to treat gingivitis and periodontitis. Although the primary cause of both gingivitis and periodontitis is the microbial plaque that adheres to the tooth surfaces, there are many other modifying factors. A very strong risk factor is one's genetic susceptibility. Several conditions and diseases, including Down syndrome, diabetes, and other diseases that affect one's resistance to infection, also increase susceptibility to periodontitis. Another factor that makes periodontitis a difficult disease to study is that human host response can also affect the alveolar bone resorption. Host response to the bacterial-mycotic insult is mainly determined by genetics; however, immune development may play some role in susceptibility. According to some researchers periodontitis may be associated with higher stress. Periodontitis occurs more often in people from the lower end of the socioeconomic scale than people from the upper end of the socioeconomic scale.
Bacteremia After Chewing In A Patient With Severe Chronic Periodontitis And Diabetes Mellitus Type 2: A Brief Report
1. Introduction Oral health microbiota consists of about 700 species  and there is probably a different core microbiome for health  and for disease depending on physiological status and lifestyle . Chronic periodontitis an oral infection-inflammatory disease leads to destruction of tooth support tissue integrity . It is caused by interactions among microbial agents, host susceptibility and environmental factors. Periodontitis has a prevalence of 47% in the USA and it is a frequent cause of tooth loss . Keystone pathogens for periodontitis are Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans. Since they have been identified in bloodstream they may be involved in distant-site infections . The oral origin of bacteremia may be due to “everyday” oral activities (i.e., tooth brushing, chewing) or dental procedures [7,8]. In periodontitis, the disruption of periodontal tissues integrity could lead to bacteremia , resulting in focal infections, such as endocarditis . It has been suggested that 8–10% of bacterial endocarditis is associated with oral infections in the absence of dental manipulations . In this context, oral activities ca
Alicia Thomas Diaz, M.D. What is type 1 diabetes? Type 1 diabetes, sometimes called insulin-dependent diabetes and juvenile diabetes, can develop at any age but most often occurs in children, teens, and young adults. In type 1 diabetes, a person’s pancreas produces little or no insulin, so insulin treatment is needed for a lifetime. The causes of type 1 diabetes are not fully known. In most cases, the body’s immune system attacks and destroys ...
1. Diabetes and Periodontal disease A two way relationship 2. Contents • Diabetes overview • Periodontal disease overview • Relation between Diabetes and Periodontal disease • effect of diabetes on periodontal disease and its mechanism • Effect of periodontal disease on diabetes and its mechanism • references 3. Introduction • Its widely thought that any diseases associated with each other , then one caused the other . • But many ...
Tweet Gum disease, also known as periodontal disease, is the sixth most common disease in the world. People with diabetes are more likely to experience gum disease if they’ve had poor blood sugar levels for a long period of time. What is gum disease? Gum disease affects the gums and bone supporting the teeth and eventually leads to tooth loss. The good news, though, is that gum disease is preventable and can be easily treated in the early stage ...
Diabetes, or diabetes mellitus (DM), is a metabolic disorder in which the body cannot properly store and use sugar. It affects the body's ability to use glucose, a type of sugar found in the blood, as fuel. This happens because the body does not produce enough insulin, or the cells do not correctly respond to insulin to use glucose as energy. Insulin is a type of hormone produced by the pancreas to regulate how blood sugar becomes energy. An imba ...
Diabetes mellitus (a group of metabolic disorders characterized by hyperglycemia) and periodontitis (a microbially induced inflammatory disorder that affects the supporting structures of teeth) are both common, chronic conditions. Multiple studies have demonstrated that diabetes mellitus (type 1 and type 2) is an established risk factor for periodontitis. Findings from mechanistic studies indicate that diabetes mellitus leads to a hyperinflammato ...