Heart Infections on the Rise in Dental Patients After Antibiotic Reductions

In March 2008, the National Institute for Health and Care Excellence issued guidelines recommending that dentists should no longer give antibiotics before invasive treatments to people who are considered at risk of developing a life threatening heart infection. The life threatening heart infection is known as infective endocarditis and 40% of all cases are caused by bacteria in the mouth. Researchers at the University of Sheffield set out to explore the impact of these guidelines. It was found that an increase in cases of infective endocarditis was observed above what was expected. In March 2013, this increase accounted for an extra 35 cases of infective endocarditis per month. The researchers found that the number of  prescribed antibiotic prophylaxis fell by 89% from 10,900 prescriptions per month, before the 2008 NICE guidelines, to 1,235 a month by March 2008. The researchers … Read more

Periodontal Disease and Cardiovascular Risk

In a post many years ago I discussed Patients With Moderate To Severe Periodontitis Need to Be Evaluated For Cardiovascular Problems. In a new study, periodontal disease has again been looked at as a risk factor for cardiovascular disease. In the study conducted, more than 15,000 patients with chronic coronary heart disease gave information on their dental health with results showing periodontal disease indicators were common. The study included self reported dental health information from the STABILITY trial, a clinical trial with 15,828 participants from 39 countries all with chronic coronary heart disease and a risk of cardiovascular disease.  All study participants had a physical exam and blood work up, and completed a lifestyle questionnaire. They reported their remaining number of teeth and frequency of gum bleeding. The results indicated a high prevalence of tooth loss with 16% reporting having no … Read more

Treating Gum Disease in Australians Leads to Better Vascular Health

According to a new study in the journal of Hypertension, a single session of gum treatment in Aboriginal Australians can lead to a significant decline in the thickening of the wall of the carotid artery a year later. The thickness of the wall of the arteries is a risk factor for heart disease. Aboriginal Australians are generally thought to have poorer oral health and higher rates of cardiovascular disease when compared to other Australian groups. The researchers say that the effect is comparable to a 30% fall in low density lipoprotein cholesterol which is known as bad cholesterol and associated with a decreased risk of heart disease. The researchers also note that such an effect is equivalent to reversing four years of aging or 25 mm Hg lower systolic blood pressure. Periodontal or gum disease is an inflammatory disease which affects … Read more

Women Who Receive Dental Care Have Lower Heart Disease Risk

A recent article by Sarah Yang at University of California Berkeley suggests that women who receive dental care can reduce their risks of stroke, heart attacks, and other cardiovascular problems. The study was published in the journal Health Economics in September 29, 2010 and examined data from men and women enrolled in the Health and Retirement Study. No link between men and dental care and their chance of cardiovascular events was found in this study. Nearly 7,000 people were in the study ranging from ages of 44 to 88. The data in the Health and Retirement Study followed the same individuals over a period of time and surveyed them every two years with questions such as if they have visited the dentist and if they had experience any anginia (chest pain), stroke, heart attack, or congestive heart failure during the … Read more

Brush Teeth Twice a Day to Help Prevent Heart Disease

A new study lead by Professor Richard Watt from University College London has analyzed the Scottish Healthy Survey results of 11,000 adults. The study set out to  investigate whether the number of times individuals brush their teeth has any consequences on the risk of developing heart disease. In the survey individuals were asked how often they visited the dentist (at least once every six months, every one to two years, or rarely/never) and how often they brushed their teeth (twice a day, once a day or less than once a day). On a separate the respondents had  nurses collected information on medical history and family history of heart disease, blood pressure. In addition blood samples from those who consented were collected. The samples enabled the researchers to determine levels of inflammation that were present in the body. The results demonstrate … Read more