stroke

If you Have Bleeding Gums you May Need More Vitamin C

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An interesting article titled “Bleeding tendency and ascorbic acid requirements: systematic review and meta-analysis of clinical trials” written by P. P. Hujoel et al., appears in the 2021 edition of Nutrition Reviews (Vol. 79, no. 9, pp. 964–975). The authors sought out to conduct a systematic review and meta-analysis of controlled clinical trials on whether ascorbic acid also known as Vitamin C supplementation leads to less bleeding of the gums on gentle probing also described as gingival bleeding tendency and (2) to relate Vitamin C plasma levels to bleeding of the eye known as retinal hemorrhaging. In the study, the authors investigated 15 prior clinical trials in six: India, Indonesia, Italy, Germany, the United Kingdom, and United States, with 1,140 participants with 97.4% of them being healthy, with measures of gingival bleeding tendency. The authors also looked at data from … Read more

Using Dental Images to Find Strokes

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An interesting article titled “Association between internal carotid artery calcifications detected as incidental findings and clinical characteristics associated with atherosclerosis: A dental volumetric tomography study” appears in the European Journal of Radiology written by Niege Michelle and et al. (no. 145, 2021). The article seeks to determine if calcifications in the internal carotid artery (ICA) in cone-beam computed tomography (CBCT) can be associated with vascular disorders that can lead to stroke. Calcifications in the ICA are a risk indicator for ischemic problems in cerebral circulation, cerebral atrophy, and atherosclerosis in cardiovascular circulation. In the article the researchers started with 1176 CBCT exams from a database of a private dental records involving the preparation of dental implant placement. The researchers excluded many of those CBCT scans because the patients were younger than 40 years old or they did not have a … Read more

Can Neck Hyperextension During Dental Treatment Lead to Stroke Like Symptoms?

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An interesting article titled “Major Neurological Deficit Following Neck Hyperextension During Dental Treatment: Report of 2 Cases and Review of the Literature,” written by Victor G. El-Hajj and et. al. appears in the 2022 edition of the The Neurologist. The authors discuss two cases where patients had dental treatment performed and then suffered from neurological impairment due to hyperextension of the neck. Both patients had routine dental treatment done and had their necks overstretched which lead to a hopsital stay. The first patient discussed was a 67 year old man who saw his dentist for bridgework. He had been taking a medication for high blood pressure for nine years but had no history of cerebrovascular events. The man’s dental work took around 45 minutes and he was given local anestheisia. His neck had to be extended during the procedure to … Read more

Migraine Sufferers that are Old could have Silent Brain Injury

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An interesting study appears in the May 2014 issue of Stroke titled “Migraine, White Matter Hyperintensities, and Subclinical Brain Infarction in a Diverse Community: The Northern Manhattan Study,” written by Teshamae Monteith and et. al exploring migraine headaches. The article finds that older migraine sufferers are more likely to have silent brain injury. The study found that people who have a history of migraine headache had a double the chance likelihood of having ischemic silent brain infarction compared to those who did not suffer from migraine headache. A silent brain infarction is a type of brain injury that is mostly likely caused when a blood clot interrupts blow flow to brain tissue. These type of injuries occur without any symptoms and is believed to play a role in future strokes. The risk of this occurring is considered small; however, those … Read more

Women Who Receive Dental Care Have Lower Heart Disease Risk

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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