periodontal disease

Monitoring the Periodontal Status of Wisdom Teeth

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An interesting article titled “Monitoring for Periodontal Inflammatory Disease in the Third Molar Region,” appears in the April 2015, issue of the Journal of Oral and Maxilofacial Surgery written by Brent A. Golden and et. al. (vol. 73, issue 4). The study looked at participants who had asymptomatic wisdom teeth and sought to assess the periodontal status of those wisdom teeth at 2 year intervals for 6 years. The participants in the study were taken to have healthy periodontal status of their wisdom teeth if the probing depths were less than 4 mm. A total of 129 such patients were included in the study. In actuality the study participants were a subsample of another larger study were patients had 4 asymptomatic wisdom teeth. The subsample included all participants with a healthy periodontal status (all probing depths less than 4 mm) … Read more

Periodontal Disease Can Lead to More Risk of Kidney Disease

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As previously discussed on this website periodontal disease is something one should be aware of when considering whether or not to have wisdom teeth removed as periodontal disease can develop when wisdom teeth are maintained. This is discussed over at http://www.teethremoval.com/risks_of_keeping_wisdom_teeth.html. Many previous studies have looked at periodontal disease and how having it can lead to increased risk for other diseases. See for example https://blog.teethremoval.com/high-level-evidence-to-identify-diseases-and-disorders-associated-with-periodontal-disease/, https://blog.teethremoval.com/periodontal-disease-and-pregnancy-risks/, and https://blog.teethremoval.com/periodontal-disease-may-associate-with-breast-cancer/. In the first post mentioned above it was said “The diseases for which an association with periodontitis has been reported include cardiovascular disease (CVD), stroke, respiratory disease, rheumatoid arthritis, pancreatic cancer, diabetes mellitus (types 1 and 2), preterm delivery, low-birth-weight delivery, preeclampsia, osteoporosis and osteoarthritis.” A new study  has now associated periodontitis with an increased risk of kidney disease. The article looked at 699 African American adults who underwent complete dental examinations … Read more

Periodontal Disease and Cardiovascular Risk

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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

Periodontal Therapy Impact on General Health

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An interesting article titled “Impact of Periodontal Therapy on General Health,” appears in the American Journal of Preventive Medicine (published online June 18, 2014) and written by Marjorie Jeffcoat and et. al. The authors attempt to estimate the effects of periodontal therapy on medical costs and hospitalizations among those with type 2 diabetes, coronary artery disease, cerebral vascular disease, rheumatoid arthritis, and pregnancy. The goal was to see if periodontal disease therapy might prevent or mitigate some of the adverse effects associated with the 5 studied conditions. The authors found significant reductions in healthcare costs and hospital admissions for pregnant women and patients with type 2 diabetes, coronary artery disease, and cerebral vascular disease. The authors found that the medical costs for pregnant women were 74% lower than for those with untreated periodontal disease. Patients with both type 2 diabetes … Read more

Gum Disease Bacteria may Facilitate Rheumatoid Arthritis

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As stated over on the risks of keeping wisdom teeth page, gum disease (periodontal disease) has been shown to have associations with many different systemic diseases. One such systemic disease is rheumatoid arthritis (RA). So far, any mechanism has remained elusive. In a recent study appearing in PLoS Pathogens, researchers at the University of Louisville School of Dentistry Oral Health and Systemic Diseases and other researchers from the European Union’s Gums and Joints project have uncovered how the bacteria responsible for periodontal disease known as Porphyromonas gingivalis effects rheumatoid arthritis. The researchers showed that this bacteria leads to faster progression, greater severity and earlier onset of RA and can cause bone and cartilage destruction. The researchers found the bacteria produces a unique enzyme, peptidylarginine deiminanse (PAD), which enhances collagen-induced arthritis (CIA), which is an arthritis produced in the lab designed … Read more