In the last five years it has become increasingly apparent that periodontal health can have a major impact on a patient's general health. With periodontal disease, a chronic bacterial infection, there is a higher incidence of bacteria in the bloodstream, which circulates to the various organs of the body. These bacteria may also bind with blood platelets, the clotting components of blood, causing an increase in clot formation in arteries and heart tissues. Patients with periodontal disease have a higher risk factor with the following diseases:
- Cardiovascular Disease - It is thought that chronic periodontal disease may increase a person's likelihood of having a fatal heart attack by nearly TWO fold. Persons with periodontal disease are also more likely to be diagnosed with cardiovascular disease. The increased clot formation seems to be the cause of the higher risk.
- Stroke - Those with adult periodontitis seem to have an increased risk to stroke. Again the clotting problem may contribute.
- Diabetes - It has been known for years that diabetics have a higher incidence of periodontal disease than non-diabetics. Recently, however, it has been shown that diabetics with periodontal disease have a more difficult time in controlling blood sugar levels than those with healthy gums. Untreated periodontal disease results in elevated blood glucose levels, which increases the diabetic's risk for other systemic complications, such as kidney and heart disease. Treatment of periodontal disease has been shown to reduce blood sugar levels.
- Pre-term or Low Birth Weight Babies - Recent research has shown chronic periodontal disease can increase the risk of premature, low birth weight infants by SEVEN times. This risk factor seems to be even greater than that posed by tobacco or alcohol. Pre-term, low birth weight babies are 30 times more likely to die, have a much higher incidence of congenital deformities, and are much less likely to be healthy. The American Academy of Periodontology recommends a periodontal examination as part of routine prenatal care.
- Respiratory Infections - While research is ongoing, it has been shown that the same bacteria found in periodontal disease may cause pulmonary disease. One study found that people with advanced periodontal disease are 4.5 times more likely to have a chronic respiratory disease. It has been suggested that dental plaque buildup creates a source of bacteria that can be inhaled into the lungs, leading to pulmonary diseases.
To sum up, it can be said that to maintain good general health you must also maintain good periodontal health.
Oral Health Care for the Cancer Patient
Dental consultation prior to chemotherapy, radiation therapy, or bone marrow transplantation is now considered to be extremely important in the management of cancer patients. This is especially true in all head and neck cancer patients, regardless of treatment method. Oral health care management of the cancer patient who has had, is having, or will be undergoing chemotherapy, radiation therapy, or bone marrow transplant requires teamwork with the oncologist and other health care providers. Oral health care therapy will be directed towards the prevention, identification, and treatment of infection to help maintain systemic health and improve the overall quality of life for the patient. Coordination of planned dental procedures (restorative dentistry, periodontics, endodontics, orthodontics, oral & maxillo-facial prosthodontics, oral & maxillofacial surgery, oral medicine, and dental radiology) with the oncologist and dentist will help to optimize therapeutic results and minimize potential oral complications resulting from treatment.