The Oral Heart Connection

 
If you have gum disease (also known as periodontal disease) during normal chewing or teeth brushing, bacteria can enter the bloodstream and travel to other parts of the body. It is important to understand how this bacteria can affect your heart and circulatory system.
 

Periodontal Disease

 
Bacteria found in infected gum tissue around teeth during periodontal disease breaks down the epithelial barrier between the gums and the underlying connective tissue.  Once this occurs, a series of inflammatory reactions take place which allow chemical mediators of inflammation, antigens and bacteria to enter the blood stream.  In the bloodstream, bacteria and inflammatory mediators are carried to other parts of the circulatory system where they contribute to the formation of cardiovascular disease.
 

Cardiovascular Disease

 
Cardiovascular disease begins with the weakening of arterial walls.  As they weaken, inflammatory mediators and fatty deposits enter forming “atheromas” within the vessel wall.  When atheromas grow, they are covered by a thin fibrous covering.  When this covering ruptures, it leaves a roughened surface where blood platelets can stick, forming a clot.
 

Coronary Heart Disease

 
If the clot becomes unstable, it may break off and travel down stream where it may ultimately lodge in smaller vessels. Since no blood flow can go beyond the clogged vessel, the tissue the blood was supplying dies. If this scenario occurs in the heart, it is called a myocardial infarction (commonly referred to as a heart attack). If it occurs in the brain, it is called a stroke.
 

Strokes

 
When unstable atheromas rupture and cause clots that block arterial blood supply to the brain, the brain tissue beyond the clot dies causing a stroke.
 

Infectious Endocarditis

 
Sometimes, bacteria from the mouth enters the bloodstream and travels to the heart where it attaches to the heart valves or muscle tissue. This condition is known as infectious endocarditis.
 

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