The Surprising Link Between Gum Disease and Systemic Disease

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April 26, 2018

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Gum disease, or periodontal disease, affects millions of Americans. In a 2009-2010 study, researchers showed 64.1 million Americans aged 30 or older had gum disease. Additional research has shown links between gum disease and several other systemic illnesses, including heart disease, diabetes, and others.

Systemic disease is a term used to describe conditions that affect many organs and tissues. In other words, systemic diseases affect the whole body. If you have a systemic disease, it lowers your body’s ability to fight off infection and inflammation.

A growing body of evidence suggests inflammation could be the connection between systemic disease and gum disease, and, as a result, treating the inflammation could help manage both the conditions. However, while it is evident there is a relationship, there is no scientific evidence at this time to suggest a causal relationship between the two. The ADA explains that casual relationships are when two conditions might be related but are caused by a different factor. For example, smokers have a higher risk for developing a systemic condition like heart disease or gum disease than nonsmokers. However, heart disease does not cause gum disease – rather, both are caused by a different factor.

Systemic conditions with connections to oral health include diabetes, heart disease, stroke, and breast cancer, among others. Let’s take a closer look at each of these.

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Diabetes

Research has shown that people with diabetes are more likely to develop severe gum disease and lose more teeth from it than people who don’t have diabetes. Also, gum disease could have adverse consequences on their ability to regulate glucose levels. It creates a circular relationship because the inability to control glucose levels provides an environment for the bacteria that cause gum disease (which thrive on sugars) to grow. Experts agree that controlling blood sugar levels decreases the risk of gum disease, as well as other complications from diabetes.

Heart Disease

Experts see a correlation between oral disease and heart function, although, like all the systemic conditions, it is not a causal relationship. Swelling links the two conditions. Hardened (swollen) arteries are a symptom of heart disease and decrease the flow of blood to your heart, which can lead to a heart attack or a stroke.

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Swollen gums are a main symptom of gum disease. However, in the case of periodontitis, the gum infection develops below the gum line, a cause for concern for people with heart disease. Why? Because that bacteria can now travel throughout the body via the many vascular pathways in the mouth, including those that lead back to the heart. In other words, the more bacteria you have in your mouth, the more bacteria you could have in your heart. Experts agree that if you address your oral health, you may decrease the number of bacteria that could be present in your heart.

Stroke

Researchers in Germany found in a 2004 study that gum disease increased the risk of an ischemic stroke when the patient also had severe periodontitis, particularly for men and for subjects under 60 years of age. An ischemic stroke is a type of stroke caused by a blocked blood vessel the gets blood to the brain. As the relationship with heart disease, the link between gum disease and stroke is the inflammation present for both and the hardening of the arteries that results from it. Experts agree that by preventing gum disease, you decrease the risk factor for certain types of stroke.

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Breast Cancer

Researchers at University of Buffalo’s School of Public Health found in a recent study that women who had gum disease had a 14% overall increased risk of breast cancer over women who didn’t have gum disease. The percentage jumps to over 30% if the woman smokes, or has smoked in the past 20 years. More research is needed to see if there is a connection between the inflammation gum disease causes and the development of breast cancer.

More scientific research is needed to determine if there is a cause-and-effect relationship between the systemic diseases and gum disease inflammation. It is clear by any measure, however, that gum disease isn’t helping the situation in any of these systemic conditions. There is a relationship between the gum disease and these diseases, even if it’s limited to the fact that people who have gum disease tend to have an unhealthy lifestyle that contributes to these conditions.

Sources:

Peke, P. I., et al. “Prevalence of Periodontis in Adults in the United States: 2009 2010.” Journal of Dental Research 91.10 (2012): 914-20. Prevalence of Periodontitis in Adults in the United States: 2009 and 2010. Sage Journals, 30 Aug. 2012. Web. 22 Apr. 2016.

“Periodontal Disease and Systemic Health.” www.perio.org. Web. 22 April 2016. <https://www.perio.org/consumer/other-diseases>

“Oral Health Topics.” www.ada.org. Web. 22 April 2016. < http://www.ada.org/en/member-center/oral-health-topics/oral-systemic-health>

“Diabetes and Periodontal Disease.” www.webmd.com. Web. 24 April 2016. < http://www.webmd.com/diabetes/periodontal-disease>

Miller, Kelli. “Periodontal Disease and Heart Health.” www.webmd.com. Web. 24 April 2016. < http://www.webmd.com/heart-disease/features/periodontal-disease-heart-health>

Grau, MD, Armin J.; Becher, PhD, Heiko; Christoph M. Siegler, M.D., et al. “Periodontal Disease as a Risk Factor for Ischemic Stroke.” Stroke (2004) 35: 496-501. Web Stroke.ahajournals.org. <http://stroke.ahajournals.org/content/35/2/496.full>

Reinberg, Steven. “Link Between Gum Disease, Breast Cancer Risk?” www.webmd.com. Web. 24 April 2016. <http://www.webmd.com/breast-cancer/news/20151221/study-suggests-link-between-gum-disease-breast-cancer-risk>

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Евгения Салабута

Let me start by saying Dr Gorbatov is amazing, a true credit to the art of dentistry. He is a perfectionist and his assistant Lidi is amazing also in her... Read more

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igor gorodetsky

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The dentist fit me in last minute when my normal dentist was unavailable I tried them on the recommendation of a friend after I broke a veneer and had 3... Read more

Mark Krawiec (Hollywood, FL)

A crown fell out and needed to be cemented back in place. Called this morning and left message. Returned call and got an appointment 1.5 hour later.Friendly staff and everything... Read more

Stephen Waldman

I am grateful to reach the hands of Dr. Gorvatov,my dental surgery has been successful, he was very professional when deciding what to do with my tooth, thinking about the... Read more

EP TECH USA

When I first found this office I was terrified of the dentist and I had constant anxiety when seeing dentists. Now I look forward to cleanings and my anxiety is... Read more

Hayley Kaplan (Wellington, FL)

Dr. Gorbatov is one of the most wonderful professionals I’ve ever been to. His team is very kind, professional and caring. One of the best dentist’s experiences I’ve ever had.

Yana Dmitrieva

High-level professionals. Thank you, Dr. Gorbatov. I'm going to recommend your clinic to my friends. With best regards!

Vlad Shishko (Sunny Isles, FL)

I have been a patient of dr.Gorbatov for almost 10 years. His approach to every dental problem or concern is extremely professional and very compassionate. My complicated oral surgery went... Read more

Serguei Eremkine

Me atendieron de urgencia, excelente atencion y servicio. Lidi y carolina, muy simpaticas y una atencion de lujo!

Jonatan G. Samoluk

One of the best dental offices in my life. Very professional and cordial staff from the front desk to the dentistry team.

Вадик-Ванадик Vadik-Vanadik

This is the first time I’m writing a review for anyone. I decided to share as this office and practice deserves the the 5 stars for the 5 stars service... Read more

Oksana Libovych

The best dentist! I recommend. The crown that was placed in another country fell out, everything was done in a second, it is more convenient than it was before. thanks... Read more

Алёна Давыденко

Thank you Dr. Gorbatov for the great experience, your gentle touch and quality work you have done on my teeth. I have been very pleased with your professional, yet personable... Read more

Irina D. (Port Orange, FL)

Thanks to Dr.Gorbatov and his team to save my teeth! They helped me to revise other dentist's mistake.Team very professiinal, attentive to my needs and details of case. Will continue... Read more

Sergii Cherednyk

I had a wonderful experience at the office. I had a root canal done. The dentist was very gentle and soothing. His hygienists were super nice and friendly. Would recommend... Read more

Nellie

Great service Knowledgeable doctor Friendly staff 5+ stars!! Someone hacked into my account and gave false review. Not me!!! Outstanding service @ Dr Gorbatov Dentistry!!!!

Ellen Zlobinskiy (Hallandale Beach, FL)

Thank You so much for great service, I’m very satisfied with the level of service I received can definitely recommend

Janina Grabska

I had an amazing experience with Dr Gorbatov and his excellent staff. I went to him for a second opinion and he told me I did not need any work... Read more

James Borelli

This is the best dentist in the world who really cares about each and every patient and makes your smile look perfect! After visiting the new office you will be... Read more

Kseniia Dursinova (Sunny Isles, FL)

I had been looking for a dentist for a few months and I was referred to Dr. Gorbatov and I can certainly see why. I've always been a little skeptical... Read more

Jazlyne Jimenez (Hallandale Beach, FL)

Excellent Care, Excellent Costumer Service, Good quality office, and Professional Doctor.

Zbigniew Krawiec

I am usually very scared of dentists and specially surgery but today Dr. Gorbatov and his wonderful team made the experience go seamless and they are very professional and knowledgeable... Read more

Marlene Girard

It was my first visit to this clinic and I am soooo happy I came here! The doctor Dmitry Gorbatov big professional and wonderful person! Hygienist Lilia is the best!!!... Read more

Tatyana Rodina

Very gentle. Did not feel the needles. Dr. Gorbatov has great bedside manners. Explain the treatment in detail.

qspasalon hollywood beach florida

Great Dentist and Team. Fantastic experience and service. My husband had a dental emergency while on vacation and Anna got us in immediately. Dr. Gorbatov is very attentative and caring... Read more

Giannotti Jessi

The best dental office and dentist Highly recommend for my friends and family ❤️

Valentina Zhdan

it was the best experience ,dr. Gorbatov, is the best dentist in the world, special thanks to Lidice (assistant) . thank you all.

Alexey Evdokimov

The receptionist goes above and be on for the customers. Excellent service the doctor treats you with all his attention feels like I’m right at home and explain everything detailed.... Read more

Sophie Garcia (Royal Palm Beach, FL)

Today I visited Dr. Gorbatov office for the first time. I am from Moscow, last time I had my dental exam in Russia I was pleased however coming to this... Read more

Roman AR

I want to say that this office and the staff are by far the best professionals in dentistry in Hollywood!! they become family!! I want to thank you all for... Read more

norma masoud

I had an amazing experience here. Lily the hygienist is the best she’s so nice and didn’t stop until my teeth were perfect. I love her I’ll be back soon... Read more

Auto Sales

I'm very thankful with the doctor and the entire office staff. Very professional work and excellent treatment.

Guillermo Ricard

I take my 90yr great grandmother to this office and they are so kind and she feels so loved here. Every visit she receives excellent service and quality work. Thank... Read more

Farron Ann (Wellington, FL)

Everyone was kind, Professional and very concerned for my best interest and well being. They double check everything to make sure it is correct. Dr. Gorbatov is a first class... Read more

Mark Krawiec

I would definitely recommend Dr. Gorbatov and his staff for all your dental requirements.

Bro. Nelson

First time here the staff and Dr were so informative and professional thank you for making my experience run so smooth ?

Evelyn Garcia (Greenacres, FL)

Incredible how I was just taking my mother to her dentist appointment to me ending up becoming a patient, Jessica greeted me with such warmth and compassion and immediately noticed... Read more

Aracelis Figueroa (Wellington, FL)

Dr. Gorbatov was very thorough and went over all concerns I had (I'm not really a fan of the dentist). He is definitely the nicest Dentist I have ever been... Read more

Sofia Rodriguez (Hallandale Beach, FL)

Most beautiful veneers ! Dr. Gorbatov is the most talented doctor ever !Air flow cleaning is the best in their clinic ❤️

Julia Zhguleva

Highly recommend this dental office. Dr. Gorbatov provides high quality, state of the art dental services. He has a very calming demeanor and the entire staff is professional, warm and... Read more

Valerie

Great doctor, excellent service, very friendly, proffecionalHighly recommend!!!

Kisa Kisa

I love this dentist office the service here is very fast and comfortable. The staff is extremely nice and caring. I recommend this dentistry to everyone :)

Анна Anna

The atmosphere in this office is beyond believe, I instantly felt comfortable with Dr Dimitiri and his assistant Yuri. They work great together. I had 6 veneers put in and... Read more

Ruslan Gahramanov (Sunny Isles Beach, FL)

Absolutely the best doctor and staff. I was afraid of any and all oral procedure. Dr Gorbatov did all my oral surgery without any pain involved. I do not even... Read more

Sharon Shields

They have the best physicians and hygienists possible. I have never had a cleaning as thoroughly as lily. They also did an amazing job on my Invisalign

Jamal Mustafa

Fast service and the best staff! I highly recommend this Dentist. I've been going to this Dentist for 2 years and I travel far now just to come here. They... Read more

Christine (Orlando, FL)

One of my greatest experiences at the dentist, had Lidi as an asisstant very friendly and professional, for my cleaning i’ve had my hygienist Carolina was one of the best... Read more

irina condrea

Well I’ve been going to Dr. Gorbatov since 1996.... Yes ! I’m a loyal. With all the dental issues I’ve had, he’s been able to resolve them and been keeping... Read more

Burke Crump (Wellington, FL)

I went to the doctor’s office today and the service was great, fast , proficient and very helpful for me. People was very friendly and nice

Natalia Smirnova

The dentist is very friendly and gentle during procedures.

Sofie M (Sunny Isles Beach, FL)

Had an amazing experience. Staff was very caring and nice. They are very honest

Billie Selinsky (Wellington, FL)

I usually don't like to go to dentists, but they were very professional and good

Ann Marie Caruso

One of a kind dentist. Always take the time and explain to you all the choices. He does have a smile for me every time I have to go to... Read more

Liviomail

Everyone in the office is super amazingly fantastic! They're informative and understanding. Dr. Gorbatov has done great work on my teeth! The dental hygienist has been a charm, makes every... Read more

John Kern (Hollywood, FL)

FIVE STARS! I left my pre you’d Hollywood dentist because she refused to do a simple noninvasive ADA recommended preventive treatment, and insisted I needed an implant. In addition her... Read more

therese costa

I don’t usually post reviews but wanted to give a shot out to DR. Gorbatov and his staff at the office. While vacationing in Florida last week, I had unbearable... Read more

Alla Cotler

I've been looking for a good dentist since So. FL lacks them. Not anymore, great professional services, and best of all, you will find a personal touch. You will truly... Read more

ML GG (Aventura, FL)

Good quality office, and dental work.

Igor Gonchar (Hallandale Beach, FL)

I just moved from California and immediately fell into the "trap" of Dr.Gorbatov. Was very pleasantly surprised. Firstly, a knowledgeable sociable Doctor with "golden hands". Secondly, the wonderful staff, especially... Read more

Naum Berdichevsky

S u p e r b ...Immaculate dentistry! I was impressed with a GREAT attention to details! His work is truly an ART and priceless! Everyone in the office is... Read more

Gordana Skracic (Aventura, FL)

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