Dr. McGlennen: Like periodontitis, rheumatoid arthritis (RA) is a chronic inflammatory condition. But unlike periodontitis, where the genesis of the inflammation is the complex infections in the gingival sulcus, the cause of RA is unknown. Recent studies, however, provide insights that, in part, oral bacteria play a role in evoking an abnormal immune response that then leads to joint disease. In a recent meta-analysis of 21 separate studies, there was a significantly increased risk of per...
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How Do You Speak
How do you speak Cardiovascular Disease and Periodontal Disease to your patients?
Dr. McGlennen: There is consensus within the medical and dental community that periodontal bacteria contribute to the initiation, progression and prognosis of cardiovascular disease. From key studies, including prospective, retrospective and even meta-analysis studies, persons with untreated periodontal infections have up to a 20% increase in their risk of coronary vascular disease.1 The multiple of risk for stroke (1.74-2.85 fold) and peripheral vascular disease (1.41-2.27 fold) is equal or...
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How do you speak Risk of Cancer and Periodontal Disease with your patients?
Dr McGlennen: Cancer is a word that receives a lot of attention. There are walks, runs and bike rides every day to raise awareness of various types of cancers and billions of dollars are spent on research directed to improve diagnosis and treatments. As health care professionals, we should perform a cancer risk assessment for each patient with a goal to reduce the patient’s risk and to find cancers earlier when cure is more likely. One way that the dental office can contr...
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How do you speak Metabolic Health/Diabetes and Periodontal Disease to Your Patients?
Dr. McGlennen: Many resources confirm a bi-directional relationship between periodontal disease and Type II diabetes; which in simple terms means if you have one, you will most likely have the other. Elevated levels of periodontal bacteria can directly cause hyperglycemia.1 Long term, the inflammation associated with increased pathogen burden can affect the health of the pancreas. Specifically, there is the risk of the loss of beta cells that produce insulin and respond to elevated blood glu...
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