How Good Oral Health Protects Your Heart


Posted on Feb 16, 2023 by William J. Claiborne, DDS MS

Having just celebrated Valentine’s Day, hearts were everywhere. The heart was mentioned in poems, cards, gifts and even in the shape of boxes that contained candy.

Your heart (the one in your chest) and your oral health are actually very much related. You may not realize how connected your mouth is to your heart.

Bacteria in our bodies is not always a bad thing. For example, certain bacteria in the gut actually enhance the process of digestion and help to keep the digestive system operating efficiently.

However, certain bacteria are bad. When too much bacteria invade the body, the immune system becomes overburdened. In bacteria overload, the body’s natural defense response, white blood cells, aren’t always able to conquer infection. This is when your doctor may prescribe an antibiotic – to give the immune system added reinforcements.

According to a report on the health of Americans (published by the Centers for Disease Control & Prevention), it is estimated that over 47% have some form of gum disease. Although we all aspire to have a smile that is appealing, it is what lies beneath the teeth and gums that can wreak havoc on one’s overall health.

Over time, inadequate daily oral hygiene enables an overload of bacteria in the mouth. For people who have habits such as smoking, unhealthy diets, and alcohol consumption, their vulnerability is even more susceptible to this bacterial buildup.

This is also true for people as they age. Aging contributes to a reduced ability to produce saliva, the mouth’s oral rinsing agent. When saliva flow fails to ‘wash away’ bacteria at sufficient levels, the accumulation runs rampant.

Oral bacteria are living, eating, and reproducing organisms. They thrive on rotting food particles caught between teeth. They attack gum tissues and tooth enamel. Eventually, they can work their way down tooth roots and attack the bones and tendons that support teeth.

Through tears in diseased gum tissues, this infectious bacteria can enter the bloodstream. This potent bacteria are now associated with a number of serious health conditions due to their ability to trigger systemic inflammation.

When the gum tissues can no longer combat the onslaught of bacteria, there can be very few signs of periodontal (gum) disease initially. Signs that emerge are typically frequent bad breath along with swollen, tender and beefy red gums that bleed when you brush. As they grow in number, the gum tissues become weaker and they can penetrate the bloodstream.

According to the American Academy of Periodontology (www.perio.org),

“Several studies have shown that periodontal disease is associated with heart disease. While a cause-and-effect relationship has not yet been proven, research has indicated that periodontal disease increases the risk of heart disease.

“Scientists believe that inflammation caused by periodontal disease may be responsible for the association.

“Periodontal disease can also exacerbate existing heart conditions. Patients at risk for infective endocarditis may require antibiotics prior to dental procedures. Your periodontist and cardiologist will be able to determine if your heart condition requires use of antibiotics prior to dental procedures.”

For this reason, cardiologists are more often advising their patients to be evaluated by a periodontist prior to heart surgery. As mentioned above, gums that bleed are a sign of gum disease. These oral bacteria, given an opportunity to enter the bloodstream, are able to travel anywhere, including the heart. They can reach the heart muscle and cause a severe infection.

As an Asheville periodontal specialist, I have an up-close view of the damaging affects of insufficient oral hygiene. If you are experiencing any of the following symptoms of gum disease, please know that it will only worsen without treatment.

Common signs are:
• Gums that bleed easily when brushing
• Tender or swollen gums
• Gum recession
• Frequent bad breath
• Gums that darken in color from a healthy pink to red
• Gus pockets that form near the base of some teeth

Gum disease is also the nation’s leading cause of adult tooth loss. And, studies have shown that the loss of natural teeth compromises the digestive process, social confidence and one’s lifespan.

If you’ve failed to be fully committed to your oral health, there is no better time to begin than the present. Start with a thorough periodontal examination. Call 828-274-9440.

If dental fears have prevented you from having regular dental care, consider beginning with a consultation. This occurs in a comfortable, private consultation room that is removed from the clinical side of the office. Let’s protect you, top to bottom, beginning with your smile!

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