Exploring the Connection Between Oral Hygiene and Cardiovascular Health

Understanding the Association Between Oral Bacteria and Disease

The interplay between our smile and heart is truly fascinating. This article explores the relationship between oral hygiene and disease, particularly cardiovascular disease.

Inflammation, though a vital part of our body’s defense mechanism, plays a dual role, proving to be a blessing in some cases and a curse in others. When discussing oral health, inflammation is the body’s response to harmful bacteria that gather in the mouth if oral hygiene isn’t properly maintained. This can lead to oral conditions like periodontitis. But here’s the catch: the story doesn’t end within the confines of our mouth. This state of chronic inflammation can give rise to more systemic issues, much like a domino effect that can reach our hearts.

Studies have linked chronic oral inflammation to cardiovascular diseases. How, you ask? The inflammation in your mouth can lead to swollen and bleeding gums, which allows the bacteria to enter your bloodstream. Once they’re in your system, these bacteria can contribute to the formation of clots and plaque build-up in your arteries, a condition known as atherosclerosis. This, in turn, can increase your risk of heart disease.

The Domino Effect: Oral Bacteria’s Impact on Heart Disease

Infections and inflammation triggered by oral bacteria may significantly contribute to the development of cardiovascular diseases.

Acute inflammation, an unsung hero of our bodily systems, stands ready to champion our recovery from harm, injuries, and infections. It plays a vital role in our health, immediately acting at any sign of threat. However, when this emergency response overstays its welcome and becomes chronic inflammation, it becomes a serious problem for our health with an endless cycle of inflammation.

This constant state of red alert burdens our bodies, exacerbating systemic health issues and disease states like atherosclerosis, heart disease, and autoimmune conditions. This is a vicious cycle where underlying conditions like periodontitis and autoimmune diseases add an ever-increasing burden of inflammation to the slow burn of heart disease. This fast-tracks our risk of heart disease and stroke.

While inflammation is a necessary defense mechanism, chronic inflammation becomes a serious enemy worthy of immediate action. Keeping inflammation in check, starting with proper oral hygiene, is likely a key strategy in sustaining our overall health and well-being.

The Emergence of Oral Bacterial Testing

A new tool, oral bacterial testing is a groundbreaking field that paves the way for personalized oral hygiene and broader health strategies. With these tests, we can identify different bacterial strains in our mouth – a complicated ecosystem hosting hundreds of bacterial species. Like me, you might want to know if your mouth has the bacteria associated with heart disease. When I was told I had five of the six strains implicated in heart disease, it lit a fire under my butt to take action. I’ll go over what I did below, but it isn’t simply killing all bacteria but rather those that are harmful to our health. Too little is known about all the bacteria in our mouths and guts to wipe them out. However, knowing that you have some bad actors allows you to take targeted action using specific treatments and preventative measures, such as specific rinses and light and laser therapies. 

Imagine a future where your toothpaste and mouthwash are custom-formulated to combat your unique bacterial profile, reducing your heart disease risk! 

If you want to learn more, try searching for Oral DNA testing

Oral Hygiene Practices for Enhanced Cardiovascular Health

Finally, let’s explore some practical tips. As someone who has personally experienced the benefits, I can attest that implementing effective oral hygiene practices can significantly reduce the risks associated with cardiovascular disease. I incorporate regular flossing, water flossing, and oral care products containing nano-hydroxyapatite into my routine. 

The magic of oral health may well rest in your pantry or medicine cabinet. Take salt, hydrogen peroxide, baking soda, and xylitol to concoct inexpensive yet effective oral rinses.

Here are some of the rinses I have used - often, I will mix several of these in my water flosser.  

Saltwater rinse: A saltwater rinse can help soothe inflamed gums and accelerate the healing of oral wounds by drawing out toxins.

Baking soda rinses: works similarly to saltwater rinses and raises salivary pH significantly. It may be considered a cheap and effective alternative to chlorhexidine and alcohol-based mouthwash, especially for long-duration usage.

Hydrogen peroxide rinse: Hydrogen peroxide is a hidden gem known for its antibacterial properties. When used correctly as a mouth rinse, it can aid in reducing plaque and whitening teeth. I mix it with approximately 30:1 water to peroxide.

Xylitol rinses: Meanwhile, xylitol, a natural sweetener, does wonders in fighting tooth decay. Xylitol rinses help to neutralize pH in our mouths, inhibit the growth of bacteria, and promote saliva production, which is essential for maintaining oral health.

So, the next time you reach for your branded mouthwash, remember that these household staples could be your new weapon in maintaining good oral hygiene and, by extension, help protect your heart. 

Additional Therapies to Consider

Laser therapy is not a standalone treatment but works with traditional therapies. In periodontal laser therapy, your periodontist uses a laser to access and remove the inflamed gum tissue from around your tooth’s root. They then remove the tartar and plaque below and around your gumline. Next, they use a different tool to smooth out rough spots on your tooth above and below the gumline. Removing these rough spots reduces the risk of your teeth and gums attracting more bacteria and developing future infections. Biolase

Intraoral blue light technology has been proven to reduce the number of potentially pathogenic oral bacteria that can cause gum disease and bad breath and are linked to cardiovascular disease, stroke, premature birth, and low birth weight. Photomedics.

Wrap-up

While all these discoveries are significant, further studies are needed to authenticate some of these observations and comprehend the underlying mechanisms. But in my opinion, what appears to be clear is that inflammation in the mouth or other areas exacerbates the inflammation driving heart disease and atherosclerosis. Based on this research, I got serious about my oral health, and maybe it's something you should consider too.

Please note that while I am passionate about preventive health and wellness, I am not a doctor. The information and recommendations discussed throughout this document are based on my own research and personal experience. They should not replace professional medical advice. Always consult your doctor, dentist, or other healthcare professional before changing your health regime, especially if you have any pre-existing medical conditions. Remember, your journey toward optimal health is a team effort, and you should never hesitate to seek professional advice when making decisions that could impact your health.

References:

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3084572/

    Leishman SJ, Do HL, Ford PJ. Cardiovascular disease and the role of oral bacteria. J Oral Microbiol. 2010 Dec 21;2. doi: 10.3402/jom.v2i0.5781. PMID: 21523220; PMCID: PMC3084572.

  2. Oral Microbiome Is Associated With Incident Hypertension Among Postmenopausal Women

    Michael J. LaMonte PhD, MPH mlamonte@buffalo.edu , Joshua H. Gordon MD, PhD , Patricia Diaz‐Moreno DDS, PhD , Christopher A. Andrews PhD , Daichi Shimbo MD , Kathleen M. Hovey MS , Michael J. Buck PhD , and J. Wactawski‐Wende PhD

    Originally published2 Mar 2022https://doi.org/10.1161/JAHA.121.021930Journal of the American Heart Association. 2022;11:e021930

  3. https://www.nature.com/articles/s41569-022-00825-3

    Tonelli, A., Lumngwena, E.N. & Ntusi, N.A.B. The oral microbiome in the pathophysiology of cardiovascular disease. Nat Rev Cardiol20, 386–403 (2023). https://doi.org/10.1038/s41569-022-00825-3

  4. https://pubmed.ncbi.nlm.nih.gov/32220421/

    Liu XR, Xu Q, Xiao J, Deng YM, Tang ZH, Tang YL, Liu LS. Role of oral microbiota in atherosclerosis. Clin Chim Acta. 2020 Jul;506:191-195. doi: 10.1016/j.cca.2020.03.033. Epub 2020 Mar 24. PMID: 32220421.

  5. https://www.mdpi.com/2075-1729/13/1/182

    Neculae, E.; Gosav, E.M.; Valasciuc, E.; Dima, N.; Floria, M.; Tanase, D.M. The Oral Microbiota in Valvular Heart Disease: Current Knowledge and Future Directions. Life2023, 13, 182. https://doi.org/10.3390/life13010182

  6. https://www.sciencedaily.com/releases/2015/04/150416132205.htm

    Cell Press. "Connection between mouth bacteria, inflammation in heart disease." ScienceDaily. ScienceDaily, 16 April 2015. <www.sciencedaily.com/releases/2015/04/150416132205.htm>.

  7. https://www.sciencedaily.com/releases/2023/02/230214154024.htm

    eLife. "Oral bacteria may increase heart disease risk." ScienceDaily. ScienceDaily, 14 February 2023. <www.sciencedaily.com/releases/2023/02/230214154024.htm>.

  8. https://www.ualberta.ca/school-of-dentistry/about-us/dentistrynews/2023/02/exploring-the-link-between-oral-health-and-heart-health.html

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