Case Western Reserve University School of Dental Medicine and the Cleveland Clinic say that menopausal women may need to see the dentist as many as four times a year to control dental plaque.
Leena Palomo, an assistant professor of periodontics, and Maria Clarinda Beunocamino-Francisco from the Center for Specialized Women’s Health at the clinic completed a comparison study of women on and off bone-strengthening bisphosphonate therapies for osteoporosis.
In the women they studied, they found a marked increase in dental plaque levels, which could endanger the jawbones of postmenopausal women. (Dental plaque is a biofilm that develops naturally on our teeth. If the plaque is left on teeth too long, it triggers gum disease.)
“Menopausal women at risk for osteoporosis also are at risk for periodontal disease, which affects bone that anchors teeth,” says Palomo. “To keep jawbones strong and healthy,” she added, “means getting rid of the dental plaque by seeing the dentist as many as four times a year for deep periodontal cleanings.”
Article by Jim Du Molin
Dental Practice Marketing & Mangement Blog
By Lauren Kent, CNN
Thu July 8, 2021
Maintaining good oral health habits, such as brushing and flossing, may help prevent cognitive impairment and dementia.
(CNN)Flossing your teeth isn't just important for keeping your dentist happy -- it may also protect against cognitive decline.
Good oral health habits like brushing and flossing may prevent cognitive impairment and dementia, according to a new analysis led by researchers at NYU Rory Meyers College of Nursing.
"Given the staggering number of people diagnosed with Alzheimer's disease and dementia each year, and the opportunity to improve oral health across the life span, it's important to gain a deeper understanding of the connection between poor oral health and cognitive decline," said Bei Wu, a professor in global health at NYU Rory Meyers College of Nursing and the senior study author, in a statement.Researchers analyzed 14 studies on tooth loss and cognitive impairment conducted over an extended period of time, which involved a total of 34,074 adults and 4,689 cases of people with diminished cognitive function.The results showed that adults with more tooth loss had a 1.48 times higher risk of cognitive impairment and 1.28 times higher risk of dementia, even when other factors were controlled.And with each additional missing tooth, the risk of cognitive impairment grows, according to the analysis published in JAMDA: The Journal of Post-Acute and Long-Term Care Medicine.
Lisa, one of Dr. Nordland's staff members, shows how to use yarn for flossing.
Adults who experienced tooth loss were more likely to have cognitive decline if they did not have dentures, the new research also revealed.
"We need to think about increasing awareness of the importance of oral health, and we also need to think about preventive treatment and dentures," Wu told CNN.
Dentures are important because they allow patients to maintain a healthy diet, as well as provide "the confidence to smile naturally," according to Dr. James Wilson, president of the American Academy of Periodontology, who was not affiliated with the study.
"Being able to eat a normal diet is extremely important to a person's physical health," Wilson said via email. "The positive self-image that dentures provide a patient works to improve their mental health as well."
Periodontal experts stress the importance of gum health in older adults and other at-risk groups
Press Release from the American Academy of Periodontology
CHICAGO – JANUARY 28, 2019 – A recent study has periodontists, experts in the treatment, diagnosis, and prevention of periodontal disease, encouraging patients to maintain gum health in an effort to reduce their Alzheimer’s disease risk.
The study, published in the journal Science Advances, uncovered a potential link between P. gingivalis, the bacteria associated with periodontal disease (commonly known as gum disease) and Alzheimer’s. Researchers analyzed brain tissue, spinal fluid, and saliva from Alzheimer’s patients—both living and deceased—and found evidence of P. gingivalis. Gingipains, the toxic enzyme secreted by P. gingivalis, were found in 96 percent of the 53 brain tissue samples examined, with higher levels detected in those with the pathology and symptoms of Alzheimer’s disease.
Additionally, researchers including co-author Mark I. Ryder DMD, Professor of Periodontology at the University of California, San Francisco, noted that the presence of P. gingivalis increased the production of amyloid beta, a component of the amyloid plaques whose accumulation contributes to Alzheimer’s. The study confirmed via animal testing that P. gingivalis can travel from the mouth to the brain and that the related gingipains can destroy brain neurons. These findings are noteworthy in that they suggest a biological mechanism for how periodontal disease bacteria may play a role in the development and progression of Alzheimer’s.
According to Richard Kao, DDS, PhD, president of the American Academy of Periodontology (AAP), the professional society representing more than 8,000 periodontists, this study underscores the important role of gum health on overall wellness. “Periodontists have long known that a healthy mouth contributes to a healthy body, and research has suggested an association between periodontal disease and dementia conditions, such as Alzheimer’s,” Dr. Kao said. “These recent findings present strong evidence on how periodontal disease can impact the pathogenesis of Alzheimer’s disease and should highlight how crucial it is to manage periodontal disease, especially in older adults or individuals who have increased risk for dementia.”
Although the study results add to the evidence supporting a link between gum disease and Alzheimer’s, additional research is needed to better understand the etiology of Alzheimer’s and how periodontal disease bacteria can exacerbate progression. An upcoming FDA Phase II clinical trial will assess the benefits of using a novel small molecule inhibitor of these P. gingivalis gingipains in hindering the development and progression of Alzheimer’s. This clinical trial may add further insight to the link between gum disease and Alzheimer’s.
Dr. Kao encourages older adults and other at-risk individuals to maintain diligent oral care and promptly treat periodontal disease to help mitigate Alzheimer’s risk. “More than half of the U.S. population age 30 and older has some form of periodontal disease. Prevalence increases to 68 percent for those age 65 and older. Routine brushing, flossing once a day, and visiting a periodontist can help identify any disease and treat as needed, potentially diminishing the risk of developing Alzheimer’s.”
To learn more about periodontal disease, visit perio.org.
About the American Academy of Periodontology
The American Academy of Periodontology (AAP) represents over 8,000 periodontists—specialists in the prevention, diagnosis, and treatment of inflammatory diseases affecting the gums and supporting structures of the teeth, and in the placement of dental implants. Periodontics is one of the nine dental specialties recognized by the American Dental Association.