Healthy Gums and a Healthy Heart: The Perio-Cardio Connection

Healthy Gums and a Healthy Heart: The Perio-Cardio Connection
Newly released clinical recommendations encourage cardiologists to examine the mouth and periodontists to ask questions about heart health
 
CHICAGO – (June 1, 2009) – Cardiovascular disease, the leading killer of men and women in the United States, is a major public health issue contributing to 2,400 deaths each day. Periodontal disease, a chronic inflammatory disease that destroys bone and gum tissues that support the teeth affects nearly 75 percent of Americans and is the major cause of adult tooth loss. And while the prevalence rates of these disease states seems grim, research suggests that managing one disease may reduce the risk for the other.  

 
A consensus paper on the relationship between heart disease and gum disease was recently published concurrently in the online versions of two leading publications, the American Journal of Cardiology (AJC), a publication circulated to 30,000 cardiologists, and the Journal of Periodontology (JOP), the official publication of the American Academy of Periodontology (AAP). Developed in concert by cardiologists, the physicians specialized in treating diseases of the heart, and periodontists, the dentists with advanced training in the treatment and prevention of periodontal disease, the paper contains clinical recommendations for both medical and dental professionals to use in managing patients living with, or who are at risk for, either disease. As a result of the paper, cardiologists may now examine a patient's mouth, and periodontists may begin asking questions about heart health and family history of heart disease.   
 
The clinical recommendations were developed at a meeting held earlier this year of top opinion-leaders in both cardiology and periodontology. In addition to the clinical recommendations, the consensus paper summarizes the scientific evidence that links periodontal disease and cardiovascular disease and explains the underlying biologic and inflammatory mechanisms that may be the basis for the connection. 
 
According to Kenneth Kornman, DDS, PhD, Editor of the Journal of Periodontology and a co-author of the consensus report, the cooperation between the cardiology and periodontal communities is an important first step in helping patients reduce their risk of these associated diseases. "Inflammation is a major risk factor for heart disease, and periodontal disease may increase the inflammation level throughout the body. Since several studies have shown that patients with periodontal disease have an increased risk for cardiovascular disease, we felt it was important to develop clinical recommendations for our respective specialties. Therefore, you will now see cardiologists and periodontists joining forces to help our patients."
 
For patients, this may mean receiving some unconventional advice from their periodontist or cardiologist. The clinical recommendations outlined in the consensus paper advise that periodontists not only inform their patients of the increased risk of cardiovascular disease associated with periodontal disease, but also assess their risk for future cardiovascular disease and guide them to be evaluated for the major risk factors. The paper also recommends that physicians managing patients with cardiovascular disease evaluate the mouth for the basic signs of periodontal disease such as significant tooth loss, visual signs of oral inflammation, and receding gums.
 
While additional research will help identify the precise relationship between periodontal disease and cardiovascular disease, recent emphasis has been placed on the role of inflammation - the body's reaction to fight off infection, guard against injury or shield against irritation. While inflammation initially intends to have a protective effect, untreated chronic inflammation can lead to dysfunction of the affected tissues, and therefore to more severe health complications.
 
"Both periodontal disease and cardiovascular disease are inflammatory diseases, and inflammation is the common mechanism that connects them," says Dr. David Cochran, DDS, PhD, President of the AAP and Chair of the Department of Periodontics at the University of Texas Health Science Center at San Antonio. "The clinical recommendations included in the consensus paper will help periodontists and cardiologists control the inflammatory burden in the body as a result of gum disease or heart disease, thereby helping to reduce further disease progression, and ultimately to improve our patients' overall health. That is our common goal."
 

Velscope is one of the TOP 100 Products of 2009!

I thought you might be interested in reading this press release from Oral Health Journal. Advanced Dental has two Velscope units that we've been using for oral cancer screening for the last two years. Your health is our number one concern. Every patient should have a Velscope screening at least once a year. This is done at one of your hygiene visits. If you have any questions regarding the Velscope or oral cancer, please contact our office and we'll be happy to assist you.

 

Source: www.oralhealthjournal.com
Author: press release

LED Dental Inc. announced today that its VELscope system was named one of Top 100 Products of 2009 by Dentistry Today.
Ralph Green, D.D.S., M.B.A., president and CEO of LED Dental's parent, LED Medical Diagnostics, said, "When you consider that there are over 50,000 products in the dental industry, to be named one of the top 100 products for three consecutive years is quite an honor."

Since its introduction, over 4,500 systems have been sold worldwide, and over 4.5 million VELscope examinations have been conducted. LED Dental estimates that over 3 million examinations will be conducted in 2009 alone.

The tissue fluorescence visualization technology platform on which the VELscope system is based is the culmination of over $50 million in research funded by the National Institutes of Health and other respected institutions and conducted by such leading organizations as the British Columbia Cancer Agency and the University of Texas's M.D. Anderson Cancer Center. The VELscope system also helps clinicians discover precancerous lesions and many other types of oral mucosal abnormalities.
Independent surveys of dental practices using the VELscope system indicate extremely high satisfaction among clinicians and patients alike. Clinicians report satisfaction levels of 90% and higher for the VELscope system's ability to detect lesions that otherwise would have been missed, for ease of incorporation into the practice, and for patient comfort and convenience. Surveys also indicate that VELscope exams take only 2-to-3 minutes, and that patients appreciate the fact that no distasteful rinses or messy dyes are involved. Moreover, the exams are considered affordable by the vast majority of patients and can be financially beneficial to the practice. Said Dr. Green, "This impressive feedback is a clear indication that every dental practice should have a VELscope system." In fact, he points out, several customers have added a second system to their practice.

"Our mission is to help reduce the mortality rate of oral cancer by 70%, which is approximately the impact on cervical cancer mortality that is attributed to the Pap smear," said Dr. Green. "We have a long way to go, but with the cooperation of dental practices who are willing to step up and act as the first line of defense against this disease, I am confident that we can get there."