Vital Signs
6:45 am
Mon July 8, 2013

One More Reason To Watch Your Mouth

A dental exam will certainly spot cavities, gum disease and other signs of poor oral health, but research is showing the mouth can also show early signs of health problems elsewhere in the body. Dr. Charles Wakefield is a professor and director of the advanced education in general dentistry residency program at Texas A&M University Baylor College of Dentistry. He shares some examples in this edition of Vital Signs.


The KERA Interview

For more information:


Oral Heath and Diabetes


Gum Disease and Pregnancy


How To Prevent Gum Disease


Proper plaque control: Professional cleanings at least twice a year and daily brushing and flossing. Brushing eliminates plaque from the surfaces of the teeth that can be reached; flossing removes food particles and plaque from in between the teeth and under the gum line.



Other health and lifestyle changes that will decrease the risk, severity, and speed of gum disease development include:



  • Stop smoking. Tobacco use is a significant risk factor for development of periodontitis. Smokers are seven times more likely to get gum disease than nonsmokers, and smoking can lower the chances of success of some treatments.

  • Reduce stress . Stress may make it difficult for your body's immune system to fight off infection.

  • Maintain a well-balanced diet. Proper nutrition helps your immune system fight infection. Eating foods with antioxidant properties -- for example, those containing vitamin E ( vegetable oils, nuts, green leafy vegetables) and vitamin C (citrus fruits, broccoli, potatoes) -- can help your body repair damaged tissue.

  • Avoid clenching and grinding your teeth. These actions may put excess force on the supporting tissues of the teeth and could increase the rate at which these tissues are destroyed.

Causes of Gum Disease:


Plaque is the primary cause of gum disease. However, other factors can contribute to periodontal disease. These include:



  • Hormonal changes, such as those occurring during pregnancy, puberty, menopause, and monthly menstruation, make gums more sensitive, which makes it easier for gingivitis to develop.

  • Illnesses may affect the condition of your gums. This includes diseases such as cancer or HIV that interfere with the immune system. Because diabetes affects the body's ability to use blood sugar, patients with this disease are at higher risk of developing infections, including periodontal disease and cavities.

  • Medications can affect oral health, because some lessen the flow of saliva, which has a protective effect on teeth and gums. Some drugs, such as the anticonvulsant medication Dilantin and the anti-angina drug Procardia and Adalat, can cause abnormal growth of gum tissue.

  • Bad habits such as smoking make it harder for gum tissue to repair itself.

  • Poor oral hygiene habits such as not brushing and flossing on a daily basis, make it easier for gingivitis to develop.

  • Family history of dental disease can be a contributing factor for the development of gingivitis.

Symptoms of Gum Disease


Gum disease may progress painlessly, producing few obvious signs, even in the late stages of the disease. Although the symptoms of periodontal disease often are subtle, the condition is not entirely without warning signs. Certain symptoms may point to some form of the disease. The symptoms of gum disease include:



  • Gums that bleed during and after tooth brushing

  • Red, swollen, or tender gums

  • Persistent bad breath or bad taste in the mouth

  • Receding gums

  • Formation of deep pockets between teeth and gums

  • Loose or shifting teeth

  • Changes in the way teeth fit together upon biting down, or in the fit of partial dentures.

  • Even if you don't notice any symptoms, you may still have some degree of gum disease. In some people, gum disease may affect only certain teeth, such as the molars. Only a dentist or a periodontist can recognize and determine the progression of gum disease