That negligent dental care calls the bacteria in the oral cavity on the plan to etch holes in the tooth and dig into the gum is known. That this destructive work also has a not inconsiderable influence on the whole organism is new. Scientists are becoming increasingly aware that the microbes in the mouth are associated with heart attacks, strokes or diabetes. People with periodontal disease experience at least two times more often a heart attack.
Periodontal: health effects
Not only is a heart attack twice as likely in people with periodontitis: the same goes for the likelihood of having a stroke. Interesting: In the vascular occlusions of infarction and stroke patients, physicians have found the same microorganisms that usually settle only in the inflamed gums. Moreover, the more inflammatory the mouth, the more likely arteriosclerosis, heart or cerebral infarction.
A fatal game with the health drive the bacterial Winzlinge above all, if the affected person additionally smokes, overweight or is a movement mustache. A denture inspection is also worthwhile before a planned pregnancy, among smokers and diabetics. For example, a quarter of premature births in the US can not be explained by known triggers such as smoking, alcohol or multiple pregnancies.
Periodontitis in pregnant women
From animal experiments it is known that toxins released by bacteria can cause premature births. Therefore, it is reasonable to assume that even pregnant women with manifest gingivitis have a greater risk of giving birth to a low birth-weight preemie.
These bac terial toxins are able to boost labor. According to recent studies, the risk of preterm birth is sevenfold higher in expectant mothers with periodontitis.
Periodontitis in smokers
The bacterial fiends in the mouth feel particularly at home in smoker's mouths. Smokers are three times more likely to have gum inflammation and decline than nicotine-abstainers. In addition, the success of periodontitis therapy and wound healing in smokers are significantly reduced in comparison to non-smokers.
In smokers, it is always extremely difficult to get rid of the causative bacteria through dental measures: 88 percent of non-smokers were after a therapy at the dentist free of the bacterial companions compared to 33 percent of non-smokers.
The presumption of the dentists: On the one hand makes the increased plaque smoker teeth prone, on the other reduces cigarette smoke perfusion and resistance of the gums.
Periodontitis in diabetics
Periodontitis is also in urgent suspicion to join in the diabetes events. At least the teeth of diabetics are about twice as likely to suffer from decay or periodontitis. And vice versa, periodontitis also seems to adversely affect the blood sugar control of the diabetic. The higher the blood sugar level, the more frequently appear periodontitis and caries bacteria in appearance. Studies have shown that successful periodontal treatment can reduce the daily amount of insulin needed.
What makes the bacterial mouth inhabitants so dangerous? Initially unnoticed and thus not painful, the settlers in the mouth specifically exploit the weak point of the gums: the hem cells, which adhere directly to the tooth and anchor the tooth in the bony tooth compartment. The bacteria release toxins that penetrate into the hemi-skin, loosen it up and make it permeable. Over time, more and more toxins enter the connective tissue; this ignites.
Bacteria promote fading in the mouth
If you do not control with the right dental care and a visit to a dentist, the gums quickly redden and swell; Gingivitis is what dentists call this unattractive result. When eating and lightly touching the tissue bleeds. In the process, pockets and teeth are created between tooth and meat, which can dig in several millimeters deep.
Over time, the bones are also affected. Leftovers give food to the bacteria; they multiply explosively. The gums only retreat, because the bacteria in the periodontal pocket break down the tissue via enzymes. The tooth loosens and falls out in the worst case. If the periodontium is also affected by the inflammation, this is called periodontitis.
Microbes continue to spread
Imagine: People with pronounced periodontitis have about eight by nine centimeters large wound surface in the mouth, informs the Center for Dental, Oral and Maxillofacial Surgery of the University of Cologne. This wound area is populated with more microorganisms than there are humans on earth.
Any exposure to the inflamed area, whether brushing or chewing, results in a flood of bacteria. The microbes pass through the small wounds in the bloodstream and thus in every corner of the body. That is why periodontal disease does not remain a mouth-confined disease.
Oral health and teeth cleaning
According to the Society for Periodontology, the gums are inflamed in about 80 percent of Germans. By regularly cleaning the teeth - preferably twice a day and after meals - using dental floss or toothbrushes between the teeth and thoroughly cleaning the dentist's teeth, it could be avoided that the inflammation would develop into periodontal disease.
A scaler removal, which is taken over by the health insurance companies, is not nearly as effective as the about three-quarters of an hour tooth cleaning at the dentist. However: The health insurance companies are indeed for the cost of calculus removal, the teeth cleaning must pay the person concerned. The dentist scrapes the bacteria off the tooth with a special tool, cleans the gum pockets and uses high-dose fluoride preparations to rebuild the damaged tooth structures.
Threads or mini-implants soaked in antibiotics are designed to kill the bacteria. All measures are only partially successful: The microbes are extremely tough guys, and so they regain the upper hand after a few months. Some of them survive on the back of the tongue, on the cheeks or on the tonsils. Therefore, the bacterial reservoirs have to be cleaned once or twice a year, and in high-risk patients, four times a year.