Neglecting regular oral care can lead to chronic and
long-term diseases. Recent research has even linked poor oral health and
hygiene to the development and progression of Type 2 diabetes, which can
contribute to Alzheimer’s disease later in life. Maintaining optimal oral
health is a cornerstone to overall health and longevity. The mouth serves as
the gateway to the body and a reflection of our overall well-being. The
condition of the mouth provides insight into general health, and proper care
can have far-reaching impacts on
systemic health and longevity.
This article explores the critical role oral care plays in
maintaining optimal health and its relationship to systemic conditions,
specifically Type 2 diabetes and Alzheimer’s disease. As a biological dentist,
it is important for me to address the root causes and understand the
connections between oral health and systemic health, highlighting the
importance of caring for teeth and gums through every decade of life.
The mouth is a window to the body, and foundational health
begins here. Brushing twice daily and regular flossing prevent tooth decay,
tooth loss and periodontal disease. Furthermore,
these practices prevent the spread of harmful bacteria that can enter the
bloodstream and cause downstream effects. Once bacteria are in the bloodstream, they can
cause systemic inflammation, triggering a cascade of events in the human body.
Periodontal disease is one of the most common long-term
inflammatory conditions worldwide. The same inflammation that causes gum disease
also contributes to systemic chronic inflammatory conditions, such as Type 2
diabetes. Research has shown that patients with periodontal disease have a
higher risk of insulin resistance, a hallmark
indicator of Type 2 diabetes. We must consider oral health as a long-term
commitment to overall well-being and prevention of chronic diseases.
Studies show that individuals with gum disease are at a
higher risk of developing diabetes. Additionally, poorly managed diabetes can
exacerbate gum disease, creating a vicious cycle where each condition worsens
the other. Diabetic patients are more vulnerable to infections, including those
in the mouth and gums, due to a compromised immune system. Chronic high blood
sugar also reduces salivary flow, leading to dry mouth, which fosters an
increase in harmful bacteria.
Diabetes also affects the tiny blood vessels that supply the
gums, reducing blood supply and limiting the body’s ability to heal tissue,
which can make gum disease more severe. By treating periodontal disease,
patients can improve blood sugar levels, highlighting the need for proper oral
health care as part of a holistic diabetic maintenance program.
Alzheimer’s disease is increasingly recognized as “Type 3
diabetes.” The connection between Type 2 and Type 3 diabetes is becoming better
understood. Both conditions have common factors, including insulin resistance,
chronic inflammation and oxidative stress, all of which damage the brain over
time. Individuals with Type 2 diabetes are twice as likely to develop
Alzheimer’s as those without. While the exact mechanisms are still under
research, there are clear associations between insulin resistance, brain cognitive
functions like memory and reasoning begin to decline, leading to the onset of
Alzheimer’s and other forms of dementia.
Chronic inflammation is a key driver of neurodegeneration,
which can be exacerbated by oral infections and certain bacteria in the mouth. Porphyromonas gingivalis, which
contributes to periodontal disease, has been found inside the brains of
patients with Alzheimer’s disease. This research suggests a potential
correlation between oral infections and neurodegeneration.
In conclusion, taking good care of teeth and gums can
positively influence systemic health. Regular dental exams, cleanings and addressing infections
should be central to optimizing health, promoting wellness and integrating
systemic wellness to enhance longevity while protecting against accelerated
aging, chronic diseases and neurodegeneration.
Dr. Kristen Graham graduated from the
University of Maryland School of Dentistry
in 2013. She is a member of the International
Academy of Oral Medicine and Toxicology
(SMART certified in safe mercury removal)
and achieved her naturopathic dentist certification with the American College of Integrative Medicine and Dentistry in 2017.
Graham is very passionate about holistic approaches and getting to the root of the symptoms. She has a heart for
helping children and adults. She is also currently on the board of Children’s Health Defense AZ chapter. In her free time, she loves to be in
nature, in fellowship or spending time with her family. To schedule an
appointment with Graham, call Natural Dental Partners (located at
6930 E. Chauncey Ln., Ste. 100, in Phoenix) at 602-775-5120. For
more information on services offered, visit MyNaturalDentist.com
and ABreathOfHealth.com.
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