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Table of Contents   
LETTER TO EDITOR  
Year : 2012  |  Volume : 23  |  Issue : 5  |  Page : 691
Maintenance of good oral health is a cost-effective measure for decreasing risk of heart disease. Do you agree with me?


Health Research Management Center, Baqiyatallah (A.S) University of Medical Sciences, Tehran, Iran

Click here for correspondence address and email

Date of Web Publication19-Feb-2013
 

How to cite this article:
Tavana AM. Maintenance of good oral health is a cost-effective measure for decreasing risk of heart disease. Do you agree with me?. Indian J Dent Res 2012;23:691

How to cite this URL:
Tavana AM. Maintenance of good oral health is a cost-effective measure for decreasing risk of heart disease. Do you agree with me?. Indian J Dent Res [serial online] 2012 [cited 2019 Aug 21];23:691. Available from: http://www.ijdr.in/text.asp?2012/23/5/691/107413
Sir,

Porphyromonas spp., including P gingivalis and P endodontalis, are gram-negative anaerobic pigmented bacteria that have been isolated from patients with different oral diseases. [1] They are among the more than 400 bacteria that may infect the mouth. Bad oral hygiene may lead to periodontal diseases, which has been postulated to lead to damage to the heart. [2] Recent research has shown that having a healthy heart depends not only on good dietary practices, a stress-free life, and regular exercise, but also on the maintenance of good oral hygiene. Infection with pathogenic bacteria, in particular gram-negative anaerobic bacteria such as Porphyromonas spp. and Prevotella spp. (P intermedia and P nigrescens) increases the risk of future heart disease. [3] Other gram-negative bacteria such as Fusobacterium spp. are also probably involved.

In this letter, I would like to call attention to these findings and ask if there really is a strong link between heart disease and oral infection. If there is, the public must be educated to consider brushing of teeth and regular dental check-up as essential not just for maintenance of oral hygiene but also for prevention of heart disease. Different studies have shown that these can be considered cost-effective interventions for decreasing the risk of heart disease. [4],[5]

To conclude, reduction in the incidence of heart diseases in the world may be indirectly linked to improvements in personal hygiene, particularly oral hygiene, among the public, and this must not be forgotten by clinicians and the healthcare system.

 
   References Top

1.Tavana AM, Korachi M, Boote V, Hull PS, Love DN, Drucker DB. Phospholipid analogues of Porphyromonas gingivalis. J Appl Microbiol 2000;88:791-9.  Back to cited text no. 1
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2.Tavana AM. Heart failure and oral bacteria: How could be prevented? J Cardiovasc Dis Res 2010;1:161.  Back to cited text no. 2
[PUBMED]  Medknow Journal  
3.Herman WW, Ferguson HW. Dental care for patients with heart failure: An update. J Am Dent Assoc 2010;141:845-53.  Back to cited text no. 3
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4.Joynt KE, Orav EJ, Jha AK. The association between hospital volume and processes, outcomes, and costs of care for congestive heart failure. Ann Intern Med 2011;154:94-102.  Back to cited text no. 4
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5.Whellan DJ, Greiner MA, Schulman KA, Curtis LH. Costs of inpatient care among Medicare beneficiaries with heart failure, 2001 to 2004. Circ Cardiovasc Qual Outcomes 2010;3:33-40.  Back to cited text no. 5
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Correspondence Address:
Ali M Tavana
Health Research Management Center, Baqiyatallah (A.S) University of Medical Sciences, Tehran
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9290.107413

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