Can Oral Hygiene Save Your Heart?
Can Oral Hygiene Save Your Heart?
The Big Picture
Good oral hygiene doesn't just keep your smile bright; it might also protect your heart. Learn how brushing your teeth can help prevent a serious heart condition called infective endocarditis.
Contents
Why Oral Hygiene Matters
Maintaining oral hygiene is vital for reducing the risk of gum diseases like gingivitis and periodontitis, and it also decreases the chance of bacteria entering the bloodstream. This is crucial because everyday activities like brushing can cause bacteremia, which is more likely to lead to infective endocarditis (IE) than dental procedures. Studies have shown that people with poor oral hygiene have a significantly higher risk of bacteremia, underscoring the importance of regular dental care.
Antibiotic Prophylaxis: Who Needs It?
Antibiotic prophylaxis is recommended for individuals with the highest risk of adverse outcomes from IE, such as those with prosthetic heart valves or certain congenital heart conditions. The American Heart Association guidelines have narrowed the criteria for who should receive antibiotics before dental procedures, focusing on those most at risk. For most people, maintaining good oral hygiene is more effective than antibiotics in preventing IE.
The Role of Dental Procedures
Invasive dental procedures can increase the risk of IE, particularly those that manipulate the gums or oral tissues. However, routine dental cleanings are not typically a concern. The greatest risk comes from procedures like tooth extractions and oral surgery, highlighting the need for careful assessment of risk before treatment.
FAQs
What is infective endocarditis?
It's a heart infection caused by bacteria entering the bloodstream.
Who is most at risk for IE?
Those with prosthetic heart valves or certain congenital heart conditions.
Does brushing your teeth prevent IE?
Yes, good oral hygiene can lower the risk of bacteremia and IE.
Are antibiotics always needed before dental work?
No, only for those at high risk for IE complications.
Key Takeaways
Good oral hygiene is a simple yet effective way to protect your heart health.
Additional References
- Lockhart PB, Brennan MT, Thornhill M, et al. Poor oral hygiene as a risk factor for infective endocarditis-related bacteremia. J Am Dent Assoc 2009; 140:1238.
- Wilson WR, Gewitz M, Lockhart PB, et al. Prevention of Viridans Group Streptococcal Infective Endocarditis: A Scientific Statement From the American Heart Association. Circulation 2021; 143:e963.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.