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Monday, June 11, 2012

Recent information from the American Heart Association and the American Academy of Periodontology


Recently, The American Heart Association published an article in the journal Circulation analyzing research data on the link between gum disease and heart disease.  Here is the article: http://circ.ahajournals.org/content/early/2012/04/18/CIR.0b013e31825719f3.full.pdf+html. 

While there is clear evidence linking untreated gum disease (of sufficient severity to result in increased systemic inflammation) to increased risk of cardiovascular disease, there is insufficient evidence to classify gum disease as a direct cause of cardiovascular disease.  And, while there is evidence linking successful treatment of gum disease to reduced systemic inflammation short-term, there is insufficient evidence to declare that this results in improved cardiovascular outcomes (reduced risk) long-term.  Even so, this failure to establish a direct correlation between periodontal therapy/improved gum health and improved long-term outcomes might simply be due to a lack of specific research looking closely enough at this relationship.  As the American Academy of Periodontology states in a recent press release:

"The AAP believes additional long-term interventional studies are needed to better understand the specific nature of the relationship between periodontal disease and cardiovascular disease. Patients’ periodontal status should also be added to future longitudinal studies of cardiovascular disease. The AAP hopes that the American Heart Association’s statement brings attention to the association between the two diseases and the need for additional research in this area."

Stay tuned (and follow this blog) for additional updates on this important topic.