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Healthy Habits and Mouth/Body Connection

2

Things are not always the way they seem…

Making the connection

• Link between oral health and total body health

• Link between what we eat and drink and our mouth/body health

• Link between diabetes and oral health

• Link between your heart and oral health

• Do we NEED teeth?

Can you die from a cavity?

Top 8 leading causes of death in the U.S.

• Heart disease

• Cancer

• Chronic lower respiratory disease

• Accidents

• Stroke

• Alzheimer’s disease

• Diabetes (Type 1) 5%, (Type 2) 90 – 95%

• Influenza and pneumonia

Link between oral health and total body health

• It’s important to see a dentist regularly, even if you have wonderful home care

• The oral cavity will show signs and symptoms of deficiencies in your body currently and during tooth development. Some of these include lack of:− Vitamin K− Iron− Vitamin C− Vitamin B (complex)− Vitamin A− Protein

Gum disease linked to total body health

“A growing body of evidence has linked oral health, particularly periodontal (gum) disease, to several chronic diseases, including diabetes, heart disease, and stroke. In pregnant women, poor oral health has also been associated with premature births and low birth weight” – HealthyPeople.gov

Diseases of tissues in oral cavity

Dental hygiene instruments

Severe periodontal disease

Link between oral health and total body health• Cancer — During your dental exam, your dentist should give you an oral cancer screening to help

detect lumps or other changes in your throat, neck, jaw, skin or thyroid

• Heart disease — If you have moderate to advanced gum disease, you’re more likely to have cardiovascular disease, including heart disease and stroke, than someone with healthy gums. Studies have not shown that one condition causes the other, but the two conditions share many risk factors, such as smoking, poor diet and diabetes.

• Kidney disease — Chronic bad breath, an unpleasant taste in your mouth and dry mouth are often signs of this condition. When the kidneys don’t function properly, the by-products of incomplete protein breakdown are released, causing an unpleasant taste or mouth odor.

• Anxiety — Did you know that anxiety can affect your oral health? Stress affects the immune system, reducing your body’s defense against the bacteria that can lead to gum infection.

• Other medical conditions that your dentist may detect include: thyroid problems, high blood pressure, asthma, sleep and breathing disorders, skin rashes, bruxism (teeth grinding), HIV, tuberculosis, drug abuse, anorexia, digestive disorders and upper respiratory problems

• Remember: Giving your mouth the same attention you give the rest of your body can really pay off in the long run. Make an appointment with your dentist today.

www.deltadentalins.com/oral_health/overall_health.html

Link between diabetes and oral health• Signs and symptoms in oral cavity can contribute to a diagnoses

of diabetes− Gingivitis− Mild to severe periodontal disease

• Chronic infection of oral tissues contributes to uncontrollable blood glucose levels − Causing illness and affecting organs and tissues

Link between diabetes and oral healthThere are more bacteria in your mouth right now than there are people on earth. If those germs settle into your gums, you've got gum disease. Unfortunately, if you have diabetes, you are at higher risk for gum problems. Poor blood glucose control makes gum problems more likely.

American Diabetes Association www.diabetes.org/?loc=bb-dorg

Treatment of gum disease improves glycemic control by 10 – 20%

http://www.diabetes.org/living-with-diabetes/treatment-and-care/oral-health-and-hygiene/diabetes-and-oral-health.html

HbA1c mmol/mol %

Normal Below 42 mmol/mol Below 6.0%

Prediabetes 42 to 47 mmol/mol 6.0% to 6.4%

Diabetes 48 mmol/mol or over 6.5% or over

https://www.diabetes.co.uk/images/hba1c-chart.jpg

Percentage of Type 1 vs. Type 2 diabetes

Centers for Disease Control and Prevention, 1600 Clifton Road Atlanta, GA 30329-4027, USA

Link between heart disease and oral health

Heart disease

If you have moderate to advanced gum disease, you're more likely to have cardiovascular disease, including heart disease and stroke, than someone with healthy gums. Studies have not shown that one condition causes the other, but the two conditions share many risk factors, such as smoking, poor diet and diabetes.

www.deltadentalins.com/oral_health/overall_health.html

www.perio.org/consumer/gum-disease-and-heart-disease

Your body is connected to your mouth

Resources for link between gum disease and systemic diseases

Let’s look at a couple of resources

www.perio.org/ www.deltadentalins.com/Available in all languages

Good foods vs. bad foods

Good vs. bad • Good drinks

− ______________________

− ______________________

• Good foods

− ______________________

− ______________________

• Bad drinks

− _____________________

− _____________________

• Bad foods

− _____________________

− _____________________

Good foods vs. bad foods

Good foods vs. bad foods

Good snacks vs. bad snacks

VS.

Good snacks vs. bad snacks

VS.

Good snacking foods and drinks

Good drinks

Good drinks vs. bad drinks

VS.

Good foods/drinks in disguise

INGREDIENTS: WATER, HIGH FRUCTOSE CORN SYRUP, VEGETABLE JUICE (WATER AND CONCENTRATED JUICES OF SWEET POTATOES, CARROTS), NATURAL FLAVORING, FRUIT JUICE (WATER AND CONCENTRATED JUICE OF CHERRIES, STRAWBERRIES, RED RASPBERRIES, BLACKBERRIES), CITRIC ACID, MALIC ACID, VITAMIN C (ASCORBIC ACID), RED 40, SUCRALOSE, NIACINAMIDE (VITAMIN B3), PYRIDOXINE HYDROCHLORIDE (VITAMIN B6), CYANOCOBALAMIN (VITAMIN B12).

Which is your favorite?

www.reviews.com/research/bottled-water-acidity/

How acidic is your bottled water?

https://www.reviews.com/research/bottled-water-acidity/

Best drink ever

Process of decay

What happens in your mouth after you eat?

youtube.com/watch?v=2caKueedluk&t=52s 1:20

Prevention pays —nearly all oral diseases are preventable• National average of common preventive services

− Fluoride treatment: $31.70 (child), $32.59 (adult)− Annual exam: $44.10− Cleaning: $61.14 (child), $82.08 (adult)− Sealant application per tooth: $44.12

• National average of common restorative services− Amalgam filling, two-surface in a permanent tooth: $146.61− Resin-based tooth-colored filling: $197.09− Root canal on a molar: $918.88− Crown: $1,026.30− Simple extraction: 147.32

www.ada.org/~/media/ADA/Public%20Programs/Files/bringing-disease-prevention-to-communities_adh.ashx

Good habits — let’s get started!

My recipe for oral health habits• Brush two times a day, using a mechanical or manual toothbrush

• Use toothpaste with fluoride

• Floss once a day

• Clean your tongue

• Use an antibacterial mouth rinse with fluoride (no alcohol)

• Use picks or flossers (Keep them EVERYWHERE)

• Use xylitol products

• Drink water, and swish with water

• Extra info for those with chronic canker or cold sores (sodium lauryl sulfate)

• Wear a sports guard

How’s my oral health?• Take a self assessment to see if you are

at risk for any of the following diseases:− Tooth decay− Gum disease− Oral cancer

• Risk score vs. disease score

• Breakout session

Next steps• Visit the Delta Dental of Oregon booth

to take your self assessment− Delta Dental of Oregon members may

receive extra dental benefits to help prevent them from developing oral diseases

• Practice healthy habits to sustain and improve your oral health

• Questions?

References • Acta Odontol Scand. 1994 Oct;52(5):257-9. Sodium lauryl sulfate and recurrent aphthous ulcers. A preliminary study

• Agarwal R, Baid R. Periodontitis and diabetes: A bidirectional, cyclical relationship - A brief review. Acta Med Int [serial online] 2017 [cited 2018 Jan 5];4:46-9. Available from: http://www.actamedicainternational.com/text.asp?2017/4/2/46/217262

• Bensley L, VanEenwyk J, Ossiander EM. Associations of self-reported periodontal disease with metabolic syndrome and number of self-reported chronic conditions. Prev Chronic Dis. 2011;8(3):A50. Available from http://www.cdc.gov/pcd/issues/2011/may/10_0087.htm

• Borgnakke WS, Ylostalo PV, Taylor GW, Genco RJ. Effect of periodontal disease € on diabetes: systematic review of epidemiologic observational evidence. J Clin Periodontol 2013; 40 (Suppl. 14): S135–S152. doi: 10.1111/jcpe.12080.

• Division of Oral Health, Centers for Disease Control and Prevention. Public Health Implications of Chronic Periodontal Infections in Adults. Atlanta, GA: 2005.

• Healthy People 2020. https://www.healthypeople.gov/2020/leading-health-indicators/2020-lhi-topics/Oral-Health Accessed January 5, 2018

• J Am Dent Assoc. 2006;137(suppl 2):S5-S36. Available from http://jada.ada.org/issue/S0002-8177(14)X6098-8External Web Site Policy

• Mealey, Brian and Oates, Thomas. “Diabetes Mellitus and Periodontal Diseases.” Journal of Periodontology 2006 77:8, 1289-1303

• Periodontitis and diabetes: a two-way relationship. P. M. Preshaw & A. L. Alba & D. Herrera & S. Jepsen &A. Konstantinidis & K. Makrilakis& R. Taylor, Retrieved 12/28/2017

• Pietrangelo, Ann. Diabetes by the Numbers: Facts, Statistics, and YouMedically Reviewed by University of Illinois-Chicago, College of Medicine on April 6, 2017

References cont.• Office of the Surgeon General, U.S. Department of Health and Human Services. Periodontal disease and adverse

pregnancy outcomes. Oral Health in America: A Report of the Surgeon General. Washington, DC: 2000. Available from http://www.nidcr.nih.gov/DataStatistics/SurgeonGeneral/sgr/chap5.htm#pre

• Sheetal, A., Hiremath, V. K., Patil, A. G., Sajjansetty, S., & Kumar, S. R. (2013). Malnutrition and its Oral Outcome – A Review. Journal of Clinical and Diagnostic Research : JCDR, 7(1), 178–180. http://doi.org/10.7860/JCDR/2012/5104.2702

• Ralph, and Malcolm West. “ Increasing Evidence for an Association Between Periodontitis and Cardiovascular Disease.” Circulation, no. 133, 13 Jan. 2016, pp. 549–551., circ.ahajournals.org/content/133/6/549.full. Accessed December 28, 2017.

• Taylor, George. (2002). Bidirectional Interrelationships Between Diabetes and Periodontal Diseases: An Epidemiologic Perspective. Annals of periodontology / the American Academy of Periodontology. 6. 99-112. 10.1902/annals.2001.6.1.99.

• Winning, Lewis, and Gerard J. Linden. “Periodontitis and Systemic Disease: Association or Causality?.” Current Oral Health Reports 4.1 (2017): 1-7. Retrieved 12/28/2017

• https://www.diabetes.co.uk/images/hba1c-chart.jpg

• Association between dental health and acute myocardial infarction Kimmo Mattila, Markku Nieminen, Ville Valtonen, Vesa Rasi, Antero Kesaniemi, Satu Syrjala, Peter Jungell, Martti Isoluoma, Katariina Hietaniemi, Matti Jokinen, JussiHuttunen BMJ VOLUME 298 25 MARCH 1989 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1836063/pdf/bmj00224-0019.pdf