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>Transient bacteremia of P. gingivalis can occur during common activities such as brushing, flossing, and chewing, as well as during dental procedures (19), res
by graeme 8y ago
>Transient bacteremia of P. gingivalis can occur during common activities such as brushing, flossing, and chewing, as well as during dental procedures (19), resulting in documented translocation to a variety of tissues including coronary arteries (20), placenta (21), and liver (22). A recent study found that 100% of patients with cardiovascular disease had P. gingivalis arterial colonization
That’s extremely interesting. 100% of patients with heart disease.
I’ve heard flossing may help prevent alzheimers, due to fighting gum disease. This article talks about translocation. Once bacteria has made it into the body, is it too late for gums to have any effect? Or is it more like a total bacterial load: if the gums are continuing to infect the body, the other parts of the body must fight harder to keep the invading bacteria at bay?
Edit: of course, we should know how many patients of a similar age without heart disease had p. Gingivalis in their arteries
- pygy_ 8y ago> [...] is it too late for gums to have any effect? Or is it more like a total bacterial load [...] Probably the latter (from the article): """ A prospective observational study of [Alzheimer Disease (AD)] patients with active [Chronic Periodontis (CP)] reported a notable decline in cognition (Alzheimer’s Disease Assessment Scale—Cognitive and Mini Mental State Examination scales) over a 6-month period compared to AD patients without active CP """
- beenBoutIT 8y agoThe outcome of this study is effectively meaningless because we don't know how common p. Gingivalis is in the general population's arteries.
- graeme 8y agoI looked elsewhere in the paper and they said: >P. gingivalis is mainly found during gingival and periodontal infections; however, it can also be found at low levels in 25% of healthy individuals with no oral disease (18).
- coldtea 8y ago>I’ve heard flossing may help prevent alzheimers, due to fighting gum disease. I've heard flossing is only peddled by floss companies, with no real studies to recommend it. Not sure the jury is out: https://www.bbc.com/news/health-36962667 https://www.bbc.com/news/health-36962667
- SamReidHughes 8y agoI can tell you it helps me a lot. After going months without flossing, then transitioning to regular flossing, my gums were subjectively in much better shape. I suppose less sugary food choices could have affected results.
- deleted 8y ago[deleted]
- autokad 8y agoI think its a hard case to sell that there is no benefit to oral health by flossing. I know for myself, food gets stuck in places that not even brushing and using mouth wash can dislodge. I dont want to be one of those 'i am a corner case and you are wrong people', but I find it doubtful this is unique to me
- dtech 8y agoI asked my dentist, he told me current consensus leans towards brushing + toothpicks being the best, but flossing + brushing is better than just brushing.
- Retric 8y agoFlossing also takes decent technique to be effective. Simply inserting and removing floss while better than nothing is only so effective.
- h0l0cube 8y agoSimilarly, for an evidence based investigation into routine 'scale and polish': > Objective 1: Scale and polish versus no scale and polish Only one trial provided data for the comparison between scale and polish versus no scale and polish. This study was conducted in general practice and compared both six-monthly and 12-monthly scale and polish treatments with no treatment. This study showed no evidence to claim or refute benefit for scale and polish treatments for the outcomes of gingivitis, calculus and plaque. https://www.ncbi.nlm.nih.gov/pubmed/24197669 https://www.ncbi.nlm.nih.gov/pubmed/24197669