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Dental care is also good for the heart

Inflammation and infections in the oral cavity are common and usually resolve without complications. Under certain conditions, these pathogens or the inflammatory responses they trigger can affect other organ systems. Good oral hygiene and dental care help to prevent this.

Gum and tooth root inflammation or inflammation in the oral cavity are common. Almost everyone can remember suffering from it at least once. They often heal on their own or after dental treatment. Nevertheless, it is important to pay attention to inflammation in the mouth, because if bacteria or inflammatory mediators—for example, from inflamed gum pockets—enter the bloodstream, they can contribute to the development or worsening of certain diseases.

How Oral Bacteria Enter the Body

As soon as an inflammation occurs in the mouth, the immune system reacts and defense mechanisms are activated. This increases the blood supply to the affected areas so that more immune cells reach the inflamed area to render the pathogens harmless. At the same time, bacteria, bacterial components, and inflammatory mediators can temporarily enter the bloodstream through the inflamed tissue and spread throughout the body.

People without relevant pre-existing conditions generally cope with this variation without any problems. However, in people with certain heart conditions—particularly those with pre-existing heart valve damage or artificial heart valves—these pathogens can cause serious illnesses. “Studies indicate that endocarditis (inflammation of the inside lining of the heart chambers and heart valves) and other cardiovascular diseases could be triggered by specific oral bacteria spread in this way. The reduction in vascular function caused by these bacteria has been proven,” says Isabella Sudano, Head Physician at the Clinic for Cardiology and specialist in cardiovascular risk factors.

Treat the inflammation before the operation

In some cases, it is only during the evaluation of a severe infection or prior to heart surgery that it becomes apparent that there is a chronic site of inflammation in the oral cavity. Before the acute disease can be treated effectively, the focus of inflammation in the mouth must first be eliminated to prevent the infection from flaring up again. For example, it may be necessary to wait until the oral cavity is free of inflammation before performing a heart valve replacement operation.

Dental care and regular check-ups

People with cardiovascular disease or other relevant pre-existing conditions should therefore be on the lookout for symptoms of inflammation in the mouth and seek early treatment. “If you experience acute health problems, you should also tell your cardiologist or GP that you have had or have an inflammation in your mouth,” advises Isabella Sudano.

The best prevention is good and consistent oral hygiene, which can almost completely prevent tooth root infections, for example. So brush your teeth at least twice a day and clean the spaces between your teeth with dental floss or interdental brushes. Regular dental checkups and professional teeth cleaning help detect dental problems early, reduce inflammation, and promote good overall health.

Designated Specialist

Isabella Sudano, Prof. Dr. med.

Senior Physician, Department of Cardiology

Tel. +41 44 255 58 41
Specialties: Arterial hypertension, Dyslipidemia, Tobacco/nicotine cessation

Responsible Department