Gums, heart link is lacking
NEW YORK — There is no compelling evidence that poor dental health leads to clogged arteries, heart attack or stroke, and treating diseased gums will not reduce the risk of cardiovascular disorders, a medical panel said Wednesday.
The panel’s findings comprise the American Heart Association’s new stance on the matter, altering a position many experts had accepted as gospel.
For decades, the provocative notion that gum problems — periodontal disease — are linked to clogged arteries has been at the very core of the so-called Germ Theory of cardiovascular disease. Bacteria and inflammation associated with gum problems lead to dangers elsewhere the theory posits.
Aside from cardiovascular disorders, diseased gums have also been linked to miscarriages, Alzheimer’s and some forms of cancer.
But a team of cardiologists, dentists and infectious disease specialists assembled by the heart association, reanalyzed more than 60 years of research — 500-plus studies — and found none produced a causative link between periodontal and cardiovascular disorders.
“Much of the literature is conflicting,” said Dr. Peter Lockhart, the panel’s co-chair. “If there was a strong causative link, we would likely know that by now.
“The message sent out by some in the health care professions that heart attack and stroke are directly linked to gum disease can distort the facts,” he said.
Doctors have long known that smoking, elevated cholesterol, hypertension and obesity explain a vast number of heart attacks and strokes — but not all. The periodontal link seems to fit, some experts say, because risk factors associated with gum disease are involved in heart disorders.
Also, dental plaque, which must scraped off teeth, contains a veritable rogues gallery of microbes that colonize the teeth, invade beneath the gumline and are maintained in place by a tough biofilm.