Did your doctor and hospital DO ANYTHING AT ALL when this came out in February 2013? My one tooth loss was because the huge filling fell out and the dentist pulled it because it was already totally dead. Already had the dentist do the preparatory work of pounding in tooth stuff to lift the sinus cavity 2mm to allow a full 8mm implant. I went the implant route rather than a bridge because I didn't want the adjacent teeth to become loose and lose them also in a domino effect.
Gum disease treatment can lower annual medical costs for people with heart disease and stroke
February 2013
The latest here:
Are your gums saying something about your dementia risk?
Gum disease, especially
the kind that is irreversible and causes tooth loss, may be associated
with mild cognitive impairment and dementia 20 years later, according to
a study published in the July 29, 2020, online issue of Neurology®, the medical journal of the American Academy of Neurology.
“We
looked at people’s dental health over a 20-year period and found that
people with the most severe gum disease at the start of our study had
about twice the risk for mild cognitive impairment or dementia by the
end,” said study author Ryan T. Demmer, Ph.D., M.P.H., of the University
of Minnesota School of Public Health in Minneapolis. “However, the good
news was that people with minimal tooth loss and mild gum disease were
no more likely to develop thinking problems or dementia than people with
no dental problems.”
The study involved 8,275
people with an average age of 63 who did not have dementia at the start
of the study. The participants were assessed for mild cognitive
impairment and dementia. Participants received a full periodontal exam
that included measuring gum probing depth, amount of bleeding and
recession.
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Then
participants were put into groups based on the severity and extent of
their gum disease and number of lost teeth, with implants counting as
lost teeth. At the start of the study, 22% had no gum disease, 12% had
mild gum disease, 12% had severe gum inflammation, 8% had some tooth
loss, 12% had disease in their molars, 11% had severe tooth loss, 6% had
severe gum disease, and 20% had no teeth at all.
A total of 4,559 people was assessed at the end of the study, when they had been followed for an average of 18 years.
Overall,
1,569 people developed dementia during the study, or 19%. This was the
equivalent of 11.8 cases per every 1,000 person-years. The study found
that of the people who had healthy gums and all their teeth at the start
of the study, 264 out of 1,826, or 14%, developed dementia by the end
of the study. For those with mild gum disease, 623 out of 3,470, or 18%,
developed dementia. For participants with severe gum disease, 306 out
of 1,368, or 22%, developed dementia. And 376 out of 1,611, or 23%,
developed dementia in the group that had no teeth. This was equal to a
rate of 16.9 cases per 1,000 person-years.
When
looking at both mild cognitive impairment and dementia, the group with
no teeth had about twice the risk compared to participants with healthy
gums and all their teeth. People with intermediate or severe gum
disease, but who still had some teeth, had a 20% greater risk of
developing mild cognitive impairment or dementia compared to the healthy
group. These risks were after researchers accounted for other factors
that could affect dementia risk, such as diabetes, high cholesterol and
smoking.
“Good dental hygiene is a proven way
to keep healthy teeth and gums throughout your lifetime. Our study does
not prove that an unhealthy mouth causes dementia and only shows an
association. Further study is needed to demonstrate the link between
microbes in your mouth and dementia, and to understand if treatment for
gum disease can prevent dementia,” Demmer said.
A
limitation of the study is the fact that initial gum examinations were
made when the participants had an average age of 63, and it is possible
that cognitive decline might have been begun before the start of gum
disease and tooth loss.
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