Can your mouth and gum disease really cause heart problems?
Periodontitis is a chronic inflammatory disease associated with destruction of connective tissue of gingiva, periodontal ligament and alveolar bone following untreated or improperly treated gingivitis (1). Bacterial biofilms (dental plaque) predominantly composed of the viridans group streptococci (VGS) are the primary etiological factors for the inflammatory process of gingiva leading to subsequent destruction of periodontal tissues (2). Loe et al. (1965) and Theilade et al. (1966) demonstrated that withdrawal of tooth brushing results in formation of plaque on the teeth and causes gingivitis in periodontally healthy individuals within 10 - 21 days (3, 4). Periodontitis is most commonly seen in adults and occasionally found in children
Infective endocarditis is a serious infection occurring on the endothelial surfaces of the heart, especially at the valves. Oral commensal bacteria are the important etiologic agents in this disease .common dental procedures, even non-surgical dental procedures, can often cause bacteremia of oral commensals. Periodontally diseased patients are at risk from bacteremia even after brushing the teeth. Bacteremia itself rarely affect healthy people but they can result in mortal infective endocarditis in those who have a predisposed risk for this disease .in this report, I will discuss the relation between periodontitis and effect endocarditis