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The Oral Systemic Link and the Future of Patient Care

Jamie Toop, DDS. The Oral Systemic Link and the Future of Patient Care. About Me…. WHAT ARE THE 7 LEADING CAUSES OF DEATH IN AMERICA? (according to the CDC). “I would give all my possessions for a moment in time ”. 1. Heart Disease 2. Cancer 3. Chronic Lower Respiratory Diseases 4. Stroke

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The Oral Systemic Link and the Future of Patient Care

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  1. Jamie Toop, DDS The Oral Systemic Link and the Future of Patient Care

  2. About Me…

  3. WHAT ARE THE 7 LEADING CAUSES OF DEATH IN AMERICA? (according to the CDC) “I would give all my possessions for a moment in time”

  4. 1. Heart Disease 2. Cancer 3. Chronic Lower Respiratory Diseases 4. Stroke 5. Accident 6. Alzheimer's 7. Diabetes Leading Causes of Death

  5. Six of the top seven leading causes of death in America have been associated with conditions in the mouth. WHAT DO THESE CONDITIONS HAVE IN COMMON?

  6. https://www.youtube.com/watch?v=XLDL8NhNxWA “The View” on Oral Systemic Link

  7. Research Has Shown: Brushing < 2x/day = ↑ risk Gum disease → 60% ↑ risk of heart disease Gum disease → heart disease death 2x as likely Gum disease and cholesterol levels predictors 1. Heart Disease Associations

  8. Infection/inflammatory components in gums Enter blood stream Can be carried to heart/coronary arteries Limits blood flow Gum Disease—Heart Disease Mechanism @ASDAnet #ASDAnet

  9. Research Has Shown: Gum disease → 62% ↑ risk (pancreatic/kidney) Pancreatic cancer 4th leading cause of cancer-related death Detection difficult 5 year survival rate 21.5% if detected early Pancreatic cancer ↑ bacteria levels in saliva 2. Cancer Associations

  10. Research Has Shown: Men with gum disease ↑ associations of gum disease and cancer 30% ↑ risk to develop cancers of the blood ↑ risk of prostate cancer ↑ level of prostate-specific antigen secretion Saliva test in development may detect sooner Other Cancer Associations

  11. Research Has Shown: Oral cavity may play central role Relationship between oral hygiene and COPD Gum disease bacteria can be aspirated in lungs Respiratory pathogens can colonize in teeth 3. Chronic Lower Respiratory Associations

  12. Research Has Shown: Gum disease →3x ↑ likelihood to die from stroke Severe gum disease 4.5x ↑ risk of stroke Correlation ↑ in men and in those under 60 Gum disease bacteria enters blood stream Plaques form, can dislodge and enter brain 4. Stroke Association

  13. Research Has Shown: AD irreversible - prevention key Declines in oral hygiene shown in AD patients Loss of teeth from gum disease ↑ AD risk Gum disease bacteria enters blood stream Can cause neuroinflammation Limits neurotransmitter activity 5. Alzheimer’s (AD) Association

  14. Research Has Shown: Diabetics with gum disease 3.2x ↑ risk of death Diabetic control ↑ with improved oral hygiene Infection/inflammatory components move in blood More research to establish causal relationship 6. Diabetes Association

  15. Can we establish a causal relationship? Causal vs. Correlative Relationship of Oral/Systemic Link

  16. According to webmd.com, using antimicrobial mouthwash or toothpaste can make you less bad at math. GINGIVITIS—MATH AND VERBAL RECALL ASSOCIATION

  17. LET’S DO SOME “CALCULUS”

  18. Pick a number between 1 and 10 (though this will work with any number) Double it Add 10 Divide by 2 Subtract your original number WHAT NUMBER DO YOU HAVE?

  19. IF YOU DON’T HAVE…

  20. Credibility of the publication Parameters of the study Repeatability Be careful to throw out what you know is true WHAT TO WATCH OUT FOR…

  21. Research Has Shown: Men in 30s with gum disease 3x ↑ risk of ED Infection/inflammatory components in gums Travels in blood stream, forms plaques Limits blood flow Can cause impotence - blood vessel damage Erectile Dysfunction (ED)

  22. Research Has Shown: Mothers with gum disease 85% chance pre-term/low birth weight Gingivitis 3x ↑ risk Moderate gum disease 8x ↑risk Oral bacteria in pre-term placentas Pre-term Birth

  23. More research to establish causal relationships Draw conclusions from existing data Detection/prevention of disease far from oral cavity Nothing to lose in treating gum disease Eliminating can ↑ life by 6.5 years! Oral Systemic Link and the Future of Patient Care

  24. So, tell your patients to:

  25. Then, tell them to:

  26. And finally, tell them:

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