Dear Dr. Russo,

I just saw my MD for a physical. Everything was fine, but he noticed I had bad breath and asked me to see my dentist. He said I could have gum disease and if so, it could cause many health prolems. Can you tell me what diseases it can cause and what I can do to prevent this from happening?
Thanks, Jill

Jill I suspect your doctor may have noticed inflamed and infected gums, in addition to your halitosis. Most people will have bad breath from time to time; this condition in and of itself is not the prime indicator for severe gum disease. Given that you do in fact have severe periodontal disease I agree with your doctor. Oral bacterium not only affects the health of your mouth, but also can cause various medical problems elsewhere in your body. Patients with advanced gum disease release significantly higher levels of bacterial components such as endotoxins into the bloodstream. Once released into the bloodstream these toxins travel to other areas of the body.

Oral bacteria has been linked to cardiac disease, stroke, diabetes stomach ulcers and pneumonia. Another heart condition caused by oral bacteria is bacterial endocarditis. Patients who have a heart valve defect or mitral valve prolapse are at risk. Oral bacteria enter your bloodstream and congregate on your heart valves causing further valve damage. This condition can be life threatening, so make certain your dentist is aware of any heart problems so he can determine if you need to take antibiotics prior to your treatment.

Prevention is always easier than the cure. My recommendation is semi-annual checkups, and dental cleanings three times a year. Home care should include daily brushing, flossing and tongue scraping. This will keep the bacteria at acceptable levels. The benefits are healthier teeth, fresher breath and a periodontal disease free mouth.

Better smiles for all,
Dr. John J. Russo