Suffering to get your high blood pressure under control, even with medication? Open your mouth and say "aha!" If you…
Suffering to get your high blood pressure under control, even with medication?
Open your mouth and say “aha!” If you see dental or gums that are sore, bleeding or decreasing. You may have found the guilty one.
Researchers reported Monday that in adults whose high blood pressure was treated with drugs, systolic blood pressure – which measures the pressure in the vessels when the heart beats – became higher as the health of the teeth and the gum decreased.
Compared with hypertensive patients who had no signs of periodontal disease, 20 percent were less likely to have blood pressure within healthy limits. In addition, patients whose dental health had poor systolic blood pressure measurements that were 3 mm HG higher, on average than similar patients with healthy rubbers.
The results were published in the journal Hypertension.
An estimated one in three American adults ̵
1; 75 million Americans – is considered to have high blood pressure, which gives them greater risk of myocardial infarction and stroke. Hypertonia is a primary or contributory cause of more than 1,000 deaths per day in the United States. Yet only 54 percent of those with the condition have received blood pressure measurements under control with a combination of medication, diet and exercise.
The new study is in line with a rock of research linking gum disease with higher heart rates, blood vessel and kidney disease – all organs affected by high blood pressure. And it breaks new ground by describing how bad dental health increases the efforts to raise blood pressure under control.
In fact, the study showed that people with untreated hypertension and healthy gums had blood pressure measurements that were approximately equal to those who took medication for their high blood pressure but also suffered from gum disease.
In other words, poor dental health has a significant negative effect on taking blood pressure medication.
The new research does not show that gum disease causes high blood pressure and its negative health effects. Many researchers suspect that, like stiff blood vessels, sore and bleeding gums is just a manifestation of whole body inflammation.
Also, the study shows that treatment of periodontitis reduces high blood pressure.
But it indicates that when dental health is poor, the challenge of getting blood pressure under control will be more expensive and is more likely to fail.
Researchers from Italy discarded the registration of 11 753 Americans who participated in the National Health and Nutrition Examination Survey between 2009 and 201 4 and were screened for periodontal disease. Some 4,095 of the participants had been diagnosed with hypertension, of which 88.5 percent took medication for the condition and 11.5 percent were not.
The prices of moderate and severe periodontal disease tended to be higher among study participants who were men, elderly, Latino, smokers, and those with less income and education. Participants who were 65 years of age or older and had evidence of long-term periodontal disease were much more likely than those with less severe and prolonged gum disease to control high blood pressure – a trend that was particularly evident among latinos.
Both hypertonia and periodontitis are more common among African Americans and Latinos in the United States. These patient populations also have significantly higher frequencies of those diseases that are associated with both heart disease, renal failure and cerebrovascular diseases such as stroke and some forms of dementia.
There are some evidence that African Americans may have a genetic vulnerability to high blood pressure, but it is controversial. There is no doubt that access to care differs from race and ethnicity and that barriers to good medical and dental care play a key role in racial and ethnic health.
Dental care is especially expensive and much less likely than healthcare to be completely covered by insurance. As a result, economic factors are likely to play a strong role in influencing the health of a patient’s gums.
In addition, many primary care doctors and cardiologists fail to ask their patients for their dental health, or to refer them to dentists if they are not undergoing cardiac procedures and have clear signs of dental malnutrition. And dentists do not necessarily check the blood pressure of the patients.
The authors wrote that patients with high blood pressure should take into account their dental health when considering their treatment options.
“Our data suggest that all racial / ethnic subgroups, especially Hispanics, can benefit from such an approach,” they wrote. “Conversely ignoring the extra burden of poor periodontal blood pressure status could lead to a higher cardiovascular risk in the long run.”
Charlene Niemi, Care Harbor Health Career, a California-based ideal charity that provides free medical, dental and vision care in massive “popup” health clinics throughout the state, said it is “essential for individuals to be informed that good care and treatment of gum disease plays a role in blood pressure “.
While everyone needs regular dental examinations, “those with high blood pressure should understand the importance of dentists, seek routine follow-up and practice good oral care,” says Niemi. Linking underpatient patients to such routine care is an important task for Care Harbor.
At a time when federal health insurance for the poor and disabled is scaled off and the requirements in the Affordable Care Act are eliminated, it is unlikely that patients with gum disease will have better access to dental care anytime soon.
But if they did, it can help, says Dr. Gregg L. Fonarow, a cardiologist at UCLA.
“It is suggested by these data, but would have to be proven,” says Fonarow.
Meanwhile, he said there is a link: Patients with high blood pressure should do their utmost to improve their oral health, and those with poor dental health should be alert to high blood pressure.