Dentistry
Thomas Varga, DDS

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Dental Care & Serious Illnesses

Heart Disease: 1
Recommendations by the American Heart Association: 
These recommendations are especially important for people with:

• prosthetic heart valves 
• a previous history of endocarditis 
• congenital and acquired heart defects such as 
• most congenital cardiac malformations 
• damaged heart valves 
• hypertrophic cardiomyopathy (hi"per-TRO'fik kar"de-o-mi-OP'ah-the) 
• (Note: If you previously took the diet drug "fen/phen," see the " Dietary / Weight-Loss Supplements" section of this guide.)

Your dentist will ask about the nature of your heart problem. He or she will also ask what medications, if any, you're taking for it. Also be prepared to give your dentist your physician's name and address and your permission to consult your physician about your heart problem.

The Council on Dental Therapeutics of the American Dental Association has approved the American Heart Association's statement as it relates to dentistry. (More Information)
 

Diabetes and dental care: 2
People with diabetes are more likely to have periodontal disease than people without diabetes, probably because diabetics are more susceptible to contracting infections. In fact, periodontal disease is often considered the sixth complication of diabetes.

Those people who don't have their diabetes under control are especially at risk. A study in the November issue of the Journal of Periodontology found that poorly controlled type 2 diabetic patients are more likely to develop periodontal disease than well-controlled diabetics are. 

Research has emerged that suggests that the relationship between periodontal disease and diabetes goes both ways - periodontal disease may make it more difficult for people who have diabetes to control their blood sugar. 

Severe periodontal disease can increase blood sugar, contributing to increased periods of time when the body functions with a high blood sugar. This puts diabetics at increased risk for diabetic complications. Thus, diabetics who have periodontal disease should be treated to eliminate the periodontal infection. 
(More Information)

Respiratory Diseases: 3
Bacterial respiratory infections are thought to be acquired through aspiration (inhaling) of fine droplets from the mouth and throat into the lungs. These droplets contain germs that can breed and multiply within the lungs to cause damage. Recent research suggests that bacteria found in the throat, as well as bacteria found in the mouth, can be drawn into the lower respiratory tract. This can cause infections or worsen existing lung conditions. People with respiratory diseases, such as chronic obstructive pulmonary disease, typically suffer from reduced protective systems, making it difficult to eliminate bacteria from the lungs. 
Scientists have found that bacteria that grow in the oral cavity can be aspirated into the lung to cause respiratory diseases such as pneumonia, especially in people with periodontal disease. This discovery leads researchers to believe that these respiratory bacteria can travel from the oral cavity into the lungs to cause infection.
(More Information)
 

Dental Care and cancer: 4
All phases of cancer therapy can be complicated by problems of oral and dental origin. Infections originating from the carious breakdown of teeth, or the deterioration of periodontal support for the roots of teeth are potent causes of local and systemic problems particularly in immuno-compromised patients and irradiated sites. Inappropriate extraction of teeth following radiation therapy can result in bone necrosis that may be difficult to manage. Many of these problems can be limited or eliminated with appropriate pre- and post-therapy dental management. (More Information)
 
 

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