What Does Gum Disease Have to Do With Erectile Dysfunction?
How can men avoid gumming up a relationship? They might start by brushing their teeth every day.
According to a new study in The Journal of Sexual Medicine, men with erectile dysfunction (ED) are three times more likely to have gum disease than men who do not have ED.
Turkish researchers found that 53% of the male patients with ED had severe gum disease (chronic periodontitis) compared with 23% who did not have ED. The study included 80 male patients with ED and 82 male patients without the condition; none were smokers since lighting up is considered a risk factor for both ED and gum disease. The study was also limited to those 30 years to 40 years old in an effort to rule out age as a risk factor. Even after accounting for age, body mass index (BMI), household income, and education status, the association between poor dental health and ED held.
(MORE: Gum Disease Doesn’t Cause Heart Disease After All)
“We think that it will be of benefit to consider periodontal disease as a causative clinical condition of ED in such patients,” the authors write.
What connects the two vastly different conditions? In a word, inflammation. Inflammation, which is the body’s immune response in action, may spread from the gums and harm other parts of the body. Gum disease is marked by bleeding of the gums and bone structure of teeth, and if left untreated, can cause tooth decay and tooth loss as immune cells launch an all-out attack on pathogens in the mouth. These bacteria can also seep into the bloodstream and damage blood vessels, and because erectile problems can be caused by impaired blood flow in the penis, poor dental hygiene can be associated with ED. About 150 million men worldwide suffer from erectile dysfunction, and nearly half of American adults over 30 (64 million) have periodontal disease — 56 percent of whom are men, according to the Centers for Disease Control and Prevention (CDC).
MORE: The Fires Within
“Many studies have reported that [chronic periodontitis] may induce systemic vascular diseases, such as coronary heart disease, which have been linked with erection problems,” Dr. Faith Oguz from Inonu University in Malatya, Turkey, said in a statement describing the results.
While these studies have linked periodontal disease to heart disease and diabetes, the American Heart Association (AHA) announced in April that there is not enough research to confirm that gum disease causes heart disease. Most of the data comes from observational studies, which means there may be other factors that raise the risk of both diseases — such as obesity, smoking, and aging — that could also be responsible for this association. The Turkish authors, however, excluded men who had a systemic disease from their study, which suggests the relationship is worth pursuing with further research.
“Even though it’s a small, preliminary study, there’s enough suggestion that periodontal disease is a significant risk factor that it begs more investigation,” says Dr. Nancy L. Newhouse, President of The American Academy of Periodontology (AAP).
MORE: To Help Erectile Dysfunction, Treat the Heart
Faithful brushing can keep bacteria that trigger inflammation at bay, and regular visits to the dentist can detect periodontitis. That’s something that most men aren’t taking advantage of; according to recent research in the AAP’s journal Periodontology, women are twice as likely as men to get regular dental check-ups.
“This is a risk factor that you have some control over,” Newhouse says. If you have healthy gums, then “you have just eliminated one of the factors that may be impacting your overall health, of which ED is a part.”
Read more: http://healthland.time.com/2012/12/05/what-does-gum-disease-have-to-do-with-erectile-dysfunction/#ixzz2ErGDHkj2
June 27, 2012
American Dental Association Statement on PBS Frontline’s ‘Dollars and Dentists’
Rob Raible: Telephone: 202-789-5166 Email: email@example.com
Richard Green: Telephone: 202-789-5170 Email: firstname.lastname@example.org
The American Dental Association appreciates the mounting media interest in what Surgeon General David Satcher, M.D., famously called a “silent epidemic” of oral disease. Unfortunately, the situation has improved little since Dr. Satcher wrote those words in 2000. The needless suffering caused by untreated dental disease that could have been prevented or easily treated in its early stages is unacceptable. Coverage by PBS’s “Frontline” and other media can increase awareness of this ongoing tragedy and, we hope, the political will to do something about it.
We also are concerned, however that “Frontline’s” focus on allegations of Medicaid fraud and abuse may create negative and erroneous impressions about the larger sphere of Medicaid providers. Of course, any dentist in any practice setting should adhere to the profession’s self-imposed ethical standards, and should be subject to the laws and regulations of the state in which he or she practices. But we must not let a few bad actors tarnish the work of thousands of honest, caring dentists who treat Medicaid patients, often for breakeven or even negative revenues. They do so because they feel a responsibility to provide care to people whose economic circumstances would otherwise prevent them from receiving it. Further, many dentists who cannot afford to participate in Medicaid or wrestle with its often onerous paperwork instead treat needy patients for free. One estimate has U.S. dentists providing some $2.6 billion in free or discounted care in a single year.
There are right ways and wrong ways to improve access to dental care in America. The right way is to understand that while oral health care is essential, the ultimate goal is oral health. The right way is to recognize that there are multiple barriers that impede tens of millions of Americans from attaining optimal oral health, including geography, culture, language, poverty and, in the larger sense, a societal failure to value oral health. Taking on just one of them won’t work; we must continue to approach the problems holistically. The wrong way is to invest solely in therapist programs that other countries have used for decades, with little appreciable effect on their rates of oral disease.
The country will never drill, fill and extract its way to victory over untreated dental disease. A public health system based primarily on surgical intervention in disease that could have easily been prevented is ill conceived and doomed to fail. Until we shift the focus to oral health education and disease prevention, the country will fail to meet the needs of those who face the greatest barriers to good oral health.
June 25, 2012
MouthHealthy.org debuts today
The ADA announces the launch of its brand new consumer website today,MouthHealthy.org.
The site is designed to provide patients with timely and credible oral health information on prevention, care and treatment in a highly engaging user experience.
The ADA is encouraging members to spread the word to patients so they can use this new tool for improving their oral health that both dentists and consumers can trust.
The Association wants members to know that ADA Find-a-Dentist has moved to MouthHealthy.org, providing access to information about members and their practices, including a photo that dentists can upload to the site. Members can update their profiles for ADA Find-a-Dentist on MouthHealthy.org and Member Directory on ADA.org at ADA.org/memberprofile.
June 18, 2012
Consumers score a ‘D’ for knowledge of oral health
‘Nice smile’ tops eyes, hair as most important attribute
By Karen Fox, ADA News staff
In a national online survey of nearly 1,500 consumers across the U.S., the ADA inquired about consumers’ knowledge of oral health and hygiene.
No one aced the test.
Scores ranged from a high of 85 percent correct to a low of 29 percent. The average score overall was 60 percent correct. If the results are any guide, there’s much room for improvement when it comes to educating patients about their oral health.
Included among select findings, the survey concluded that:
An abbreviated and interactive version of the survey will be available onMouthHealthy.org so consumers can “Test Your Dental IQ”—allowing them to compare their scores with the national average.
April 26, 2012
CDC: Oropharyngeal cancer second most diagnosed of HPV-associated cancers
By Jean Williams, ADA News staff
Atlanta—Oropharyngeal cancer is the second most diagnosed of cancers associated with the human papilloma virus, according to a new report from the Centers for Disease Control and Prevention.
In the April 20 issue of Morbidity and Mortality Weekly Report, a CDC analysis of 2004 to 2008 data from the National Program of Cancer Registries and from the Surveillance, Epidemiology and End Results program yielded evidence of 33,369 HPV-associated cancers diagnosed in 50 states and the District of Columbia.
In its analysis of the NPCR and SEER data, the CDC found that oropharyngeal cancer was diagnosed at an average of 11,726 cases annually. Only cervical cancer, at an average of 11,967 cases annually, was diagnosed at a higher rate.
Of the 11,726 annual cases of diagnosed oropharyngeal cancer, the CDC reported that an estimated 63 percent are attributable to oncogenic HPV infection. Males were diagnosed with oropharyngeal cancer with preponderance over females: 9,356 cases versus 2,370 cases.
HPV-associated cancers occur at specific anatomic sites—the cervix, vulva, vagina, penis, anus and oropharynx—in specific cell types (carcinoma of the cervix and squamous cells for the other sites) in which HPV DNA is frequently found. The CDC analysis identified the rates of diagnosed HPV-associated cancers by anatomic site, age group, sex, and race/ethnicity.
Case definitions based on expert consensus were used to examine the burden of invasive cancers at anatomic sites and occurring in the affected cell types. “Inclusion of oropharyngeal cancers as HPV-associated was further limited to specific sites where HPV is most likely to be found: base of tongue, tonsils, and ‘other oropharynx,’” the report said.
The report touted the use of HPV vaccines in curtailing infection rates. “Many HPV-associated cancers likely are preventable through the use of HPV vaccines,” the report said. “Two vaccines (bivalent and quadrivalent) are available to protect against HPV 16 and HPV 18, the types that cause most cervical and other anogenital cancers as well as oropharyngeal cancers.”
The report noted that “cervical cancer rates have decreased in the United States, largely as a result of the success of screening, but disparities still remain. HPV vaccine likely will help decrease cervical cancer rates further and reduce the disparities.”
However, the CDC concluded, because other HPV-associated cancers, including oropharyngeal cancer, do not have approved screening programs, “HPV vaccines are important prevention tools to reduce the incidence of noncervical cancers.”
April 13, 2012
ADA releases statement on dental X-rays study
By Jean Williams, ADA News staff
A study published online April 10 associating dental radiographs with brain tumors has stirred media attention and questions from experts on the study’s methodology.
The study published in Cancer, an American Cancer Society peer-reviewed journal, found that people with meningiomas (typically, benign brain tumors) are more likely to report that they’ve had certain dental X-ray examinations in their lifetimes.
In a press statement following publication of the study online by Cancer, the ADA referred to their recommendations for prescribing radiographs, which help dentists determine how to keep radiation exposure as low as reasonably achievable.
“The ADA has reviewed the study and notes that the results rely on the individuals’ memories of having dental X-rays taken years earlier,” says the April 10 statement. “Studies have shown that the ability to recall information is often imperfect. Therefore, the results of studies that use this design can be unreliable because they are affected by what scientists call ‘recall bias.’ ”
The ADA released its statement in tandem with the lifting of the press embargo on the study. U.S. News and World Report and MSNBC interviewed Dr. Matthew Messina, a practicing dentist in Ohio and ADA media spokesperson. Several other media outlets cited the ADA’s recommendations on dental X-rays.
In “Dental X-Rays and Risk of Meningioma,” the authors, led by researcher and neurosurgeon Elizabeth B. Claus, M.D., of Yale University School of Medicine and Brigham and Women’s Hospital, conclude that “exposure to some dental X-rays performed in the past, when radiation exposure was greater than in the current era, appears to be associated with an increased risk of intracranial meningioma.”
Using anecdotal evidence, the population-based, case-control study compared dental and therapeutic radiation histories in 1,433 patients who had intracranial meningiomas diagnosed between ages 20 and 79 with a control group of 1,350 patients. Data collection involved interviews and questionnaires and relied on the patients’ recall of details related to dental care received over their lifetimes. According to the study report, “Participants were asked to report the number of times they had received bitewing, full-mouth, or panoramic films” during four stages in life: before age 10, between ages 10 and 19, between ages 20 and 49 and up to age 50.
Dr. Alan G. Lurie, a radiation biologist and head of radiology at the University of Connecticut School of Dental Medicine, has many concerns about the study’s design and outcomes. “I think it’s a very flawed study,” said Dr. Lurie, who is also president of the American Academy of Oral and Maxillofacial Radiology.
He characterized at least one outcome of the study—reflected in a table that related meningioma risk to types of dental X-ray examination—as “biologically impossible.”
Said Dr. Lurie, “They have a table, Table 2, in which they ask the question, `Ever had a bitewing,’ and the odds ratio risk from a bitewing ranges from 1.2 to 2.0, depending on the age group. Then they asked ‘Ever had full mouth’ series, and the odds ratio risk from a full mouth series ranged from 1.0 to 1.2.
“That’s biologically not possible because the full mouth series has two to four bitewings plus another 10 to 16 periapicals. A full mouth series, just to round things off, is 20 intraoral X-rays of which two to four are bitewings. They are showing that one bitewing has 50 to 100 percent greater risk than a full mouth series that has multiple bitewings plus a bunch of other films. That’s biologically not possible.”
Explaining this gross internal discrepancy is difficult, as the epidemiologic and statistical methods are widely accepted, Dr. Lurie said. He attributes the perceived discrepancy in the data to possible recall bias in the patients involved in the study.
“Epidemiologists are very aware of this bias,” Dr. Lurie said. “What happens is you’re asking people to remember what kind of dental X-rays they had 10, 20, 30 or 40 years ago. It’s anecdotal, and the argument is that it’s just as anecdotal for the group without meningiomas as it is for the group with meningiomas. That is not necessarily true.”
Individuals who had meningiomas and had surgery for them in this study population may be more likely to remember having had X-rays than individuals who did not have meningiomas, Dr. Lurie said.
Dr. Lurie emphasized that his comments on the dental X-rays study are his own. “They’re not necessarily the views of the Academy,” he said, noting that the AAOMR was preparing an official response to be released this week.
A broad range of local, national and international media reported news of the dental X-rays study, including ABC World News with Diane Sawyer, CBS This Morning, Good Morning America, USA Today, The Sun (United Kingdom), The Daily Mail (United Kingdom) and others.
The study can be viewed online free of charge.
The ADA in November 2010, with the support of an educational grant from Schick Technologies Inc., distributed Safe Use of Radiographs in Dentistry, a full-color poster that ADA members can order free from schicktech.com or by calling Emily Brown at 1-718-482-2131.
Also, members may take the ADA Online CE course: Radiographic Examinations: Choosing the Right Patients and Equipment, which can be accessed atadaceonline.org.
Visit ADA.org for additional resources on dental X-rays.
April 18, 2012
Current Scientific Evidence Does Not Establish Cause and Effect Relationship Between Gum Disease and Heart Disease or Stroke
E-mail: email@example.com (Journalists) or Contact ADA (All Others)
CHICAGO, April 18, 2012 – The American Dental Association (ADA) Council on Scientific Affairs agrees with the conclusions of a recent report that current scientific evidence does not establish a direct cause and effect relationship between gum disease and heart disease or stroke. Additionally, the evidence does not establish that gum disease increases the rate of heart disease or stroke.
The report, which examined 537 peer-reviewed studies on the subject, was published this month in Circulation, the journal of the American Heart Association.
Although there is a body of research showing that gum disease is associated with several health conditions such as heart disease, stroke, and diabetes; just because two conditions are associated with each other does not mean that one causes the other. Both heart disease and gum disease share common risk factors, such as smoking and diabetes, which play a role in the development of both diseases.
The American Heart Association (AHA) report acknowledges the value of good oral hygiene to maintain good overall health but noted that current scientific data do not indicate whether regular brushing and flossing or treatment of gum disease can decrease the incidence of atherosclerosis, which is the narrowing of the arteries that can lead to cause heart attacks and strokes.
The ADA’s Council on Scientific Affairs, which is made up of ADA member dentists who are scientific experts, appointed a representative to the American Heart Association expert committee that developed the report. The ADA Council on Scientific Affairs then reviewed the report and agreed with its conclusions.
As a science-based organization, the ADA supports research on the risk, prevention, management and treatment of oral diseases, as well as research that helps clarify relationships that may exist between oral conditions and systemic diseases. The ADA encourages patients to talk to their dentists about the role that good oral health plays in their overall health.
Gum disease is an infection of the tissues that support the teeth and is a major cause of tooth loss in adults.To avoid gum disease and maintain good oral health (including prevention of tooth decay or cavities), the ADA recommends the following:
Editor’s Note: Reporters are invited to follow ADA media relations on Twitter @ADAmediapr
About the American Dental Association
The not-for-profit ADA is the nation's largest dental association, representing more than 157,000 dentist members. The premier source of oral health information, the ADA has advocated for the public's health and promoted the art and science of dentistry since 1859. The ADA's state-of-the-art research facilities develop and test dental products and materials that have advanced the practice of dentistry and made the patient experience more positive. The ADA Seal of Acceptance long has been a valuable and respected guide to consumer dental care products. The monthly The Journal of the American Dental Association (JADA) is the ADA's flagship publication and the best-read scientific journal in dentistry. For more information about the ADA, visit the Association's website at www.ada.org
Newsletter - 3rd Quarter
December 2011 - Periodontal Disease Increases Risk for Systemic Disease
It is now well established that Periodontal Disease increases the risk for systemic diseases and conditions. The strength of the various oral-systemic connections varies. The link between periodontal disease and pregnancy is still under investigation, as is the relationship with rueumatoid arthritis, among others. The evidence at this point, however, is sufficient to be considered complete regarding the interconnnections between priodontal disease, atherosclerosis, cardiovascular diseases, and diabetes. Diabetes is the No. 1 systemic risk factor for periodontal disease; periodontal disease worsens glycemic control by increasing insulin resistance; insulin resistance is the biggest cause of atherosclerosis; and atherosclerosis is the primary driver of cardiovascular diseases. Each of these relationships has been deomstrated by a large body of research.
November 2011 - New Products Offered in Office
At Gilmore Dental, our goal is to not only provide our patients with an excellent experience, but to also offer our patients other products and services that will support the mission of complete oral health. One of the ways we are supporting this mission is through products offered at wholesale prices. Here are a list of products you can purchase in our office:
- Sonicare Toothbrushes: Several options - with UV head cleaner, basic option and a kids brush.
- Sonicare Head Replacements
- Xylitol Gum (Xylitol is the new flouride - sugar alcohol sweetner that is tooth friendly with a plaque-reducing effect that attracts then starves harmful micro-organisms, allowing the mouth to remineralize damaged teeth with less interruption) in 100 ct or 10 ct packages.
- Flouride Toothpaste
- Prescription Strength Oral Rinse
Sonicare Winner for October!
Congratulations to Frankie H.
Sonicare Winners for August and September!
Tom O. is the winner from August and Stephanie H. from September. Thank you for taking the time to fill out a patient satisfaction survey. We appreciate your feedback.
Review Us on Google or Angie's List and be Entered To Win!
Our goal is to get as many reviews as possible! You can help by leaving your feedback. Can't be anonymous or we won't know who to enter into the drawing for a free Sonicare Toothbrush with UV sterilizer! Thank you for your help. Go to our Feedback page, both links are there. Congratulations to Tom O. for being our first winner.
June 25, 2011 Gilmore Golf!
Dr. Gilmore and the Gilmore Girls participated in the First Annual St. Thomas Academy Golf Fundraiser. Dr. Gilmore sponsored three teams. His own team scored a 61 on the 63 Par Challenge Course at Eagle Crest. The Gilmore Girls shot a 70. A great time was had by all as they enjoyed the perfect weather and a tasty bbq afterward.
June 13, 2011 Gilmore Dental raised $700 for the Great Strides (walk for Cystic Fibrosis) event held in Redmond, OR at Sam Johnson Park on June 11th, 2011.
Dr. Gilmore along with his staff walked the 5k event and looks forward to doing it again next year. Make it a plan to join them. "It was great to see the support and how special the event was to the family members and friends of those suffering from the disease." Amy Remick, Office Manager
June 13, 2011 Pacific Source through Advantage Dental has a new stand alone individual + plan.
Click here to review the brochure: The brochure gives the rates, an application and a list of benefits.
June 11, 2011 Great Strides Walk for Cystic Fibrosis
GREAT STRIDES is the Cystic Fibrosis Foundation's largest and most successful national fundraising event. This year, we're walking in the GREAT STRIDES walk at the 2011 Redmond - Sam Johnson City Park, Redmond, OR walk on 06/11/2011. Please help us meet our fundraising goal of $1000.00 by sponsoring us. Your generous gift will be used efficiently and effectively, as nearly 90 cents of every dollar of revenue raised is available for investment in vital CF programs to support research, care and education. We're very excited to be a part of this event. If you'd like to donate to the cause or join our team click here.
Facebook and Twitter, Here We Come!
February 2011 - Hard to believe we are in the second month of the new year! With the new year comes new avenues to reach our patients and our community. If you didn't notice on our home page you can now follow us on Twitter and Facebook. It'll take us a while to get used to this new social media and to post regularly but we're looking forward to having fun with it! Join us!
Gilmore Dental Goes to St. Thomas School
We were invited by St. Thomas School to do a Dental Check day with their students. We had so much fun. The kids were excited to participate in our question and answer session about dental health. They seemed to be on the right track about how to floss and brush. We're grateful for the opportunity.
Enter to Win!
November 2010 - Current patients: Register for our website, fill out a patient satisfaction survey and be entered to win a Phillips Sonicare Toothbrush with UV disinfector. We appreciate your feedback.
October 2010 --- In our effort to be environmentally conscious, we have gone virtually paperless. New patients can now do their paperwork through our website or on a kiosk in our office. This goes hand in hand with the digital radiograph technology we implemented at the end of 2009. We are excited to do our part for a greener planet.
Gilmore Dental Adds New Technology, Services to Practice
October 2010 --- With a commitment to keeping up with the latest technology and services, Gilmore Dental is proud to announce the addition of a Panoramic and Cone Beam CT Scan machine. The recent addition is to provide a standard of care in the newest service Dr. Gilmore is providing, implants and to provide a more comfortable experience for patients in regards to capturing images for wisdom teeth. "The Panoramic machine gives us a greater ability to diagnose and treat wisdom teeth. Prior to the Panoramic, in order to capture the full wisdom tooth a sensor has to be placed as far back in the patients mouth often causing discomfort and/or gaging. This equipment is state-of-the-art digital imaging technology and give us a 3D view of your teeth and important diagnostic information which is not possible with conventional 2D x-rays." says Dr. Gilmore. A 3D image generated from the CBCT machine allows us to evaluate other aspects of the head and neck region including possible orthodontic treatment needs, pathology of the skull, sinus, jaws, and upper spine, and pathology associated with the roots of teeth. Though Dr. Gilmore performs most of his own surgical extractions, perio therapy and enodontic therapy, in the event that treatment by a specialist is necessary, we work with local specialists like ENT's (Ear, Nose, and Throat ), Oral and Maxillofacial Surgeons, and Oral and Maxillofacial Radiologists to ensure that our patients receive the appropriate level of care.
Another reason for the addition of the new technology is to support the placement of implants. Dr. Gilmore can now provide patients the service of placing implants. In placing implants it is very important to see the nerves in and around the area where the implant will be placed. For more information visit the Advvanced Dentistry tab on the right.