Mathias: Also misbehaving with oral problems? Beware of cancer, dementia... Find the door.

It's all 2020, oral problems, do you think it's a minor problem? In fact, gum disease, especially periodontal disease, has a far greater impact than we thought.
periodontal disease is associated with a variety of diseases, such as heart disease, stroke, diabetes and dementia.
a new study published in the journal Gut, T.H. from Harvard University, USA. Researchers at the Chan School of Public Health and Sun Yat-sen University's First Hospital reported that a history of gum disease appeared to increase the risk of stomach cancer by 52 percent and esophageal cancer by 43 percent, based on data from two long-term health studies, namely the role of oral microbiomes in stomach cancer and the potential link between oral bacteria and esophageal cancer.
people who lost two or more teeth also had an increased risk of cancer, with stomach and throat cancers increasing by 33 percent and 42 percent, respectively, compared to those who didn't lose their teeth.
in the study, researchers analyzed the relationship between the history of periodontal disease and the risk of tooth loss and risk of esophageal and gastric adenocarcinoma in 98,459 women and 49,685 men from the Follow-up Study of Health Professionals (1988-2016).
recorded 199 cases of esophageal adenocarcinoma and 238 cases of gastric adenocarcinoma during their 22- to 28-year follow-up.
study showed that, overall, people with a history of gum disease had a 59 percent increased risk of throat cancer compared to those who had never had periodontal disease, with or without dental loss.
have some differences in stomach cancer: people with gum disease who don't lose their teeth have a 50 percent increased risk of developing stomach cancer, while those who lose one or more teeth have a 68 percent increased risk of developing stomach cancer. A study published online July 29,
, provides further evidence of a link between dental hygiene and dementia.
study, gum disease, especially the irreversible disease that causes tooth loss, can lead to mild cognitive impairment and dementia after 20 years.
specifically, Dr. Ryan T. Demmer and colleagues from the University of Minnesota in Minneapolis recruited 8,275 participants ,with an average age of 63) to participate in a community atherosclerosis risk study for clinical periodontal examinations from 1996 to 1998 and to determine the results of dementia by 2016.
oral periodontal examination, participants were divided into periodontal characteristic categories (PPC) based on the severity and extent of gum inflammation and loss of attachment.
at the start of the study, 22 percent had no gum disease, 12 percent had mild gum disease, 12 percent had severe gum inflammation, 8 percent had some tooth loss, 12 percent had a disease, 11 percent had severe tooth loss, 6 percent had severe gum disease, and 20 percent had no teeth at all.
researchers found that the cumulative incidence of dementia was 19 per cent, or 1,569 people, in an average of 18.4 years of follow-up, with a rate of 11.8 cases per 1,000 people.
the multivariate correction risk ratio of dementia was 1.22 (95 percent confidence interval, 1.01 to 1.47) and 1.21 (95 percent confidence interval, 0.99 to 1.48) in participants with severe PPC or toothless nature disease, respectively.
for mild/moderate PPC, severe PPC or periodontal disease or periodontal disease, the combined risk ratio of dementia/mild cognitive impairment is adjusted for 1.22 (95% confidence interval, 1.00 to 1.48), 1.15 (95% confidence interval, 0.88 to 1.51) and 1.90 (95% confidence interval 1.40 to 58).
that is, 264 (14 percent) of the 1,826 people whose gums and teeth were healthy at the start of the study had dementia at the end of the study.
623 (18%) of 3,470 people with mild gum disease developed dementia.
306 out of 1,368 (22%) of the 1,368 participants with severe gum disease developed dementia.
376 (23%) of the 1,611 people who had no teeth developed dementia.
researchers who looked at mild cognitive impairment and dementia found that the risk of toothless group was about twice that of the gum and dental health group, and that people with moderate or severe gum disease but still had teeth had a 20 percent higher risk of developing mild cognitive impairment or dementia than in the healthy group.
these risks were based on researchers taking into account other factors that may affect the risk of dementia, such as diabetes, high cholesterol and smoking.
Demmer says good oral hygiene has proven to be a lifelong way to keep teeth and gums healthy.
our study does nither prove that unhealthy oral health causes dementia, but shows a link between the two.
further research is needed to prove the link between oral microbes and dementia, and whether treatment for gum disease can prevent dementia.
noteworthy limitation of the study is that the initial gum tests were performed at the age of 63 and may have begun cognitive decline before gum disease and tooth loss.
in short, there is more and more research on the impact of oral problems, and we need to really pay attention to it.
recommend regular dental check-ups and deep cleaning.
the most important thing is to protect your teeth and gums for long periods of time to maintain periodontal and good health.
in order to have a healthier oral environment, brush your teeth well, and brush for more than 3 minutes! Dental supplies such as flossing and mouthwash are bought.
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