Thyroid Disease: Link Between Hashimoto's and Gum Disease
He sees his patients every month, and it typically takes about a year for the full treatment. He has reported that immune cells and inflammation can disappear (and no longer be visible under a microscope) once the parasites are gone, leaving only normal flora in the mouth. Gingivalis is a pathogen that is similar to Entamoeba histolytica, which we know can trigger intestinal permeability and some autoimmune diseases. As the patient had a habit of mouth breathing, consultation from an ear, nose, and throat (ENT) specialist or otorhinolaryngologistwas sought to rule out airway blockage before prescribing a habit-breaking appliance. During clinical examination and in X-ray nasopharynx lateral view, a mild deviated nasal septum (DNS) towards the right side was noticed.
Sensitivity analyses
Patients with hypothyroidism are more likely to initially experience gum disease than patients with hyperthyroidism. In addition to other autoimmune concerns, hypothyroidism can cause patients to experience macroglossia (enlargement of the tongue), gum disease, slow healing of mouth sores, and, in children, delayed tooth growth. Weak or damaged gums are more susceptible to infection than strong and healthy ones, so those with thyroid conditions are more at risk for gum disease. In turn, gum disease allows bacteria to enter the bloodstream where it can elevate our risks of heart disease and stroke.
Chronic inflammation can lead to hypertension, dyslipidemia, cardiovascular disease (CVD), type 2 diabetes mellitus (DM), non-alcoholic fatty liver disease (NAFLD), chronic kidney disease (CKD), and neurodegenerative conditions. These conditions are the primary causes of morbidity and mortality worldwide, accounting for more than 50% of all deaths2,3. One week after supragingival scaling, the patient was recalled for subgingival scaling and subgingival irrigation with chlorhexidine digluconate 0.2% solution. She was also prescribed vitamin C tablets and vitamin B complex supplements, prophylactically daily for one month, but it did not improve her oral conditions 12. At the first-month follow-up, supra- and subgingival scaling was repeated, and oral hygiene instructions synthroid focus were reinforced.
- I recommend Designs For Health – Silvercillin Liquid as an effective, non-toxic mouthwash.
- However, most previous studies on the association between periodontitis and thyroid dysfunction consist of animal studies, case reports, and retrospective chart review analyses with a limited number of patients29.
- By understanding the connection between thyroid health and dental health, individuals can take proactive steps to preserve their oral health.
- Patients with hypothyroidism, a condition in which the thyroid gland underperforms, experience oral problems like tongue enlargement (macroglossia), gum disease, a long-winding recovery from mouth sores, tooth infection and gum disease.
- Saliva also helps to restore the structural strength of tooth enamel by delivering a continual source of minerals to each tooth in the mouth.But thyroid problems can significantly reduce saliva production.
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Impacted teeth (teeth that may grow at an angle because they are stuck under the gums) can create inflammation around the root of other teeth and can lead to gingival inflammation, periodontitis, and tooth decay. For signal detection, we used a “case-non-case” disproportionality analysis approach, which compares the frequency of exposure to the drug of interest in cases (specific gum disorders) versus non-cases (all other reported events) 15. The OpenVigil 2.1 platform was used to retrieve data on drug-gum disorder pairs. Four data mining algorithms, two frequentists and two Bayesian, were employed to detect potential signals.
The mouth isn’t isolated from the rest of the body, and when there is inflammation in the mouth, it can be an indication of inflammation in the rest of the body. Over time, if cleaning, scaling, and root planing do not remove the buildup of bacteria, surgery will be recommended to expose the root of the teeth for further scaling and/or root planing. Some individuals may experience a metallic or bitter taste in their mouth, affecting their enjoyment of food and beverages. This work was supported by Korea University Guro Hospital (Korea Research-Driven Hospital) and grant funded by Korea University Medicine (K ). The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; or the decision to submit the manuscript for publication.
Subgroup analyses
Numerous studies have shown the association between BMS and psychological factors, such as depression and anxiety (4,6,7). Some individuals may experience swollen, tender, or bleeding gums as a result of the medication. It is important to inform your dentist about the medications you are taking so that they can tailor your dental treatment accordingly and provide appropriate oral care. During her recall evaluation, this patient was diagnosed with grade 2 adenoid hypertrophy, leading to blockage of airway and obstructive sleep apnea (OSA).
This test can detect hypersensitivity to metals and environmental toxins, and help you determine whether removing your fillings should be a priority. We know that all people with Hashimoto’s have a genetic predisposition for the autoimmune disease, and many have sensitivities too. 14 Some people with Hashimoto’s have greater sensitivities and reactivity to metals than others.
The thyroid controls the metabolism, specifically with the hormones T3 (triiodothyronine), the active form, and T4 (thyroxine), the storage form. Preventative oral health exams and cleanings can reduce your risk for gum disease, tooth decay, and oral cancers. Dentists receive training to feel and look for other conditions of the face, head, and neck. Instead, we pay attention to our weight issues, cardiovascular symptoms, digestive ailments, fatigue, and temperature dysfunction. However, when it comes to optimizing your thyroid health, you also need to make sure you take care of your oral health. OPG, routinely done in dental clinics is inexpensive and can be used for screening and selecting high-risk osteoporosis patients for bone densitometry.
Flossing is also an important daily habit to start, as this will help to dislodge food particles (aka, food for the pathogenic bacteria). While brushing your teeth, aim at the gum line, as that’s where most pathogenic bacteria live. You can do this by angling your toothbrush up to reach the upper teeth, and angling it down to reach the lower teeth.
Hypothyroid patients on thyroxine replacement therapy may be at increased risk for periodontal destruction. Of course, one of the most vital factors in maintaining healthy gums, teeth, and mouths is our own self-care practices. Some consistent, focused effort here can minimize the need for invasive dental work (anything beyond a cleaning) and reduce inflammation.
