Herald on Sunday

Fortune smiles on good health

- Niki Bezzant u@nikibezzan­t

The recent calls for free or lowercost dental care in New Zealand were well-timed. It’s World Oral Health Day this week in which people and government­s around the world are encouraged to think about — and take action on — mouth health.

Our mouths are a mirror, in many ways, of our bodies. Oral health and general health are connected in some surprising and serious ways — looking after one can lead to much better health for the other.

The World Dental Federation says “the mouth cannot be isolated from the rest of the body”. That’s because many general health conditions increase the risk of oral diseases — diabetes can increase the risk of gum disease, for example.

And in some diseases, like diabetes, it’s a two-way relationsh­ip: poor oral health can worsen the health of people with diabetes. Not only are people with diabetes more susceptibl­e to gum disease, but according to the American Diabetes Associatio­n, serious gum disease may have the potential to affect blood glucose control and contribute to the progressio­n of the condition. People with diabetes are generally less able to fight bacterial infections that might invade the gums.

Can poor oral health actually cause diseases? Maybe. There’s an establishe­d link between gum disease and heart disease; it’s thought gum disease increases a person’s risk of heart disease by about 20 per cent — although exactly how this works is not yet clear. The theory is that inflammati­on in the gums — like chronic inflammati­on elsewhere in the body — could lead to atheroscle­rosis, the buildup of fatty plaque in the arteries.

The inflammati­on theory applies to other diseases, too. There are links between poor oral health and respirator­y disease, gastrointe­stinal and pancreatic cancers and arthritis.

Short of diseases, a mouth in poor health can have a serious effect on our quality of life. Poor teeth often lead to poor diets — if your teeth hurt, you probably don’t want to eat lots of crunchy healthy foods like fruit and veges — and poor diets, or course, lead

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