Is Chronic Inflammation Linked to Periodontal Disease? A Dental Perspective - Dentistry

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Periodontal disease and chronic inflammation?


Hello Dr.
Lin: I have been experiencing blood in my saliva, and in early June of this year, I visited an ENT specialist.
The biopsy results indicated chronic benign nasopharyngitis, and the doctor did not recommend any further tests or treatments, only advising me to have annual follow-ups.
Although the amount of bleeding has decreased since the biopsy, it still occurs.
I do not smoke or drink alcohol, and my lifestyle is relatively normal, so I have not been able to identify the cause, which makes me quite anxious.
About 3-4 years ago, I got braces and saw a dentist who informed me that I had severe periodontal disease and performed a dental cleaning.
Since then, I have not seen a dentist, but over the past few years, my gums have occasionally swollen, and I experience bleeding while brushing my teeth.
I have seen some programs suggesting that periodontal disease can lead to systemic chronic inflammation.
I would like to ask Dr.
Lin if my chronic nasopharyngitis could be related to my periodontal disease.
Thank you.

Mr. Hsu, 30~39 year old female. Ask Date: 2023/06/30

Dr. Lin Jiayong reply Dentistry


Hello: It is indeed possible.
The upper molars are close to the maxillary sinuses, and the lower molars are near the throat.
If there is severe periodontal inflammation, the nasopharynx may feel uncomfortable.
It is advisable to consider treating periodontal disease, and if there are teeth that cannot be saved, they should be extracted as soon as possible.

Reply Date: 2023/06/30

More Info


Chronic inflammation is indeed linked to periodontal disease, and understanding this connection can provide insights into your health concerns. Periodontal disease, which includes conditions like gingivitis and periodontitis, is characterized by inflammation of the gums and surrounding structures due to bacterial infection. This inflammation can lead to the destruction of the supporting structures of the teeth, including bone loss, if left untreated.

Your situation, where you experience bleeding gums and have been diagnosed with chronic nasal inflammation, raises important questions about the interplay between these conditions. Research has shown that periodontal disease can contribute to systemic inflammation, which may exacerbate other inflammatory conditions, including chronic sinusitis or nasal inflammation. The bacteria associated with periodontal disease can enter the bloodstream and potentially affect other areas of the body, including the respiratory system.

In your case, the chronic inflammation in your nasal passages could be influenced by the periodontal disease. The proximity of the upper teeth to the maxillary sinuses means that infections or inflammation in the gums can potentially affect the sinuses, leading to discomfort or chronic inflammation in that area. This is particularly relevant since you mentioned that you have had issues with bleeding gums and occasional swelling, which are common signs of periodontal disease.

Moreover, the systemic effects of periodontal disease are well-documented. Studies have indicated that individuals with periodontal disease may have higher levels of inflammatory markers in their blood, which can contribute to various health issues, including cardiovascular disease, diabetes, and respiratory conditions. Therefore, addressing your periodontal health is crucial not only for your oral health but also for your overall well-being.

To manage your situation effectively, it is essential to seek comprehensive dental care. Regular dental check-ups and cleanings are vital for controlling periodontal disease. Your dentist can provide treatments such as scaling and root planing to remove plaque and tartar buildup, which can help reduce inflammation and promote healing of the gums. Additionally, maintaining good oral hygiene practices at home, including proper brushing and flossing techniques, is critical in managing periodontal disease.

If you continue to experience bleeding gums despite diligent oral care, it may be beneficial to consult with a periodontist, a specialist in gum disease. They can offer more targeted treatments and strategies to manage your condition effectively. Furthermore, if your nasal inflammation persists, it may be worthwhile to follow up with an ear, nose, and throat (ENT) specialist to explore any underlying issues that may need to be addressed.

In summary, there is a significant link between chronic inflammation and periodontal disease. Your nasal inflammation could potentially be exacerbated by your periodontal condition, highlighting the importance of addressing both issues concurrently. By seeking appropriate dental care and maintaining good oral hygiene, you can work towards improving your periodontal health, which may, in turn, alleviate some of the chronic inflammation you are experiencing in your nasal passages.

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