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Poor Oral Health Linked to Higher Stroke Risk and Brain Changes, Studies Find

Researchers following nearly 6,000 adults for two decades report stronger associations when gum disease occurs alongside cavities.

Overview

  • People with both gum disease and cavities had an 86% higher risk of ischemic stroke compared with those with healthy mouths, while gum disease alone was linked to a 44% increase.
  • Combined oral disease was associated with a 36% higher likelihood of major cardiovascular events such as heart attack, fatal heart disease or stroke.
  • A companion analysis found adults with gum disease were more likely to show white matter changes in the brain that indicate potential vascular injury.
  • Routine dental care was associated with 81% lower odds of having both gum disease and cavities and 29% lower odds of gum disease alone.
  • The authors emphasize the results show associations rather than causation and note limitations including a single baseline dental exam and potential unmeasured confounders.