Periodontitis, a Trigger For Hashimoto’s? Dr Izabella Wentz
Periodontitis, a Trigger For Hashimoto’s? Dr Izabella Wentz
Thyroid hormones play an important role in oxidative stress and inflammation in humans28. 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. Thyroid health plays a crucial role in our overall well-being, including dental health. The use of thyroid medication is common among individuals with thyroid conditions, such as hypothyroidism or hyperthyroidism. While these medications are essential for managing thyroid disorders, they can also have an impact on oral health.
Gingival bleeding
Management of the patient for oral symptoms and systemic conditions requires a collaborated effort on the part of the dentist/periodontist, general physician, ENT specialist, nutritionist, fitness expert, social worker, and behavioral counsellors. Hence, holistic approach in such cases becomes crucial to satisfactorily manage and maintain a controlled oral and systemic status. The dental hygienist can also review dental management strategies for treating patients with thyroid conditions. It should be pointed out that dental professionals are likely treating patients who are unaware of their thyroid disorders.
- The radiological examination of this patient also revealed localized mild horizontal bone loss in mandibular posterior teeth.
- The lowest detection limit for this assay was 0.005 μIU/mL, and the functional sensitivity was 0.014 μIU/mL.
- Thyroid problems are closely related to some small but potentially problematic dental issues.
- Thyroid conditions can contribute to oral health issues such as gum disease, dry mouth, and tooth decay.
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Diet, oral probiotics, pathogenic treatments, and other natural approaches to hygiene can be more effective treatments for periodontitis than traditional ones, such as fluoride treatments. If you are experiencing any of the above symptoms, you may wish to get tested for periodontitis. Periodontitis is typically diagnosed through an oral exam, where a dentist measures the pocket depth of the gums using a dental probe. (Healthy pockets are 1 to 3 millimeters, but deeper pockets may suggest periodontitis.) Dental X-rays are also used to look at bone loss in the jaw over time. This can contribute to oral discomfort, difficulty chewing and swallowing, an increased risk of tooth decay, and bad breath. Knowing the symptoms orally and systemically may help identify a thyroid issue and improve a patient’s quality of life.
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Cranberry juice (be sure to choose organic 100 percent cranberry juice) has anti-adhesion properties and can dissolve the protective coats that store the bacteria. (22) Therefore, cranberry juice might be a powerful healing food to include in your autoimmune diet to specifically target periodontitis. Be aware that even unsweetened cranberry juice is high in sugar, so this intervention may not be appropriate for those with blood sugar imbalances. In addition to good routine oral care, there are several other natural solutions to prevent and treat periodontitis. I was so excited to learn about Dr. Bonner, a French-Canadian dental surgeon who specializes in periodontitis, because he truly takes a Root Cause approach. In his practice, Dr. Bonner has been able to reverse and cure periodontitis in 100 percent of his patients, instead of simply suppressing it.
Over time, her oral health had deteriorated and she was diagnosed with periodontitis. Some people notice an improvement in their thyroid symptoms and thyroid hormone levels when they remove halogens from their transdermal synthroid lifestyle. Another is to use household water purification systems like reverse osmosis, electrodialysis, activated carbon, or other adsorption/ion-exchange methods to remove fluoride from your lifestyle.
This theory is supported by the multimorbidity found in aging people, which increases in frequency due to the increase in life expectancy. It is alleged that the trials only focus on the target disease, excluding the rest of the pathologies, which makes it difficult to extrapolate the results to the real population (23). Burning mouth syndrome is an idiopathic condition characterized by burning pain in a normal-appearing oral mucosa lasting at least four to six months (1). It is relatively common in middle-aged and elderly women, and it is estimated that the prevalence can reach 18% in postmenopausal women (2). BMS is characterized by burning sensations in the tongue (particularly at the tip and lateral edges), lips, palate (2), and gums (3).
The thyroid requires iodine to produce hormones, and radioactive iodine is taken orally either by capsule or liquid. The radioactive iodine enters the thyroid cells and slowly destroys the overactive thyroid cells, resulting in a smaller thyroid causing fewer symptoms. Fluoride can cause thyroid issues, especially when it comes to hypothyroidism, and should be minimized or eliminated in anyone dealing with thyroid problems. (9) The negative effects of fluoride are especially found in people with low iodine levels; however, iodine supplementation in people who have autoimmune thyroid problems can also exacerbate antibody production. (10) The best course of action is to eliminate exposure to fluoride, and to obtain iodine from dietary sources, not from supplementation.
This section collects any data citations, data availability statements, or supplementary materials included in this article. CI confidence interval, OR odds ratio, BMI body mass index, SBP systolic blood pressure, eGFR estimated glomerular filtration ratio, AST aspartate transaminase, ALT alanine transaminase, TPO thyroid peroxidase, TSH thyroid-stimulating hormone. Some scientists think a virus or bacterium might trigger the response, while others believe it may involve a genetic flaw. A combination of factors—including heredity, sex, and age—may determine your likelihood of developing the disorder. I recommend trying and continuing with some of the self-care steps I’ve introduced here.
Moreover, it would be useful to evaluate if periodontal treatment reduces the risk of thyroid dysfunction. Second, although we adjusted for various possible confounding variables identified through a thorough literature review, there could be residual bias that we were unable to eliminate. Third, the present study included only Korean subjects which prohibit the generalization of the results to the population across different ethnicities.
- Therefore, the deficiency of these hormones can play a role in dysgeusia (15) and in peripheral/central neuropathies (13,15).
- Aimee McNew is a Certified Nutritionist who specializes in women’s health, thyroid problems, infertility, and digestive wellness.
- In the MGPS method, the Empirical Bayes Geometric Mean (EBGM) was used, with signal detection criteria met if the lower 95% CI bound (EBGM05) exceeded 2.
- We think of going to the dentist to keep our teeth pearly white, our breath fresh, and our mouths free from cavities – but a dentist can also be instrumental in uncovering undiagnosed thyroid issues.
- An IC-based signal was present when the lower bound of the IC’s 95% CI (IC025) exceeded zero.
This starts with preventing gingivitis with good oral care, including brushing, flossing, regular teeth cleaning, and seeing your dentist at the first sign of bleeding gums. When brushing, pay close attention to targeting the gumline while holding the toothbrush at an angle. Graves’ disease ─ Graves’ disease is the most common cause of hyperthyroidism, and it’s an autoimmune disorder that attacks the thyroid and causes it to make too many thyroid hormones.