Poor oral hygiene has long been associated with coronary
heart disease, but is there a connection between bad brushing habits and Alzheimer's disease?
Scientists seem to believe there is.
Although hygiene habits as
a whole tend to suffer in Alzheimer's patients, dental tartar is now being
identified as a possible pathogenic cause of amyloid plaque formation, a
classic symptom of Alzheimer's disease, in the brain. Researchers now theorize
that these amyloid plaques may form as a defense response to bacterial
intrusion in the brain.
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The brain has one of the
most effective defense systems in the human body, namely, the blood brain barrier,
which prevents pathogens and other substances from crossing over into brain
tissues; however, there are still certain pathways that allow entry into the
brain, like the olfactory and trigeminal nerves. Oral treponema bacteria found
on the trigeminal nerves in cadavers showed that bacterial invasion via nerve
pathways was possible; researchers believe that this increased permeability in
the blood brain barrier may result in a thickening of proteins around the
neural pathways of the brain, similar to how arterial plaque develops in
arteries.
Additionally, certain
markers in Alzheimer's patients' blood work, like Interleukin-6, were found to
be considerably higher than non-dementia patients. Interleukin-6 is strongly
associated with the production of the amyloid proteins that make up Alzheimer's
lesions.
Of all periodontal
bacteria, P. gingivalis is believed to be the key pathogen with the ability to
bypass inflammatory signalling cascades, which are alarm systems that tissues
have been compromised by an invading substance. Once P. gingivalis has snuck
past that watchdog, other pathogens can follow, creating inflammation in the
brain, and eventually, dementia.
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Although the oral hygiene/Alzheimer's connection hasn't been thoroughly researched, there is strong reason to believe that the simple action of brushing and flossing one's teeth may prevent Alzheimer's disease and other forms of dementia caused by amyloid plaques.
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