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Patients Taking Medication for High Blood Pressure Benefit from Dental Care

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Periodontal treatment may significantly reduce gingival overgrowth in patients taking nifedipine.

CHICAGO – September 27, 1999 – Many patients putting off a trip to the dentist can add “a reason to go” to their list.

A study released today in the Journal of Periodontology suggests that frequent dental visits following initial periodontal treatment may significantly reduce gingival overgrowth in patients taking nifedipine, a commonly prescribed medication for high blood pressure. Gingival overgrowth is a condition in which the gums become swollen and “grow over” the teeth. Study Abstract *

Gingival  Enlargement Gingival  Enlargement
Nifedipine-Induced Gingival Enlargement
Click for enlarged photos

“This is good news for the 20 to 40 percent of patients taking nifedipine who experience discomfort from recurring gingival overgrowth and rely on nifedipine to control their high blood pressure,” said Robert Genco, D.D.S., Ph.D., Editor-in-Chief of the Journal of Periodontology. “Swollen gums can be painful, unsightly and interfere with speech, eating, and everyday brushing and flossing.”

The study found that gingival overgrowth recurrence was eliminated in more than half of patients with a combination of initial periodontal therapy, including surgical and non-surgical treatments, followed by more frequent dental visits (every three months). This regimen appeared to affect recurrence more than previously known risk factors, such as gender, drug type, and duration of drug therapy.

“Overgrown gums make it easier for bacteria to accumulate and attack supporting structures of the teeth, which can lead to severe periodontal infection,” explained Jack Caton, D.D.S., M.S., president of the American Academy of Periodontology. “And we know that periodontal infection may be a risk factor for more serious conditions, such as cardiovascular disease, respiratory disease and pre-term, low birth weight babies, so it’s more important now than ever for patients to take care of their periodontal health.”

These study findings are a significant advancement to earlier research, which concluded that the development and recurrence of gingival overgrowth could be minimized, but not prevented, with periodontal therapy and frequent dental visits.

“For patients who don’t have the option of switching medications to control their high blood pressure, minimized isn’t good enough,” said Caton. “Today’s health- and esthetic-conscious consumers are looking for treatments and medications to proactively protect their bodies and appearance with few or no side effects. Patients can help accomplish this goal by always informing their health care providers of any changes in overall health or medications.”

A referral to a periodontist in your area and free brochure samples including one titled Ask Your Periodontist About Periodontal Disease and Heart Disease are available by calling 800-FLOSS-EM or visiting the AAP’s Web site at www.perio.org.

About the AAP

The American Academy of Periodontology (AAP) is the professional organization for

periodontists—specialists in the prevention, diagnosis, and treatment of diseases affecting the gums and supporting structures of the teeth, and in the placement of dental implants. Periodontists are also dentistry’s experts in the treatment of oral inflammation. They receive three additional years of specialized training following dental school, and periodontics is one of the nine dental specialties recognized by the American Dental Association. The AAP has 8,000 members worldwide.
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