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Poor Oral Hygiene: A Potential Link to Alzheimer’s Disease

Alzheimer’s disease is a progressive neurological disorder that causes memory loss, cognitive decline, and behavioral changes. Emerging scientific literature reveals a surprising and vital connection between oral health and brain function, particularly the Alzheimer’s disease. While genetics and age are major risk factors, recent studies indicate that chronic inflammation and bacterial infections originating in the mouth may also contribute significantly to the development and progression of Alzheimer’s disease.

Poor oral hygiene can lead to gum disease, which is caused by bacterial colonies formed around the teeth and gums. There are several bacteria responsible for gum disease; one of which is Porphyromonas gingivalis. This group of bacteria are also present in the brain tissue of Alzheimer’s patients. These harmful microbes release toxins known as gingipains, which can travel through the bloodstream or nerves and trigger inflammation in the brain. Chronic brain inflammation is a well-established feature of Alzheimer’s pathology.

Untreated gum disease can compromise the blood-brain barrier, allowing more bacteria and their toxic byproducts to enter the brain. This contributes to the formation of starchlike plaque, which is a sign of Alzheimer’s disease. The inflammatory response triggered by these invaders may accelerate neuronal damage and cognitive decline.

Maintaining good oral hygiene is therefore not just about preserving teeth; it may be a preventive measure for brain health. Brushing twice daily, flossing, regular dental checkups, and timely treatment of gum disease are all simple but essential habits. Avoiding tobacco, managing diabetes, and limiting sugar intake further help reduce the risk of oral infections and inflammation.

Elderly individuals, who are particularly vulnerable to both gum disease and Alzheimer’s, often suffer from oral neglect due to physical limitations, cognitive impairment, or inadequate access to dental care. Existing research, therefore, suggests a potential bidirectional relationship between Alzheimer’s disease and oral health. Poor oral hygiene may contribute to the development or progression of Alzheimer’s, while the disease itself can severely impair one’s ability to maintain oral care, resulting in deteriorating dental health.

 

About The Author

Dean, Faculty of Dentistry – Baqai Medical University | 40 Years of Excellence in Dental Education & Clinical Practice

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