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The Link Between Oral Bacteria and Alzheimer’s Disease: What You Need to Know

Writer's picture: Amy AkbariAmy Akbari

Recent studies have uncovered a surprising connection between oral health and brain diseases like Alzheimer’s and dementia. One of the key culprits in this link is gum disease, or periodontitis, which is caused by the accumulation of harmful oral bacteria. These bacteria can travel from the mouth to the brain, where they may contribute to the development of neurodegenerative diseases.


How Does It Happen?


The oral bacteria associated with gum disease, particularly Porphyromonas gingivalis, can enter the bloodstream through the gums, leading to total body inflammation. Once these bacteria reach the brain, they can release toxic enzymes called gingipains. These enzymes have been shown to damage brain cells and are believed to play a role in the accumulation of amyloid plaques, one of the hallmarks of Alzheimer’s disease.


Scientific Evidence


Several studies have explored this link. A 2019 study published in Science Advances found that P. gingivalis and its gingipains were present in the brains of Alzheimer's patients, and the researchers suggested that targeting these bacteria could potentially slow the progression of the disease.


Another study in Frontiers in Aging Neuroscience highlighted how chronic periodontitis is a risk factor for cognitive decline and Alzheimer’s disease. This study explains that the inflammatory response triggered by oral bacteria can contribute to neuroinflammation (inflammation of nerve tissue in the brain), which worsens brain function over time.


The Importance of Oral Health


Maintaining good oral hygiene is not only crucial for preventing gum disease but also may be a key factor in reducing the risk of Alzheimer’s and dementia. Regular brushing, flossing, and dental checkups can help keep harmful bacteria at bay and support long-term cognitive health.


Takeaway: It’s more important than ever to understand that oral health is connected to much more than just your teeth and gums—it plays a role in protecting your brain too.


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For more in-depth reading on the relationship between oral bacteria and brain health, check out these studies:


- Porphyromonas gingivalis in Alzheimer’s disease brains: Evidence from clinical trials

(https://www.science.org/doi/10.1126/sciadv.aau3333)

- Chronic Periodontitis and Cognitive Decline

(https://www.frontiersin.org/articles/10.3389/fnagi.2020.00073/full)




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