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LOST TEETH MAY PORTEND STROKE
A report in the journal Stroke suggests a link between tooth loss and periodontal disease and increased risk of ischemic stroke. Ischemic strokes -- the most common type of stroke -- result from a blockage in an artery leading to the brain. In the study, men with fewer than 25 teeth when they entered the study had a 57 percent higher risk of ischemic stroke than those with 25 or more teeth. The link between ischemic stroke and periodontal disease, which is caused by bacterial infections, adds to the growing body of evidence that infection plays a role in stroke and heart disease, said Kaumudi Joshipura, associate professor of epidemiology at Harvard School of Dental Medicine and Harvard School of Public Health. "The association of ischemic stroke with tooth loss persisted even after we controlled for periodontal disease history, which could reflect severe periodontal disease in the extracted teeth," Joshipura said. Surprisingly, the scientists also found the tooth loss-stroke risk link was higher among nonsmokers than among smokers. Smoking tobacco is a risk factor for both ischemic stroke and periodontal disease. "We don't know why nonsmokers showed a higher association," Joshipura said. "But that lends support to the argument that the association between tooth loss and stroke is not all due to smoking."
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