The expert explains the physical and psychological consequences of periodontal disease
Teeth and sex: not only is there a connection but they influence each other. There are many aspects to consider but the appeal is only one: “It is important that dental health professionals and those of sexual health collaborate to sensitize people regarding these interconnected aspects”. With these words, the dr. Mario Favoritidentist perfected in oral surgery, implantology and aesthetic dentistry, co-founder and scientific director of Ois Group and health director of the Dentistry department of the Pio Albergo Trivulzio hospital in Milan, signs the incipit of an in-depth analysis on the topic.
oral health, self -esteem and sexual intimacy
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Good dental health strengthens self -esteem by promoting emotional and sexual connections. “It influences the way in which a person perceives himself and interacts with others. Psychological studies suggest as a ruined smileor the fear of smiling due to dental problems, is able to strongly limit the opportunities for intimate and sexual connection. On the contrary, a healthy and attractive smile – explains Favoriti – promotes functional communication, unlimited sociality and a more satisfying sex life “.
gum diseases, sexual health and fertility
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Gemgival diseases (such as gingivitis and periodontitis) not only damage teeth and gums, but can also have an impact on sexual health. “Some studies – underlines Mario Favoriti – highlighted one direct connection with erectile dysfunction, suggesting that chronic oral infections can influence blood circulation and, consequently, sexual function. To this should be added that chronic inflammation caused by gum diseases could also alter hormonal levels and influence libido “. Science has also drawn attention to fertility: “periodontitis – explains Favoriti – has been associated with difficulties in conception, since chronic gum infections can influence blood flow and damage the tissues that support the uterus and ovaries. Women with gingival diseases seem to have a greater risk of reproductive problems, such as infertility or complications during pregnancy. Therefore, maintaining good oral health could also have benefits on a reproductive level “.
periodontal disease and erectile dysfunction
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Returning to erectile dysfunction, what are the mechanisms responsible for the connection with the periodontal disease? “First of all – Mario Favoriti illustrates – systemic inflammation. Periodontal disease is a continuous source of systemic chronic inflammation, with high levels of inflammatory mediators such as cytokines (for example, il-6 and TNF-α). These mediators can influence the vascular system, causing damage to the walls of the blood vessels and altering the circulation, including that of the penis. Since erectile dysfunction is often associated with vascular dysfunctionsin particular to one reduced vasodilation It is a poor blood perfusion to the penis, the systemic inflammation caused by periodontal disease could contribute directly to its onset “. Science also calls into question the endothelial alterations: “Numerous studies – warns the expert – have shown that severe periodontitis patients have an increase in endothelial permeability and a greater predisposition to the formation of atherosclerotic plates. These changes could compromise the blood flow to the penis, contributing to erectile difficulties “. Last, but no less noteworthy, “The periodontal disease can activate the immune system, with the production of reactive oxygen species (ROS) and an increase in oxidative stress. The latter damages the vascular structures and reduces the ability to relax the blood vessels, essential for normal erection “.
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