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Women's Life & Health
"Women's Life and Health" is the interview series that features active professional women about their health, lifestyle and career.
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Interview vol.1 Gilia Rethman -Part1
Relation between oral health and women's health
From a women's health point of view, would you tell us about the importance of oral health?
The more we are realizing about the connection between oral health and overall health, the more we understand the importance of good oral health for women. This is important not only for the woman herself, but if she is even considering having children, it's very important. We realize now that the connection between gum disease and pre-term low-birth weight babies is quite strong. So women who are pregnant, or who are thinking of becoming pregnant, need to make sure that their oral health is good to help ensure that they have a healthy baby. There are now studies showing that if severe gum disease is treated, the chances of having a low-birth weight baby are greatly reduced. So that is important information for women to understand. I heard an explanation one time that really made an impression on me. If you have severe gum disease in your mouth, affecting most of your teeth, it is very similar to having a sore or infection on some other part of your body that is actually the size of the palm of your hand.
Oh!
That's shocking, because if you have a sore the size of your palm on your arm or on your leg, you would not ignore that. But for some reason, because this infection occurs in the mouth, people think it is not important.
Maybe because you don't see it in your mouth by yourself?
That's correct - it is not as visible. But it's still there. And let's consider that it is this size (pointing out her hand). It needs to be treated! The mouth is a part of the body, so it makes sense that an infection in the mouth would affect the rest of the body. As I mentioned before, it's quality of life and overall health, related to oral health, that is important.
I see. What other aspects of oral health are important in relation with women's health?
When women become older and go through menopause, they start to worry about osteoporosis. There is some research showing that there may be a connection between bone loss in the mouth and osteoporosis. So we are not only looking at oral health and overall health at a younger age during the time of life when a woman could have children, but also later in life.
In Japan, it seems that the general public doesn't understand the relationship between oral health and systemic health. What about in the US?
In the US, there has been lots of information not just in medical and dental publications but in lay publications as well. For example Time magazine, which is big magazine in the US, has had articles about cardiovascular disease, diabetes, pregnancies and other conditions. These types of publications are also picking up the information regarding oral health and overall health. In fact, the American Dental Association and the American Medical Association, for the first time in their history, had a press conference together in February to talk about the oral/systemic link. I think such medical and dental efforts will create even more press, not just in medical and dental literature but in the lay press, too. I think there are a number of reasons why this is happening. For example, most of the oral/systemic research has been conducted in the US so that creates attention. Plus, organizations like The American Academy of Periodontology have been at the forefront of promoting the concept of oral health and good systemic health for several years. AAP press releases have gone in publications that people read, such as newspapers and magazines.
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