Gum Disease and Respiratory Disease
Recent research links periodontal disease (also called periodontitis or gum disease) to respiratory disease. It can worsen chronic obstructive pulmonary disease (COPD) and may play a role in pneumonia, bronchitis and emphysema.
How the two are linked
Periodontal disease begins as a bacterial infection: plaque bacteria colonize the gums, and the body’s inflammatory response destroys gum and bone. Teeth may seem to “lengthen” as the gums recede, and untreated bone loss leads to loose, shifting or lost teeth. Pneumonia, COPD and bronchitis are the most common linked respiratory diseases; bacterial infections usually start when fine droplets from the mouth are inhaled into the lungs. COPD is a leading cause of death and should be taken very seriously.

- Bacterial spreadThe bacteria behind periodontal disease are easily drawn into the lower respiratory tract, where they can cause pneumonia and worsen COPD.
- Low immunityPeople with chronic respiratory problems often have low immunity, letting oral bacteria settle above and below the gum line unchallenged. This speeds gum disease and raises the risk of emphysema, pneumonia and COPD.
- Modifiable factorsSmoking is thought to be the leading cause of COPD. It also damages the gums, slows healing, deepens gum pockets and speeds attachment loss; it isn’t the sole cause of periodontal disease, but it is a cofactor to avoid.
- InflammationThe oral bacteria that inflame gum tissue may also inflame the lung lining, limiting airflow.

Diagnosis and treatment
When a patient has both conditions, the dentist and doctor work as a team. Non-surgical and surgical options are available depending on the teeth, gums and jaw. Scaling procedures clean debris from the pockets and root planing smooths the roots to remove remaining bacteria; the dentist generally places antibiotics in the pockets afterward to aid healing and prevent reinfection.
Controlling periodontal disease brings healthier, more comfortable gums and fewer of the frequent respiratory infections associated with COPD and similar conditions.
If you have questions about respiratory disease or periodontal disease, please contact our office.
Periodontal Screening
A short video from the American Dental Association.
New patients welcome
Emergency calls and appointments are available and welcome, especially for new patients seeking help.




