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New evidence suggests that the extent and severity of periodontal disease may be a significant risk factor for erectile dysfunction, sperm motility and time to conception. This paper reviews the evidence and informs members of the dental team when dealing with this sensitive issue. As more research is forthcoming the topic of oral and sexual health is likely to be part of regular routine medical screening. Any issue concerning oral health as a risk factor for sexual health is likely to be a sensitive subject, rarely discussed in the dental setting. However, as new evidence emerges, this topic is likely to get into the public domain. All members of the dental team should be aware of such an association.
Clinical Relevance: Furthermore, the information in this paper may provide further incentive for certain patients to improve their oral health.
Article
Over the past 25 years there has been considerable interest in the relationship between oral health, especially the extent and severity of periodontal disease, with a variety of systemic conditions and diseases. Most have focused upon whether poor oral health is a significant risk factor for atherosclerotic vascular disease and an adverse pregnancy outcome. For many of the systemic conditions cited, the underlying co-factor has been plaque-induced inflammation in the periodontal tissues and the impact of these inflammatory changes on the vasculature. It is against this background that evidence is now emerging that periodontal disease may be a risk factor for two important aspects of sexual health: erectile dysfunction and conception. This article reviews the evidence that raises the question whether poor oral health can be a risk factor for aspects of sexual health.
Erectile dysfunction is defined as the inability to attain or maintain an erection sufficient for satisfactory sexual performance.1 It has been estimated that ED affects 150 million men worldwide.2 The causes of ED are multifactorial and these are listed in Table 1. Within this group of risk factors, it should be recognized that both diabetes and smoking are risk factors for periodontal disease.
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