Dr. James Belcher, December 12, 2025

Can gum disease affect your breathing?

Inflamed gums are more than just a local problem. Increasing research shows that periodontitis can also affect your respiratory system. How are your teeth and lungs connected – and what can you do to protect both?

Kann Zahnfleisch die Atmung beeinflussen?

What is that?

Periodontitis is a chronic inflammation of the gums. It is triggered by an imbalance in the oral microbiome – the community of over 700 types of bacteria in your mouth. When pathogenic germs like Porphyromonas gingivalis penetrate the gums, deep gum pockets, receding gums, and even tooth loss develop.

Why is it important?

Periodontitis doesn't stay in the mouth – it can send inflammatory messengers throughout the body. Studies show that people with untreated periodontitis have a higher risk of respiratory diseases such as pneumonia or COPD (chronic obstructive pulmonary disease).

If bacteria or their toxins enter the lungs via the bloodstream or through inhalation, they can trigger inflammation or worsen existing illnesses. Older people and those with weakened immune systems are particularly at risk.

Science explained briefly

Scientists have discovered that periodontitis bacteria such as P. gingivalis not only destroy gum tissue but also release pro-inflammatory molecules into the body. These enzymes, called gingipains, can weaken the lung barrier.

A Japanese study (Sumi et al., 2020) demonstrates that good oral hygiene can reduce the risk of pneumonia in nursing home residents by up to 40%. A stable oral microbiome therefore not only has a local effect in the mouth, but can also influence systemic infections.

The targeted blockage of disease-causing germs – as made possible by PerioTrap® technology – supports the balance of the oral flora. This can indirectly relieve the airways and reduce the risk of aspiration.

What can you do?

  • Brush your teeth thoroughly twice a day and don't forget the spaces between your teeth.
  • Go for regular professional teeth cleaning (PZR) to reduce inflammatory plaque (biofilm).
  • Use products with microbiome protection, for example toothpastes that specifically block harmful bacteria without disturbing the good ones.
  • If you have respiratory conditions such as COPD or asthma, talk to your dentist about periodontitis prevention and optimized oral hygiene.

In summary

  • Periodontitis can worsen respiratory diseases.
  • Bacteria from the mouth can also reach the lungs.
  • Microbiome protection helps keep the mouth and body healthy.

Did you know?

People with periodontitis are up to three times more likely to experience respiratory infections – because bacteria from the mouth can “migrate” into the lungs.

Sources

  • Sumi Y. et al. – Oral Care Reduces Pneumonia in Elderly Care Homes (2020).
  • Scannapieco FA – Oral Inflammation and Respiratory Diseases (2019).
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