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Dental Consultant in Oregon | The Ketogenic Diet and Periodontal Disease

By: admin

May 3, 2018

The Ketogenic Diet and Periodontal Disease: Could Eating More Fat Help Reduce Periodontal Disease?

Written by Cindy Rogers, RDH, BS


Inflammation has been found to be associated with just about every health condition. Chronic inflammation is a common thread among many conditions like stroke, cancer, heart disease, obesity, arthritis, Alzheimer’s and depression. So, it would make sense that it is also associated with periodontal disease.


How Inflammation is Associated to Periodontal Disease

For starters, inflammation is right there in the name periodontitis. Itis is defined as a medical condition accompanied by inflammation. Periodontitis is an inflammatory disease initiated by oral microbial biofilm. This distinction implies that it is the host’s response to the biofilm that destroys the periodontium in the pathogenesis of the disease.


Five Signs of Inflammation

  1. Heat
  2. Pain
  3. Redness
  4. Swelling
  5. Loss of Function


The Ketogenic Diet

If it is the host’s response of inflammation that is destroying the periodontium, then maybe we can control this response by following an anti-inflammatory diet. The ketogenic diet is a very effective anti-inflammatory diet.

The Ketogenic diet is known for being a low carb diet, but it is much more than a low carb diet and different than the Atkins Diet. The ketogenic diet is a high-fat, adequate protein and low carbohydrate diet.

When following this diet, your body is forced to burn fats rather than carbohydrates for energy. If there are little carbohydrates in the diet, the liver converts fats into fatty acids and ketone bodies. The ketones replace glucose as an energy source. Food that are high in carbohydrate will cause your body to produce glucose and insulin. Glucose is the easiest molecule for your body to convert and as energy so it chosen first over any other energy source.  Insulin is produced to process the glucose in your bloodstream by taking it around the body. When glucose is being used as primary energy, the fats you eat are not needed and are therefore stored around your body.

Ketosis is a natural process that the body uses to survive when food intake is low. Ketosis happens when you have lowered your intake of carbohydrates to the point that your body is forced to use fat as energy. When this happens, ketones are produced from the breakdown of fats in the liver.

Excess carbohydrates are converted into pyruvate, then to acetyl-CoA and then into HMG-CoA. Cholesterol is formed when HMB-CoA is converted into cholesterol by the enzyme HMG-CoA reductase. Statins lower cholesterol by blocking HMG-CoA reductase.

High carbohydrate diets lead to the overproduction of insulin, and insulin stimulates HMG-CoA reductase. High carbohydrate diets and its associated hyperinsulinemia equals hypercholesterolemia.


Why Ketones Help Reduce Periodontitis

 An anti-inflammatory diet works like a natural statin. With the release of ketones in the body, the body is in a state of ketosis. Ketosis is a desirable anti-inflammatory state. Ketone bodies reduce oxidative stress, which is very important, because an excess production of free radicals is implicated as a promotor of most chronic inflammatory diseases.



Getting into a State of Ketosis

To get into ketosis, you must eat less than 50 grams of carbohydrates per day.  Most carbohydrates should come from non-starchy vegetables, nuts and dairy. Refined carbohydrates, starch and fruit are off limits with the exception of avocados. Berries and star fruit can be eaten in moderation once you have entered ketosis. It is recommended that you take supplements as well.


  • Grains- wheat, corn, rice, cereal, etc.
  • Sugar- honey, maple syrup, agave, etc.
  • Fruit- oranges, apples, bananas, etc.
  • Starchy vegetables- potatoes, yams, sweet potatoes, etc.


  • Meat- beef, chicken, lamb, pork, eggs, etc.
  • Nuts and seeds- almonds, walnuts, macadamias, sunflower, etc.
  • High fat dairy- cream, butter, hard cheese, etc.
  • Leafy greens- kale, spinach, etc.
  • Avacado
  • Berries- raspberries, blackberries, other low glycemic berries
  • Vegetables- above ground such as cauliflower, broccoli, etc.
  • Fats- coconut oil, loive oil, salad dressing, etc.
  • Sweetners- stevia, erythritol (try mixing together for a better taste)
  • Anti-inflammatory supplements- magnesium, vitamin D, omega-3 fatty acids, chromium, ginger, turmeric and garlic


 Oregon Dental Consultant

Cindy Rogers, RDH, BS is a dental consultant, coach, speaker, and author for Dental Practice Solutions. Cindy coaches in the areas of front office systems and processes as well as the hygiene department. People love the calm ZEN vibe that comes with Cindy but don’t be surprised at her “Inspiring and Motivating” ability when working with your team! Please contact Cindy for a complimentary Profit Boosting Session: or call 949-351-8741 Visit the website for valuable resources and schedule your complimentary session today: