In recognition of American Heart Month, the American Academy of Periodontology (AAP) is drawing attention to the connection between periodontal and cardiovascular conditions, citing ongoing research that suggests oral inflammation may be associated with serious cardiac events.
Several studies published in the Journal of Periodontology and a recent scientific statement from the American Heart Association indicate that periodontal disease is independently associated with a higher risk of atherosclerotic cardiovascular disease, including heart attack, stroke, and heart failure.
The AAP noted that chronic inflammation and harmful bacteria from infected periodontal tissues can enter the bloodstream and may contribute to plaque accumulation in arteries. The findings have prompted periodontists to encourage closer collaboration with cardiologists, particularly when managing patients at elevated cardiovascular risk.
“It is well known that both gum disease and heart disease share common risk factors, such as smoking, obesity, and diabetes,” said Dr. Ana Becil Giglio, AAP president and practicing periodontist. “Ongoing research continues to confirm that periodontal health is an indication of overall health, which makes oral health professionals such as periodontists adept at recognizing potential issues.”
While the AAP emphasized that no proven causal relationship has been established, it cited a substantial body of research — including a recent AHA statement — suggesting that periodontal treatment can reduce inflammatory markers in the body, which may benefit cardiovascular status.
The AAP and the AHA are advocating for more integrated models of care in which dental and medical professionals coordinate management of shared patients. Dr. Giglio said, “You cannot be healthy unless your mouth is healthy, and that goes for your heart as well. For individuals at high cardiovascular risk, assessment and treatment by a periodontist may be an essential part of comprehensive care.”
