AAP Highlights Connection Between Periodontal Disease and Cardiovascular Health

In recognition of American Heart Month—recognized each year in February—the American Academy of Periodontology (AAP) has been highlighting a powerful and often overlooked connection between periodontal and cardiovascular health. Mounting evidence shows that gum disease is not just a dental issue; it may be a warning sign for serious heart conditions.

Several studies published in the AAP’s Journal of Periodontology (JOP) and a recent scientific statement from the American Heart Association (AHA) reveal that periodontal disease is independently associated with a higher risk of atherosclerotic cardiovascular disease, including heart attack, stroke, and heart failure. Chronic inflammation and harmful bacteria from infected gums can enter the bloodstream, potentially fueling plaque buildup in the arteries, underscoring why periodontists are urging closer collaboration with cardiologists, especially for patients at elevated risk.

“It is well known that both gum disease and heart disease share common risk factors, such as smoking, obesity, and diabetes,” AAP President and practicing periodontist Dr. Ana Becil Giglio stated in a press release. “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 there is no proven causal relationship between gum disease and heart disease, a large body of research, including the recent AHA report, suggests that periodontal treatment can reduce inflammatory markers in the body which can benefit cardiovascular health.

The AAP and the AHA continue to advocate for collaborative, integrated care, where periodontists and cardiologists work together to manage their shared patients. According to Dr. Giglio, “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.” 

Periodontal disease is a chronic, inflammatory disease that can damage the gums and compromise supporting structures around the teeth. Periodontists are specialists with advanced training in surgical and nonsurgical periodontal therapy, implant placement, and regenerative techniques. Periodontics is one of 12 dental specialties recognized by the American Dental Association.

For more information or to find an AAP member periodontist in your area, visit perio.org.