Gum inflammation and your patients’ heart health: Chairside tips for dental providers

What to look for

• Bleeding, inflammation or pocketing

• A history of CAD, stents or bypass

• Cardiac medications (aspirin, statins or anticoagulants)

• Fatigue or shortness of breath

Why it matters

• Oral and cardiovascular disease share inflammatory pathways

• Periodontal disease contributes to systemic burden

• Preventive dental care supports cardiovascular risk reduction

Key stat

People with gum disease may have two to three times the risk of a heart attack or stroke compared to those with healthy gums.

Conversation starters

Ask basic questions to learn more about their condition

• “Have you ever been diagnosed with heart disease or a heart condition?”

• “Have you had any heart-related procedures or surgeries?”

• “Are you currently being treated for high blood pressure or high cholesterol?”

Follow up with what you’re observing
“I’m noticing some inflammation in your gums. Sometimes that can be a sign that there’s inflammation elsewhere in the body, including the cardiovascular system.”

Connect oral health to heart health
“Oral health and heart health are more connected than many people realize. Untreated gum disease can contribute to inflammation throughout the body and can also affect heart health.”

Chairside action steps: Tips from a nurse practitioner

• Reinforce periodontal maintenance

• Encourage consistent home care

• Document cardiac history and medications

• Coordinate with care team when needed