Updates on the Role of Periodontitis-Related Epigenetics, Inflammation, Oral Microbiome, and Treatment in Cardiovascular Risk
- PMID: 38344306
- PMCID: PMC10859091
- DOI: 10.2147/JIR.S449661
Updates on the Role of Periodontitis-Related Epigenetics, Inflammation, Oral Microbiome, and Treatment in Cardiovascular Risk
Abstract
Substantial evidence has recently been gathered to substantiate the epidemiological correlation between this oral inflammatory ailment and several systemic health disorders, such as cardiovascular diseases (CVDs). It is worth noting that certain shared factors exist among individuals with periodontal disease (PD) and CVDs, like obesity or overweight, minimal physical activities, smoking habits, male gender, low socioeconomic position, advanced age, and limited educational attainment. Moreover, recent research suggests a distinct and separate relationship between PD and CVDs. This literature review discusses the association between CVDs and PD and their underlying mechanisms and connections. Current literature strongly confirms a correlation between cardiovascular risk and PD. The underlying mechanisms involve inflammation, epigenetics, epithelial dysfunction, oral microbiome dysbiosis, and the efficacy of periodontitis treatment. Future investigations are required to comprehend these complex interactions and develop targeted interventions for oral health improvement and reduction in cardiovascular risk.
Keywords: cardiovascular disease; gingivitis; inflammation; markers; oral health; periodontal disease; periodontitis.
© 2024 Men et al.
Conflict of interest statement
The authors report no conflicts of interest in this work.
Figures



Similar articles
-
The Relationship Between Periodontitis, Gingivitis, Smoking, Missing Teeth, Endodontic Infections, Aortic Aneurysm, and Coronary Artery Disease: The 10-Year Results of 25 Patients.Cureus. 2024 Nov 13;16(11):e73584. doi: 10.7759/cureus.73584. eCollection 2024 Nov. Cureus. 2024. PMID: 39677218 Free PMC article.
-
Mouth-Heart Connection: A Systematic Review on the Impact of Periodontal Disease on Cardiovascular Health.Cureus. 2023 Oct 6;15(10):e46585. doi: 10.7759/cureus.46585. eCollection 2023 Oct. Cureus. 2023. PMID: 37933364 Free PMC article. Review.
-
Oral health's inextricable connection to systemic health: Special populations bring to bear multimodal relationships and factors connecting periodontal disease to systemic diseases and conditions.Periodontol 2000. 2021 Oct;87(1):11-16. doi: 10.1111/prd.12398. Periodontol 2000. 2021. PMID: 34463994 Free PMC article. Review.
-
An update on the role and mechanisms of periodontitis in cardiovascular diseases.Cell Signal. 2025 Aug;132:111770. doi: 10.1016/j.cellsig.2025.111770. Epub 2025 Mar 29. Cell Signal. 2025. PMID: 40164419 Review.
-
Relationship between periodontal disease and cardiovascular risk factors among young and middle-aged Brazilians. Cross-sectional study.Sao Paulo Med J. 2017 May-Jun;135(3):226-233. doi: 10.1590/1516-3180.2016.0357300117. Sao Paulo Med J. 2017. PMID: 28746658 Free PMC article.
Cited by
-
Impact of cerebrovascular stroke on inflammatory periodontal indices: a systematic review with meta-analysis and trial sequential analysis of case-control studies.Front Oral Health. 2024 Oct 24;5:1473744. doi: 10.3389/froh.2024.1473744. eCollection 2024. Front Oral Health. 2024. PMID: 39512558 Free PMC article.
-
Higher Prevalence of the Periodontal Pathogen Selenomonas noxia among Pediatric and Adult Patients May Be Associated with Overweight and Obesity.Pathogens. 2024 Apr 19;13(4):338. doi: 10.3390/pathogens13040338. Pathogens. 2024. PMID: 38668293 Free PMC article.
-
2020 Grand challenge revisited: removing silos, advancing research to improve overall health.Front Dent Med. 2024 Jul 11;5:1430828. doi: 10.3389/fdmed.2024.1430828. eCollection 2024. Front Dent Med. 2024. PMID: 39935968 Free PMC article.
-
Targeting Epigenetic Plasticity to Reduce Periodontitis-Related Inflammation in Diabetes: CBD, Metformin, and Other Natural Products as Potential Synergistic Candidates for Regulation? A Narrative Review.Int J Mol Sci. 2025 Mar 21;26(7):2853. doi: 10.3390/ijms26072853. Int J Mol Sci. 2025. PMID: 40243433 Free PMC article. Review.
References
Publication types
LinkOut - more resources
Full Text Sources