Updates on the Role of Periodontitis-Related Epigenetics, Inflammation, Oral Microbiome, and Treatment in Cardiovascular Risk

Bei Men, Yongjun Li, Shu Jiang Department of Prosthodontics and Implantation, Dazhong Stomatological Hospital, Wuhan, 430000, People’s Republic of ChinaCorrespondence: Bei Men, Department of Prosthodontics and Implantation, Dazhong Stomatological Hospital, Wuhan, 430000, People’s Republic of China, Email Bei_Meng@tom.comAbstract: 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: periodontal disease, cardiovascular disease, periodontitis, gingivitis, oral health, markers, inflammation