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CE CoursesArticlePeriodontics

Periodontitis and Cardiovascular Diseases Are the Not-So-Silent Killers

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An integrated healthcare approach shows that reducing cardiovascular risk through lifestyle changes and systemic inflammation management can also improve periodontal health — and vice versa.

This course was published in the October/November 2025 issue and expires November 2028. The authors have no commercial conflicts of interest to disclose. This 2 credit hour self-study activity is electronically mediated.

AGD Subject Code: 490

EDUCATIONAL OBJECTIVES

After reading this course, the participant should be able to:

  1. Discuss the bidirectional relationship between periodontitis and cardiovascular disease.
  2. Evaluate current evidence on how periodontal therapy influences cardiovascular outcomes, such as blood pressure control and reduction in cardiac biomarkers.
  3. Identify integrated management strategies that include lifestyle modifications, collaborative care, and tailored treatment planning for patients with coexisting periodontal and cardiovascular conditions.

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Belmont Business Media is an ADA CERP-recognized provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at ada.org/cerp. Belmont Business Media Nationally Approved PACE Program Provider for FAGD/MAGD credit. Approval does not imply acceptance by any regulatory authority or AGD endorsement. 7/1/2023 to 6/30/2026. Provider ID 317924
3621 Harbor Blvd., Suite 265, Santa Ana, CA 92704

Sorin Boeriu, DDS, MsD, PhD, Dip Perio, FRCD(C), maintains a private practice limited to implant and periodontal surgery in Kitchener, Ontario, Canada. He has published articles on implant dentistry, soft tissue grafting, and periodontal/restorative treatment of carious and noncarious cervical lesions and presented numerous lectures. Furthermore, Boeriu is the author of two textbooks: Periodontics in the Tradition of Bissada and Clinical Periodontology and Implant Surgery.


Timothy L. Hottel, DDS, MS, DBA, FACD, is a clinical professor at the College of Dental Medicine, Case Western Reserve University in Cleveland. Previously, he served in a variety of key positions — including dean and director of Statewide Oral Health Initiatives — at the University of Tennessee College of Dentistry. With more than 100 published articles, Hottel is also coauthor of the textbook Dentistry for the Restorative Expanded Function Dental Auxiliary. A member of Decisions in Dentistry’s Peer Review Panel, he can be reached at: tlhottel@gmail.com.


Ahad T. Nahhas, MD, FACC, FSCAI, ABVM, is a board-certified cardiologist, an interventional cardiologist, and a member of the American Board of Vascular Medicine and practices in Toledo, Ohio.


Adam E. Saltz, DMD, MS, MPH is the managing editor of Decisions in Dentistry. A practicing periodontist in the South Portland, Maine area, Saltz currently serves as faculty consultant at Kansas City University, where he developed its predoctoral periodontal curriculum. A diplomate of the American Board of Periodontology, he focuses on minimally invasive surgery, perioprosthetics, and digitized implant workflows to deliver the highest quality interdisciplinary care. Saltz is currently president-elect of the Maine Dental Association, chairs multiple state and regional committees, and was recently appointed to the American Dental Association’s New Dentist Committee. He can be reached at asaltz@belmontbusinessmedia.com.


TEODORA BOERIU, BS, is a medical student at St. George University in Grenada, West Indies.


STEFAN A. HOTTEL, BS, is a dental student at the Lincoln Memorial University College of Dental Medicine in Knoxville, Tennessee.


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