As dental professionals, we’ve long advocated for daily flossing to reduce the risk of gingivitis, periodontal disease, and tooth loss. However, recent discussions in both clinical and public health circles have begun to explore a deeper question: Could this basic oral hygiene practice also contribute to reduced risk of serious systemic conditions like stroke and atrial fibrillation (AFib)?
According to Dr. Marielaina Perrone, DDS, a cosmetic and family dentist in Green Valley, Henderson, NV, the oral-systemic health connection is becoming too significant to ignore. “What we’re beginning to understand is that oral inflammation may play a larger role in systemic disease than previously thought,” she explains. “And flossing—simple as it seems—can be a frontline tool in reducing that inflammation.”
The Inflammation Connection
The underlying link between gum health and cardiovascular issues lies in chronic inflammation. Periodontal disease, driven by bacterial plaque buildup and gum inflammation, may contribute to systemic inflammatory responses that are known risk factors for cardiovascular events.
“Patients with moderate to advanced gum disease often have elevated systemic inflammation,” Dr. Perrone notes. “This can contribute to vascular changes that increase the risk of conditions like ischemic stroke and atrial fibrillation.”
By removing plaque and preventing tartar formation between the teeth and below the gumline, flossing may help reduce the chronic inflammatory load in the body.
Daily Flossing: More Than Just Oral Care
Flossing is a preventive measure that supports both oral and potentially systemic health. As part of a comprehensive home care routine, it helps prevent the progression of gingival inflammation into periodontitis. And now, mounting clinical interest suggests it may also have implications beyond the mouth.
Dr. Perrone explains, “The simplicity of flossing sometimes causes patients to underestimate its importance. But as research continues to show, those few minutes a day could be helping reduce risks far beyond cavities and gum recession.”
A Call for Preventive Integration in Dental Practice
The potential link between flossing and systemic health outcomes—particularly related to cardiovascular and neurologic events—presents an opportunity for dental professionals to elevate the importance of oral hygiene in patient education.
Dr. Perrone recommends the following clinical strategies:
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Use systemic health as a conversation starter: Framing flossing not just as an oral health habit but as a whole-body wellness practice can motivate more consistent behavior.
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Screen for inflammation markers during recall exams: Highlight gum bleeding, pocket depth, and signs of plaque buildup to personalize the conversation.
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Collaborate with physicians: Sharing information on patients with cardiovascular risk factors can help bridge gaps between medical and dental care.
Positioning Dental Teams as Partners in Preventive Health
As the connection between periodontal health and systemic conditions becomes more widely recognized, the dental community has an opportunity to position itself as a proactive player in overall wellness.
“Dentistry is not just about the teeth—it’s about supporting a patient’s entire health journey,” Dr. Perrone emphasizes. “Our ability to detect early signs of inflammation and educate patients on preventive practices like flossing may influence more than just their smile. It may support their heart and brain health, too.”
Final Thoughts
While more research is needed to fully understand the mechanisms between oral hygiene and stroke or AFib risk, the evidence continues to support what many clinicians already observe in practice: Healthier gums can contribute to healthier bodies.
“Flossing may be simple,” Dr. Perrone concludes, “but in the broader picture of patient health, it might be one of the most powerful tools we have.”
About Dr. Marielaina Perrone, DDS
Dr. Marielaina Perrone is a highly experienced general and cosmetic dentist based in Henderson, NV. Her practice focuses on preventive care, periodontal health, and cosmetic smile design. With over 20 years of experience, she is dedicated to providing comprehensive dental solutions that enhance both oral and systemic well-being.