The narrative review “Infective Endocarditis and Oral Health” explores the complex relationship between oral microorganisms, dental procedures, chronic oral inflammation, and cardiovascular complications.
The authors highlight that poor oral hygiene and untreated periodontal disease may contribute to recurrent bacteremia, potentially increasing the risk of bacterial colonization in susceptible cardiac tissues.
Interestingly, everyday activities such as toothbrushing or chewing in patients with severe periodontal inflammation may produce bacteremia frequencies comparable to some dental procedures.
The review also discusses the evolving role of antibiotic prophylaxis, emphasizing that current international guidelines recommend preventive antibiotic coverage only for selected high-risk cardiac patients undergoing invasive dental treatments.
► Oral-Systemic Health Connection: A Scientific Guide for Dentists and Global Healthcare Professionals
Another important aspect addressed in the article is the growing importance of preventive dentistry.
Maintaining periodontal health, controlling biofilm accumulation, and promoting regular dental visits may significantly reduce systemic inflammatory burden and potential cardiovascular complications.
For dental professionals, this review reinforces the importance of interdisciplinary collaboration between dentists, cardiologists, and physicians to improve patient safety and long-term systemic health outcomes.
👉 Read the full article in PDF and explore the latest evidence connecting oral health and infective endocarditis.

