Behavioral

Rigorous Oral Hygiene

Brush twice, floss daily, dental visits twice yearly. Cardiovascular risk lever in disguise.

What it does

Periodontal disease tracks with cardiovascular disease, diabetes, and systemic inflammation across many population studies. The protocol is unromantic and well-known: brush twice a day, floss daily, get cleanings on schedule — the active ingredient is consistent mechanical plaque disruption.

Periodontal bacteria and chronic gum inflammation produce systemic inflammatory signals; bacterial seeding into the bloodstream may contribute to vascular inflammation directly.

  • periodontal health
  • systemic inflammation

What the evidence shows

Overall evidence strength: High certainty

Who it's for, who should skip

Everyone. Brush 2x/day, floss daily, professional cleaning every 6 months — sooner if periodontal disease is present. Mouthwash and exotic products are mostly upsell.

Access & cost

Self-directed — no purchase required.

Last reviewed 27 August 2026.