Oral–Systemic Health

Oral–Systemic Health

The oral–systemic connection links oral conditions to overall health—touching diabetes, cardiovascular disease, cancer, pregnancy, and respiratory infections. This hub organizes evidence, resources, and integration strategies for clinicians, advocates, and partners.

SFG convenes and facilitates partners to translate evidence into action—advancing dental–medical integration, preventive oral health, and equity-focused policy. Use this page to explore condition-specific insights and share practical tools that connect oral health to overall wellness.

Why Oral–Systemic Health Matters

Oral inflammation and infection are linked with cardiometabolic risk, pregnancy outcomes, respiratory complications, and cancer treatment effects. Recognizing the bidirectional relationships between oral health and systemic disease helps teams prevent avoidable harm, reduce costs, and improve quality of life—especially for populations facing barriers to care.

This hub curates high-value summaries and toolkits you can reuse across newsletters, education, and advocacy—making it easier to align clinical practice, public messaging, and policy.

Understanding the Oral–Systemic Connection

The oral–systemic connection describes the proven relationship between oral conditions—especially inflammation and infection—and chronic diseases throughout the body. Evidence now links poor oral health to diabetes, cardiovascular disease, respiratory illness, adverse pregnancy outcomes, and even certain cancers. Bacteria and inflammatory mediators that originate in the mouth can influence systemic pathways, affecting immunity, metabolism, and vascular health.

Recognizing these links shifts oral health from a stand-alone specialty to an essential part of whole-person care. Coordinated prevention and early intervention—regular dental visits, tobacco cessation, nutrition counseling, and periodontal therapy—can improve chronic-disease outcomes and lower healthcare costs. This alignment of medical and dental teams is known as medical–dental integration (MDI), a cornerstone of modern preventive care.

From an equity standpoint, the oral–systemic framework helps reveal how social and structural factors affect both oral and overall health. Populations that face barriers to dental coverage, transportation, or health literacy also experience higher rates of systemic disease. Addressing these shared determinants advances oral health equity while improving population health.

Through its role as a facilitator and convener, the Santa Fe Group brings together researchers, clinicians, policymakers, and public-health advocates to accelerate this integration. By sharing research, practical toolkits, and policy guidance, SFG helps translate evidence into collective action—turning knowledge about the oral–systemic link into measurable improvements in prevention, access, and wellness.

The Santa Fe Group’s Role

We convene cross-sector leaders to turn evidence into action—advancing medical–dental integration, prevention, and equity. Explore our work:


Latest News & Insights

Explore Key Resources

Diabetes & Metabolic Health

Periodontal inflammation can worsen glycemic control, while improved oral health supports better outcomes. Integrate screening questions, referral pathways, and preventive hygiene for people with prediabetes and diabetes.

Heart Disease & Stroke

Shared risk factors—tobacco use, diet, and inflammation—connect oral health with cardiovascular outcomes. Coordinated prevention and risk counseling across dental and medical settings can reduce events and costs.

Cancer & Treatment Effects

Chemotherapy, radiation, and targeted therapies can affect oral tissues, salivary glands, and microbiome balance. Proactive oral care reduces complications and supports treatment adherence.

Pregnancy & Maternal Health

Safe, routine dental care during pregnancy supports nutrition, comfort, and infection control. Integrated care pathways and counseling can reduce missed opportunities for prevention. These resources explore how collaborative models improve access for expecting parents and strengthen dental–medical integration in maternal care.

Integration & Prevention

Dental–medical integration translates evidence into workflows: shared screening, referral directories, care coordination, and patient education. Start with small, repeatable steps that fit your team’s capacity and expand from there.

Toolkits & Resources

Ready-to-use materials from SFG to implement the oral–systemic connection in practice, policy, and communications.

Campaign Kits

Join the Movement

Help us advance oral–systemic health through research translation, policy, and partnerships.

Frequently Asked Questions

What is the oral–systemic connection?

The evidence-based relationship between oral conditions—particularly inflammation and infection—and systemic health, including diabetes, cardiovascular disease, respiratory illness, adverse pregnancy outcomes, and cancer treatment effects.

How should teams use this page?

As a curated starting point: adapt talking points for patient education, embed toolkits in quality improvement, and share links across professional education, clinical workflows, and policy advocacy.

How does this support SFG’s role?

SFG acts as a facilitator and convener, aligning researchers, clinicians, and policymakers to translate evidence into integration, prevention, and equity-focused action.

What evidence links periodontal disease with diabetes outcomes?

Periodontal inflammation is associated with higher A1c and poorer glycemic control; coordinated hygiene, risk counseling, and timely periodontal therapy support diabetes management.

Which oral conditions are most associated with cardiovascular risk?

Periodontitis and oral infections are most studied; reducing inflammatory burden alongside tobacco cessation and nutrition counseling aligns with cardiometabolic risk reduction.

What clinical workflows support dental–medical integration in primary care?

Use standardized oral-health screening, embedded referral directories, warm handoffs, and closed-loop tracking; start small, make processes repeatable, and surface them in the EHR.

What quality measures can teams use to track progress?

Preventive visit rates, periodontal therapy completion, referral completion, and risk-factor counseling; integrate with existing population-health dashboards and QI routines.

How should oncology teams coordinate oral care before and during treatment?

Schedule pre-treatment dental assessment, optimize hygiene, and rapidly manage infection to reduce complications and support adherence to cancer therapy.

What are practical steps for pregnancy and maternal oral health integration?

Normalize dental care in prenatal visits, implement brief risk screening, establish referral pathways to community dental providers, and reinforce patient education.

What data elements enable effective closed-loop referrals?

Capture oral-health risk, reason for referral, appointment status, and outcomes; align privacy and security practices so dental and medical teams can exchange essentials.

Page last updated: October 26, 2025