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Beyond the Mouth: Understanding the Oral–Systemic Link in Rheumatoid Arthritis

Featuring Expert Guests: Maya Bachour, DDS and Daniel El Bogdadi, MD, FACR, ARAPC

 

Chronic oral inflammation does not stay confined to the mouth. This course explores the science behind the oral–systemic connection, with a focused look at how periodontal disease and rheumatoid arthritis (RA) may influence one another through shared inflammatory pathways. Dental professionals routinely see signs of chronic inflammation chairside, and research has demonstrated a significant association between periodontitis and RA, independent of other confounders—underscoring why periodontal health matters in patients managing systemic inflammatory conditions.
 
Designed for dental hygienists and dentists, this session reviews current evidence and clinical takeaways you can apply immediately—how to communicate oral–systemic links to patients in clear, accessible language, when collaboration with medical teams may be appropriate, and how to integrate whole‑body health conversations into routine workflows without overwhelming the appointment. Attendees will leave with practical phrasing and a stronger framework for connecting periodontal care to broader inflammatory disease management, helping patients understand the “why” behind treatment acceptance and long‑term maintenance
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Learn more about Perio Protect

Perio Tray™ therapy from Perio Protect delivers medication deep below the gums so that the medication can fight infections causing the host inflammatory response. The seal on the tray is the key to deep delivery.

 

The primary antimicrobial used in Perio Tray™ delivery is Perio Gel™ with 1.7% hydrogen peroxide. This effective, broad-spectrum antimicrobial decreases our reliance on antibiotics and has the added benefits of freshening breath and whitening teeth. Patients love these benefits. 

 

Perio Tray™ therapy is offered most often to patients with gingivitis or periodontitis, but it is also prescribed for patients with infected margins around restorations, with peri-implant mucositis or peri-implantitis.

 

Because Perio Tray™ therapy helps improve gingival health and prevent the recurrence of disease, it also extends the life of restorations, giving you optimal restorative results.

 

Perio Protect has the only tray delivery system with research to support these claims.

Results Speak for Themselves

"As a periodontist, I have tried just about every method of treating periodontal disease that makes scientific sense. The key to success is long-term maintenance. Perio Protect is the one treatment that I have utilized in the last five years that works. Perio Protect is easy for patients to use, which means high compliance and high compliance means lots of success. It has become part of my winning formula."

 

Dr. Gordon Fraser

Conyers, GA

Reducing Oral Inflammation Improves General Health and Wellness

Periodontal disease is not just an inflammatory response to a bacterial infection that leads to tooth loss. It is a chronic inflammatory disease with multiple risk and modifying factors that prime individual patients to respond differently to polymicrobial biofilm-induced inflammation.

 

Perio Tray™ delivery of Perio Gel™ (1.7% hydrogen peroxide) helps better manage inflammation by suppressing pro-inflammatory gram-negative populations in the subgingival microbiome and encouraging the repopulation of healthier bacterial species. When delivered and held deep below the gums, peroxide works as a broad-spectrum antimicrobial, physically disrupting the biofilm matrix that protects biofilm communities and lysing bacterial cell walls. 

 

Peroxide via Perio Tray™ delivery does more than just kill bacteria. Its release of oxygen – as it activates, peroxide turns into O2 + H2O – changes the microenvironment of the periodontal pocket so that healthy bacterial species repopulate at the expense of pathogenic ones. The environmental changes in the pockets thus have a direct effect on the changes in the composition of bacterial species in the microbiome.

 

Because periodontal diseases place a chronic low-grade burden on the immune system and exacerbate other inflammatory primed comorbidities like type 2 diabetes, cardiovascular disease, dementia, rheumatoid arthritis and others, it's important to treat at every stage.

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