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Systematic review of oral health integration strategies in primary and cardiovascular care settingsBetter teamwork between doctors and dentists helps heart and mouth health for everyone

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Key Takeaway
Consider integrating oral health strategies to improve access and detection in primary and cardiovascular care.

This systematic review evaluates oral health integration strategies within primary and cardiovascular care settings. The included studies examined interventions such as medical-dental collaboration, oral health screening in non-dental settings, non-dental teams providing oral health education and preventive care, and upskilling non-dental providers. The review did not report a specific population or sample size beyond the count of 17 studies.

Key synthesized findings indicate that these strategies are associated with improved oral health access and earlier detection of oral disease. The authors also observed enhanced provider confidence and increased chronic disease screening in dental settings. Additionally, the review noted improvements in cardiovascular disease markers and overall service delivery. No specific adverse events or tolerability data were reported in the source material.

The authors highlight that sustainable implementation will require policy support, workforce training, and evaluation of long-term cost-effectiveness and impact. These limitations suggest that while integrated care models can bridge the oral-CVD care divide, improving equity and outcomes, further research is needed to confirm long-term viability and economic feasibility.

A recent look at seventeen different studies found that connecting medical and dental care helps patients in many ways. When doctors and dentists collaborate, people find it easier to get the care they need for their teeth and gums. This partnership also helps doctors spot mouth problems sooner, which is important for overall health.

Working together also makes doctors feel more confident about treating oral health issues. Patients who see both types of providers often get better results for their heart and blood pressure. These changes happen because the teams share information and look at the whole person, not just one part of their body.

However, making this kind of care last requires support from leaders and training for staff. We need to check if this approach saves money over time and helps everyone fairly. The main goal is to close the gap between mouth and heart health so all patients get the best possible care.

What this means for you:
Teamwork between medical and dental teams improves access, detection, and outcomes for heart and oral health.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedMay 2026
View Original Abstract ↓
BackgroundPoor oral health is associated with cardiovascular diseases (CVDs), largely due to shared risk factors such as smoking, diabetes and socioeconomic disadvantage. Integrating oral health into primary and specialist care, particularly cardiac services, presents a promising strategy to improve early detection of oral diseases and related health outcomes. This systematic review examines oral health strategies implemented in primary and cardiovascular care settings, focusing on their impact on oral and CVD indicators, service delivery and medical-dental collaboration.MethodsA systematic review was conducted in accordance with the Joanna Briggs Institute (JBI) Manual for Evidence Synthesis and reported following PRISMA 2020 guidelines, with the protocol registered in PROSPERO. Peer-reviewed studies were systematically searched across major databases. Guided by the PICO framework, data were extracted on populations, interventions, settings and outcomes. Study quality was assessed using JBI and Mixed Methods Appraisal Tool criteria, and findings were synthesised using narrative and thematic analysis.ResultsEvidence from 17 studies highlight key integration strategies: (1) medical-dental collaboration through interdisciplinary care and co-location; (2) implementing oral health screening in non-dental settings; (3) non-dental teams providing oral health education and preventive care and (4) upskilling non-dental providers. Reported outcomes included improved oral health access, earlier detection of oral disease, enhanced provider confidence, increased chronic disease screening in dental settings and improved CVD markers.ConclusionIntegrated care models can bridge the oral-CVD care divide, improving equity and outcomes. However, sustainable implementation will require policy support, workforce training and evaluation of long-term cost-effectiveness and impact.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/view/CRD420251113478, PROSPERO CRD420251113478.
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