Oral-Systemic Connections in Cardiometabolic Health | Oral-Vitality
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Oral-Systemic Connections in Cardiometabolic Health

This course examines where oral health intersects with cardiovascular and metabolic disease. Topics include nitric oxide and blood-pressure regulation, periodontal-cardiovascular relationships, diabetes and periodontal inflammation, GLP-1 therapy, and lipids. Throughout, the course separates established treatment effects from associations that remain unproven and focuses on practical, scope-appropriate clinical action.

CE/CME Hours5
Price$249
Release DateSeptember 10, 2026
Access1 year from the date of purchase
Course Overview

What this course covers

This course examines where oral health intersects with cardiovascular and metabolic disease. Topics include nitric oxide and blood-pressure regulation, periodontal-cardiovascular relationships, diabetes and periodontal inflammation, GLP-1 therapy, and lipids. Throughout, the course separates established treatment effects from associations that remain unproven and focuses on practical, scope-appropriate clinical action.

Curriculum

Presentations Included

The Mouth as a Nitric Oxide Factory — Part 1

Introduces the enterosalivary nitrate-nitrite-nitric oxide pathway and the role of oral nitrate-reducing bacteria in vascular physiology.

The Mouth as a Nitric Oxide Factory — Part 2

Extends the pathway into clinically relevant modifiers including antiseptic mouthwash, gastric acid suppression, aging, menopause, nasal nitric oxide, dietary nitrate, and exercise.

Periodontal Disease and Cardiovascular Risk — Part 1

Examines the periodontal-cardiovascular association and the biological pathways through which oral inflammatory burden may influence vascular health.

Periodontal Disease and Cardiovascular Risk — Part 2

Focuses on clinical interpretation, blood-pressure opportunity, screening and referral, and the difference between improving intermediate markers and proving prevention of cardiovascular events.

The Strongest Link

Examines the bidirectional relationship between periodontal disease and diabetes and why this association has some of the strongest causal evidence in oral-systemic medicine.

Treating the Loop

Reviews what periodontal treatment can realistically add to glycemic control, including the evidence for HbA1c change and practical considerations for patients using GLP-1 receptor agonists.

Lipids and Oral Inflammation: The Third Leg of Metabolic Syndrome

Explores the interaction among lipid biology, inflammation, metabolic risk, and periodontal disease, including what treatment studies do and do not establish.

Learning Outcomes

Learning Objectives

Upon completion of this course, participants should be able to:

  • Explain how the oral microbiome participates in the enterosalivary nitrate-nitrite-nitric oxide pathway.
  • Describe the relationship between oral nitrate-reducing bacteria and blood-pressure regulation.
  • Explain how antiseptic mouthwash, gastric acid suppression, aging, menopause, nasal physiology, and dietary nitrate may modify nitric oxide physiology.
  • Summarize the association between periodontal disease and cardiovascular disease at its appropriate evidence strength.
  • Distinguish evidence showing changes in intermediate vascular outcomes from evidence of prevention of cardiovascular events.
  • Identify appropriate blood-pressure and cardiometabolic screening and referral opportunities.
  • Explain the bidirectional relationship between diabetes and periodontal disease.
  • Describe the effect and limitations of periodontal treatment on HbA1c.
  • Discuss relevant oral-health considerations in patients receiving GLP-1 receptor agonist therapy.
  • Describe how lipids, inflammation, and periodontal disease intersect within broader cardiometabolic risk.
  • Communicate cardiometabolic oral-systemic findings without implying medication changes or extending beyond professional scope.
Audience

Who This Course Is For

Dentists, dental hygienists, dental assistants, physicians, nurse practitioners, physician assistants, nurses, and other allied health professionals involved in cardiovascular, metabolic, and oral health.

At a Glance

Course Format

CE/CME Hours5
Price$249
DeliveryOnline, self-directed, on-demand enduring material
PrerequisitesNone
Course release dateSeptember 10, 2026
Course access/expiration1 year from the date of purchase
Clinical Leadership

Faculty

Kathleen Carson, DDS

Airway-centric and oral-systemic dentist and founder of Oral-Vitality.

Ellie Campbell, DO

Family and integrative medicine physician, board certified in Family Medicine for more than 30 years.

Transparency

Faculty Disclosures

Kathleen Carson, DDS

Kathleen Carson, DDS is the founder and owner of Oral-Vitality, LLC, which develops and sells educational programs, books, and oral-health products. She has a financial interest in Oral-Vitality, LLC and may benefit financially from the sale of its educational offerings, books, and products. She reports no other relevant financial relationships related to the content of this activity.

Ellie Campbell, DO

Ellie Campbell, DO is compensated by Oral-Vitality, LLC for her participation in the development and presentation of this CE/CME activity. She reports no other relevant financial relationships related to the content of this activity.

Credit Requirements

How Credit Is Earned

To receive continuing education credit, the learner must:

Complete the full educational activity.

Pass the post-test with a score of 70% or higher.

Complete the course evaluation.

The appropriate dental CE or medical CME certificate is issued by email after all requirements are completed.

Continuing Education

Dental CE & Medical CME

Dental Continuing Education

Dental CE information and accreditation details for this activity.

Program provider: Oral-Vitality, LLC
Joint program provider: CE Approved
CE credit: 5 hours
Teaching method: Self-instruction / self-directed, on-demand
Location: Online
AGD subject code: 149 – Multi-disciplinary Topics
Course release date: September 10, 2026
Course access/expiration: 1 year from the date of purchase
Commercial support: None

No purchase of any product or service is required to take this course or earn continuing education credit.

AGD code 149 is provisional and may be updated after CE Approved confirms the final code.

Medical Continuing Education

Medical CME information for clinicians completing the enduring material.

Affiliate Institution: Oral-Vitality, LLC, an Affiliate Institution of Westbrook University
Credit type: Continuing Medical Education (CME)
CME hours: 5
Delivery: Enduring material; self-directed, on-demand narrated video education

To receive CME credit, the learner must complete the educational activity, achieve a minimum score of 70% on the post-test, and complete the course evaluation.

It is the responsibility of the student to check with the licensing agency of your state, country or province on CEU/CME requirements.

It is the student's responsibility to be in compliance with his/her governing bodies.

Policy

Refund and Cancellation Policy

Because Oral-Vitality courses are digital educational products that provide immediate access to course content, purchases are generally non-refundable once the course has been accessed. If a course is purchased in error and the course content has not been accessed, contact Oral-Vitality promptly so the request can be reviewed. Refunds or account corrections may also be provided for duplicate purchases, technical problems attributable to Oral-Vitality that prevent access to the purchased course and cannot reasonably be resolved, or where otherwise required by applicable law.

Refund requests should be sent to [email protected].

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