What does gum disease have to do with your heart—and what should your dentist and cardiologist know about each other's care? In this episode of Not Just a Dentist, Dr. Rob Raimondi and Dr. Marc Sclafani are joined by Columbia cardiologist Dr. Jennifer Haythe for a conversation about oral health, inflammation, cardiovascular risk, and the value of healthcare professionals working together. They begin with an important distinction: gum disease and cardiovascular disease are associated, but that does not mean gum disease has been proven to cause heart attacks. Dr. Haythe explains why shared risk factors and inflammation matter, how bacteria entering the bloodstream can pose a separate concern for certain patients with heart-valve conditions, and what she would like to hear from a patient's dentist. The conversation expands into women's heart health and why pregnancy complications can remain relevant long after delivery. They discuss preeclampsia, gestational hypertension, and gestational diabetes, along with the importance of appropriate medical follow-up and dental care during pregnancy. Dr. Raimondi, Dr. Sclafani, and Dr. Haythe also unpack some of the cardiovascular terms patients encounter online: LDL, HDL, triglycerides, lipoprotein(a), ApoB, calcium scoring, and VO2 max. They explain how testing fits into an individual's history and risk, why a wearable estimate differs from a formal exercise test, and how strength and balance affect day-to-day function as people age. Throughout the episode, the focus comes back to practical ways to participate in your care: bring an accurate medication list, share existing test results, understand the questions your doctors are trying to answer, and seek a second opinion when you need one. In this episode, they cover: The association between gum disease, inflammation, and cardiovascular disease Why dentists and physicians benefit from sharing information Preparing for appointments with medication lists and prior test results Smoking, nicotine pouches, and oral inflammation Pregnancy history as part of a long-term cardiovascular risk assessment Dental care during pregnancy and the importance of medical follow-up Finding healthcare professionals you trust and getting a second opinion Lipoprotein(a), ApoB, cholesterol testing, and statins Home blood-pressure monitoring and follow-up after an elevated reading Calcium scores, stress testing, and individualized screening decisions VO2 max, wearable estimates, and formal cardiopulmonary exercise testing Strength, balance, and the effects of falls and inactivity Cholesterol medications, GLP-1s, and questions about emerging treatments Coordinating antibiotics before dental procedures with the treating team About the guest: Jennifer H. Haythe, MD, is a cardiologist at Columbia University Irving Medical Center. She is the Irene and Sidney B. Silverman Associate Professor of Cardiology, director of the Adult Pulmonary Hypertension Program and the Cardio-Obstetric Program, and co-director of the Columbia Women's Heart Center. Her clinical interests include heart failure, pulmonary hypertension, cardio-obstetrics, and cardiovascular disease in women. Guest profile: https://doctors.columbia.edu/us/ny/new-york/jennifer-h-haythe-md-173-fort-washington-avenue Connect with the show: Watch on YouTube: https://www.youtube.com/@notjustadentistpodcast Listen on Apple Podcasts: https://podcasts.apple.com/us/podcast/not-just-a-dentist/id6790479420 Listen on Spotify: https://open.spotify.com/show/033ORDB1HvbYhRPF8JxohW Explore the podcast: https://onemanhattandental.com/podcast/ Learn about One Manhattan Dental: https://onemanhattandental.com/ Schedule an appointment: https://app.nexhealth.com/appt/onemanhattandental This episode is for educational purposes only and is not a substitute for individualized dental or medical diagnosis or treatment.