Mediterranean diet and oral health: what the evidence actually shows

DIET & ORAL HEALTH
Science

Mediterranean diet and oral health: what the evidence actually shows

Beyond its cardiac and metabolic benefits, the Mediterranean diet has an increasingly robust evidence base for reducing gum disease risk, improving oral microbiome diversity, and lowering inflammatory markers in gingival tissue.

M
Max, Founder of Minvelle ·Updated May 2026 ·18 min read ·🦷 Diet & Oral Health
Bottom line

The Mediterranean diet cuts periodontitis odds by 20 to 30% in population studies, with a 2020 randomised trial confirming clinical gum improvements on top of standard care. The mechanisms stack: polyphenols from olive oil and vegetables shift the oral microbiome, marine omega-3s resolve gum inflammation, and fibre prebiotically supports beneficial bacteria. The pattern (heavy vegetables, legumes, fruit, nuts, olive oil, whole grains, moderate fish, low red meat, modest wine) lowers inflammatory markers in gingival tissue. Red wine's polyphenols partly offset its erosion risk if you rinse with water and space drinks. Diet quality compounds.

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Glossary
Mediterranean Diet Score: A scoring system that ranks adherence by points for high vegetable, legume, fruit, nut, fish, and olive oil intake plus low red meat.
Polyphenols: Plant compounds in olive oil, berries, and wine that modulate the oral microbiome and quench inflammation in gum tissue.
Periodontitis: Inflammatory gum disease that destroys the ligament and bone supporting teeth; Mediterranean diet adherence lowers its odds 20 to 30%.
Oral microbiome diversity: The variety of bacterial species in the mouth; higher diversity generally correlates with healthier oral and systemic outcomes.
Omega-3 to omega-6 ratio: The balance of anti to pro-inflammatory fatty acids; Mediterranean eating skews more favourably than Western diets.
Cariogenic acids: The organic acids (mainly lactic) produced by plaque bacteria from refined carbohydrates that dissolve enamel.
Dietary fibre: Indigestible plant carbohydrate that supports beneficial gut and oral microbes and feeds short-chain fatty acid production.

TL;DR

Mediterranean diet adherence is associated with 20-30% lower odds of periodontitis in population studies, improvements in gingival inflammation biomarkers, and greater oral microbiome diversity. The mechanisms involve polyphenol-driven microbial modulation, omega-3 anti-inflammatory effects on periodontal tissue, and the prebiotic effects of dietary fiber. A 2020 randomized controlled trial confirmed clinical periodontal improvements from a diet intervention on top of standard treatment. Red wine's polyphenols partially offset its erosion risk, but rinsing and spacing habits matter.

Medical disclaimer

This article is informational and not medical or dental advice. It draws on published research, cited below. For your own teeth, talk to your dentist.

What the Mediterranean diet actually consists of

The Mediterranean diet is not a single prescription but a broadly defined dietary pattern characterized by high consumption of vegetables, legumes, fruits, nuts, olive oil, and whole grains; moderate consumption of fish, poultry, and dairy; low consumption of red meat and processed foods; and moderate wine consumption with meals among those who drink alcohol. It is the eating pattern traditional to countries bordering the Mediterranean Sea, particularly Greece, southern Italy, and Spain, as documented in nutritional surveys from the 1950s and 1960s before industrialized food systems had substantially altered regional diets.

Quantifying adherence typically uses a Mediterranean Diet Score, which assigns points for consumption above median levels of beneficial foods (vegetables, legumes, fruit, nuts, fish, olive oil, whole grains) and below median levels of detrimental foods (red meat, processed meat, dairy in some scoring systems). Higher scores correlate with better health outcomes across a broad range of conditions in epidemiological and interventional research.

Mediterranean diet element
What research suggests for oral health
Strength of evidence
Vegetables, fruit and legumes (high fibre, polyphenols)
Studies suggest these support a more balanced oral microbiome and a lower inflammatory load on the gums.
Observational and review evidence; consistent direction, not yet proof of cause.
Olive oil and oily fish (omega-3, antioxidants)
Research links anti-inflammatory and antioxidant nutrients with lower periodontal inflammation markers.
Mechanistic plus cross-sectional studies; effect sizes vary by population.
Overall dietary pattern (high adherence vs low)
Some cohort and cross-sectional studies show higher adherence is associated with milder periodontitis; one meta-analysis found the pooled link did not reach statistical significance.
Mixed: promising signals, but a 2024 meta-analysis (OR 0.77, 95% CI 0.58 to 1.03) was non-significant.
Low free-sugar profile of the pattern
Keeping free sugars low is the single best-supported dietary lever against cavities; WHO advises under 10% of energy, with further benefit under 5%.
Strong: WHO guideline backed by moderate-quality cohort evidence.
Diet as a standalone fix
No diet replaces brushing, cleaning between teeth, fluoride or remineralisation support; the evidence frames diet as one contributing factor, not a cure.
Well established across reviews and public-health bodies.

The nitrate pathway: how Mediterranean vegetables recruit your oral bacteria

One of the most interesting threads in recent oral research has nothing to do with brushing and everything to do with the bacteria living on your tongue. Leafy greens, the produce that sits at the centre of a Mediterranean plate, are among the richest dietary sources of inorganic nitrate. Measurements of vegetables such as spinach, rocket, lettuce and chard put their nitrate content anywhere from roughly 600 to over 4,000 mg per kilogram of fresh weight depending on the crop and the season, and around 80 percent of the nitrate most people take in comes from vegetables rather than anything else. That number matters because of what your mouth does with it next.

Human cells cannot reduce nitrate to nitrite on their own. We outsource that step to bacteria. After you eat nitrate-rich vegetables, the nitrate is absorbed, circulates in the blood, and your salivary glands concentrate it and secrete it back into saliva. Bacteria living on the back of the tongue, genera such as Veillonella, Actinomyces, Haemophilus and Neisseria, then convert that nitrate into nitrite. Swallowed nitrite can become nitric oxide in the acidic stomach and re-enter circulation, where it is reduced again to nitric oxide in low-oxygen tissue. Research describes this as a genuine symbiosis: the diet supplies the raw material, and a specific group of oral microbes runs the conversion that mammalian tissue cannot. Peak nitrite levels in the blood tend to show up a few hours after a nitrate-rich meal, so this is a slow background process rather than an instant hit.

This is where gum health loops back into the picture. Studies show that nitrate-reducing bacteria tend to be associated with periodontal health rather than disease, and that the nitrate-reduction capacity of the oral microbiota appears impaired in periodontitis. One line of work found that the blood-pressure-lowering effect of beetroot juice was blunted in people with periodontitis and recovered after periodontal treatment. In other words, the Mediterranean diet may load the system with nitrate, but a mouth running an inflamed, dysbiotic microbiome seems less able to make full use of it. Research suggests the two work as a pair: the vegetables provide the substrate, and a healthy gum line preserves the bacterial community that turns it into something useful for the whole body.

There is a practical caution worth naming. This pathway depends on leaving the tongue-dwelling nitrate reducers alone, which is one reason researchers have flagged that aggressive antibacterial mouthwash habits can interfere with it. The takeaway is not to abandon oral hygiene, but to recognise that the benefit of all those Mediterranean greens partly rides on keeping the right bacteria in place rather than scorching the entire oral ecosystem.

Why the whole diet matters more than any single nutrient

It would be neat if one vitamin or mineral did all the work, but the evidence points the other way. A review from the European Federation of Periodontology on micronutrients in periodontal care walks through the candidates: vitamin C for collagen synthesis and antioxidant protection, vitamin D for bone metabolism and immune function, plus B vitamins and trace elements such as zinc and magnesium that show up linked to periodontal severity. The honest conclusion in that work is cautious. There is increasing evidence that micronutrients matter for periodontal and general health, but the authors are clear that more research is needed before anyone prescribes a supplement as therapy. What stands out is the contrast at the level of whole eating patterns: a Western diet is described as pro-inflammatory, while Mediterranean-style eating shows promise for lowering inflammation.

A cross-sectional study in a UK population published in the Journal of Periodontology gives that contrast some texture. Looking at almost 200 patients, the researchers found that low adherence to a Mediterranean diet was associated with more severe periodontitis, and that more frequent red meat consumption tracked independently with worse disease. On the other side, several plant-derived food groups were inversely related to inflammatory markers including C-reactive protein and interleukin-6. The team behind it, from King's College London, framed the finding carefully: a balanced, Mediterranean-type diet could potentially reduce gum disease and systemic inflammation, but larger studies are needed to confirm it. That hedge is the right one. This is association, not proof that the diet causes the improvement.

The inflammation angle is worth dwelling on because gums do not exist in isolation from the rest of the body. Research on the link between periodontitis and diabetes describes a bidirectional relationship: periodontitis can aggravate glycemic control, while poorly controlled diabetes makes periodontal disease worse, with shared pro-inflammatory cytokines such as TNF-alpha and interleukin-6 sitting in the middle of both. That is part of why a dietary pattern that lowers systemic inflammation is interesting for the mouth specifically. It plausibly works on the same machinery that connects gum tissue to metabolic health, though here too the research describes mechanisms and associations rather than guarantees.

Saliva, chewing, and the acid tradeoff hiding in healthy food

A Mediterranean diet is not acid-free. Citrus, tomatoes, fruit and wine all sit on the lower end of the pH scale, and the same produce that helps your gums can soften enamel if it bathes your teeth all day. When acids drop the pH in your mouth, calcium and phosphate dissolve out of the enamel surface. Saliva is what reverses that, neutralising the acid and redepositing minerals, but if acid challenges are frequent or drawn out, the softened layer can wear away before saliva finishes the repair. The point below which mineral starts leaving the tooth sits at around pH 5.5, so the goal is to spend as little time as possible under that threshold and give saliva the room to push the mouth back toward neutral.

Saliva itself is the lever you have the most control over. Resting flow is slow, but chewing and taste signals switch it on fast: simply chewing an unflavoured gum base can lift the salivary flow rate to roughly 10 to 12 times the resting rate, and even after twenty minutes of chewing the output can stay elevated. Stimulated saliva is not just more saliva, it is better saliva: bicarbonate concentration rises, which lifts pH and buffering capacity against the acids that follow a meal, and the flow carries calcium and phosphate held in supersaturation by proteins such as statherin, leaving those minerals available to redeposit onto enamel and dentin.

One olive-oil aside is worth a reality check, because olive oil is the fat at the heart of the Mediterranean plate and it sometimes gets credited with protecting teeth directly. An in-vitro study tested olive oil against enamel and dentin erosion and found that pure 100 percent olive oil was not effective at reducing mineral loss, while a 2 percent emulsion offered only modest protection that still lagged behind a fluoride control. The lesson is not that olive oil is bad for teeth, it clearly is not, but that the protective story for a Mediterranean diet runs through saliva, inflammation and the nitrate pathway, not through any single ingredient coating the enamel.

A few simple habits keep the acid side of Mediterranean eating in check without giving up the food. Research and dental guidance suggest eating acidic items like tomatoes and citrus as part of a meal rather than grazing on them through the day, since clustering the acid exposure gives saliva uninterrupted time to recover. Pairing acidic foods with a non-acidic partner such as cheese or milk helps buffer the challenge, and it is worth knowing that slow sipping of acidic drinks extends the contact between acid and enamel rather than getting it over with quickly. Dental guidance also suggests rinsing with water and waiting before brushing after a sour hit, since enamel is briefly softened then and the brush can take off more mineral than it puts back. After an acidic meal, stimulating saliva flow is one of the most direct ways to bring pH back up. This is exactly the mechanism behind chewing sugar-free gum, which a review of chewing gum as an anti-cariogenic agent reports can raise saliva by around 187 percent in the first minute of chewing and deliver a stream supersaturated with calcium and phosphate to the tooth surface. The American Dental Association notes clinical trials in which chewing sugar-free gum for about twenty minutes after eating was linked to lower caries incidence, which is why it is positioned as an adjunct to brushing and flossing rather than a replacement for them.

For oral health specifically, the relevant features of the diet are its abundance of polyphenol-rich plant foods, its high omega-3 to omega-6 ratio (relative to Western diets), its fiber content, its modest sugar load from primarily whole-food sources, and its low concentration of refined carbohydrates that fuel cariogenic acid production in dental plaque.

Polyphenols and the oral microbiome

The Mediterranean diet is among the highest polyphenol dietary patterns in the world. Polyphenols are plant secondary metabolites that include flavonoids, phenolic acids, stilbenes (including resveratrol in red wine), and lignans. The Mediterranean diet delivers them in concentrated form through olive oil (hydroxytyrosol, oleuropein), red wine (resveratrol, anthocyanins), tomatoes (lycopene, chlorogenic acid), green vegetables (quercetin, lutein), herbs (rosemary, thyme, oregano containing rosmarinic acid and thymol), and fruits (numerous anthocyanins and flavonols).

Polyphenols exert prebiotic effects on the oral microbiome by selectively modifying bacterial growth. Most cariogenic and periodontopathic bacteria are inhibited by polyphenols at concentrations achievable through dietary intake. Research published in the Journal of Dental Research has shown that quercetin, hydroxytyrosol, and epigallocatechin gallate (EGCG from green tea) significantly inhibit Porphyromonas gingivalis biofilm formation at concentrations found in food and in saliva after dietary intake. In contrast, many health-associated oral bacteria show greater resistance to polyphenol inhibition, suggesting a selective mechanism that favors microbial balance.

A cross-sectional study comparing subjects with high versus low Mediterranean diet adherence found significantly higher alpha diversity (species richness) in the oral microbiome of high adherence subjects, along with lower proportions of periodontitis-associated red complex bacteria (P. gingivalis, Treponema denticola, Tannerella forsythia) and higher proportions of health-associated commensals including Streptococcus sanguinis. These differences were independent of dental hygiene habits, suggesting dietary polyphenols have a direct role in shaping oral ecology.

The anti-inflammatory properties of polyphenols also operate at the tissue level. NF-kB, a transcription factor central to the inflammatory cascade that drives periodontal tissue destruction, is inhibited by multiple Mediterranean diet polyphenols. Reduced NF-kB activation in gingival tissue means lower cytokine production, less protease activity in the periodontal pocket, and slower collagen degradation in the gingival connective tissue.

Olive oil and gum health: oleocanthal and oleic acid

Extra-virgin olive oil (EVOO) is the defining fat of the Mediterranean diet and the component most distinct from other dietary patterns. Unlike refined oils, EVOO retains a rich polyphenol content that varies with olive variety, ripeness at harvest, and processing method. The most orally relevant polyphenol in EVOO is oleocanthal, a phenolic compound that inhibits both COX-1 and COX-2 enzymes, the same targets of ibuprofen, at concentrations achievable through daily dietary consumption of 50 ml (roughly 3.5 tablespoons) of high-quality EVOO.

COX-2 is a key enzyme in the prostaglandin pathway that drives gingival inflammation and alveolar bone resorption in periodontitis. Inhibiting it through dietary oleocanthal provides a sustained low-grade anti-inflammatory effect on periodontal tissue that may reduce the rate of tissue destruction in susceptible individuals. Research in Clinical Oral Investigations has examined salivary prostaglandin E2 levels (a downstream marker of COX-2 activity) in relation to olive oil consumption and found inverse associations consistent with this mechanism.

Oleic acid, the primary fatty acid in EVOO, shows direct antimicrobial activity against Streptococcus mutans and Candida albicans in in vitro studies. While concentrations required for meaningful antimicrobial effects in the oral cavity are higher than those achieved by normal dietary consumption, some researchers have proposed that oil pulling with olive oil achieves locally relevant concentrations at the tooth surface and gingival margin, which may partially explain the traditional practice. The evidence for oil pulling specifically remains limited, but the antimicrobial mechanisms are real.

Hydroxytyrosol, another polyphenol in EVOO (particularly present in high concentrations), is one of the most potent antioxidants in the food supply by ORAC measurement. Oxidative stress in the periodontal pocket is a major driver of tissue damage, and hydroxytyrosol's capacity to scavenge reactive oxygen species may provide a degree of tissue protection against oxidative damage from the neutrophilic response to periodontal bacteria.

Fish, omega-3 fatty acids, and periodontal inflammation

The Mediterranean diet includes substantial quantities of fatty fish, contributing significant amounts of the long-chain omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). These fatty acids modulate the arachidonic acid cascade, competing with the omega-6 fatty acid arachidonic acid as substrates for COX and LOX enzymes. When EPA and DHA are incorporated into cell membranes (as they are with consistent high intake), they shift eicosanoid production toward less pro-inflammatory mediators and promote the synthesis of resolvins and protectins, a class of specialized pro-resolving lipid mediators that actively terminate inflammation and promote tissue repair.

Research published in the Journal of Periodontology has examined the relationship between omega-3 intake and periodontal outcomes in large population samples, including NHANES data. Analyses found that higher dietary EPA plus DHA intake was associated with significantly lower odds of periodontitis, with an effect size of roughly 20-30% risk reduction in the highest versus lowest intake quartiles. The association was stronger in non-smokers, consistent with the hypothesis that smoking generates inflammatory load that overwhelms the modest anti-inflammatory effects achievable through diet.

A small randomized controlled trial tested omega-3 supplementation (EPA plus DHA at 2g/day) alongside non-surgical periodontal treatment compared to treatment alone and found significant additional reductions in pocket depth, clinical attachment loss, and gingival bleeding in the omega-3 group. While the sample size was small and replication is needed, the direction is consistent with the mechanistic expectation and the epidemiological findings.

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Fiber, fermentable carbohydrates, and caries risk

Dental caries results from acid produced by bacteria fermenting sugars and fermentable carbohydrates in dental plaque. The critical factor is not total carbohydrate intake but the type and form of carbohydrate consumed. Fermentable carbohydrates that produce the greatest acid challenge are those that are rapidly digested to simple sugars: refined grains, added sugars, sticky confections, and sugary beverages. The Mediterranean diet is relatively low in all of these.

Legumes, the backbone of the Mediterranean diet's protein and carbohydrate provision, are low glycemic index foods that produce minimal post-meal blood glucose spikes and are digested slowly in the small intestine, leaving little substrate for rapid acid fermentation at the tooth surface. Whole grains similarly produce a slower and more attenuated acid challenge than refined grains. Fruits, though they contain sugars, are consumed with their native fiber matrix and are accompanied by polyphenols that partially inhibit oral bacterial fermentation.

High dietary fiber intake also promotes saliva flow through increased chewing demand, providing more frequent mechanical cleansing of tooth surfaces and greater buffering capacity. The relationship between chewing and saliva production is direct and significant: hard, fibrous foods require more chewing cycles per bolus and stimulate roughly three to four times more saliva than soft processed foods. This physiological saliva stimulation partially explains why traditionally Mediterranean populations who ate whole, minimally processed foods had lower caries rates despite no access to modern fluoride dentistry.

Population studies from NHANES data confirm an inverse association between dietary fiber intake and caries prevalence, independent of fluoride exposure and socioeconomic variables. The effect is modest in absolute terms but consistent across multiple analyses, supporting the mechanistic story above.

Mediterranean diet and periodontitis: what the clinical trials show

Cross-sectional population studies consistently show lower periodontitis prevalence in high Mediterranean diet adherence groups, but causality requires randomized trial evidence. The landmark study in this space is a 2020 randomized controlled trial published in the Journal of Clinical Periodontology by Woelber and colleagues, which randomized patients with mild to moderate periodontitis to either standard non-surgical periodontal treatment alone or standard treatment plus a structured Mediterranean diet intervention.

After three months, the diet plus treatment group showed significantly greater reductions in mean pocket probing depth, clinical attachment gain, gingival bleeding score, and plaque index compared to the control group. Salivary IL-1 beta (a key pro-inflammatory cytokine in periodontal disease) was also significantly lower in the diet group. These are clinically meaningful differences achieved without any additional pharmaceutical or surgical intervention beyond what both groups received.

The study also found significant improvements in several systemic inflammatory markers in the diet group, consistent with the broader evidence base for Mediterranean diet effects on cardiovascular and metabolic inflammation. This bidirectional relationship between periodontal and systemic inflammation, now well-established in the literature, is one reason dietary intervention in periodontal disease has broader health implications beyond the gum line.

Red wine in the Mediterranean diet: the acid-polyphenol tradeoff

Red wine occupies a complex position in the Mediterranean diet and oral health story. On one hand, it is a concentrated source of polyphenols including resveratrol, anthocyanins, and proanthocyanidins with documented anti-inflammatory and antimicrobial properties. On the other hand, it is acidic: most red wines have a pH between 3.3 and 3.7, well below the enamel dissolution threshold of pH 5.5. Frequent red wine consumption, particularly sipping over extended periods, creates sustained acid exposure that can cause enamel erosion.

Research on red wine polyphenols and oral health has found some evidence that these compounds inhibit S. mutans adhesion to tooth surfaces and reduce biofilm formation. A study in Caries Research found that a polyphenol extract from red wine significantly reduced bacterial adhesion in vitro. However, whether wine consumption in practice produces enough polyphenol delivery to the tooth surface to offset the acid damage from the same beverage is uncertain, and no controlled clinical trial has confirmed a net dental benefit from red wine consumption.

The practical guidance for wine drinkers concerned about enamel: consume wine with meals rather than alone (food buffers the acid challenge), avoid sipping wine slowly over hours, rinse with water after drinking, and wait at least 30 minutes before brushing (the post-wine enamel surface is temporarily softened and vulnerable to abrasion). Calcium and phosphate in food consumed with wine also contribute to post-acid remineralization.

Practical translation: what to add, what to reduce

Shifting eating habits toward a Mediterranean pattern does not require dramatic overnight change. Research on dietary pattern adherence suggests that incremental substitutions produce durable habit change, while abrupt overhauls tend to fail. For oral health specifically, the modifications with the strongest evidence base are:

  • Replace refined grain products with whole grain versions: whole wheat bread, oats, barley, and farro. The slower digestion reduces acid challenge to teeth and improves systemic glycemic control, both of which matter for periodontal risk.
  • Increase legume consumption to at least three servings per week: lentils, chickpeas, and beans provide fiber, folate, and a sustained-release carbohydrate profile that minimizes acid challenge.
  • Use extra-virgin olive oil as the primary cooking fat, replacing seed oils and butter. EVOO's polyphenol content is the key differentiator from other oils.
  • Add fatty fish twice weekly: salmon, sardines, mackerel, or anchovies provide the EPA and DHA associated with lower periodontal risk.
  • Increase vegetables and herbs, particularly those rich in polyphenols: dark leafy greens, tomatoes, peppers, artichokes, and fresh herbs.
  • Reduce added sugars and ultra-processed foods, the single most impactful change for caries risk reduction.

Chewing more fibrous, whole foods also mechanically stimulates saliva production, which supports remineralization between meals. This is where remineralizing products like nano-hydroxyapatite gum provide a complementary benefit: they supply the remineralization minerals (calcium phosphate in nano-hydroxyapatite form) directly to the tooth surface during the elevated-saliva-flow period that chewing creates. Enamel is approximately 97% hydroxyapatite by weight, and nano-hydroxyapatite, approved as an anti-cavity agent in Japan since 1993 and by the EU SCCS in 2023, integrates directly into the enamel surface, making it structurally compatible with the remineralization process that good diet supports.

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Frequently asked questions

Does the Mediterranean diet reduce gum disease risk?

Studies suggest higher Mediterranean diet adherence is associated with significantly lower odds of periodontitis, with population studies reporting 20-30% risk reductions after adjusting for smoking, age, and dental visit frequency. The anti-inflammatory and prebiotic effects of the diet appear to be the primary mechanisms.

Is olive oil good for teeth and gums?

Extra-virgin olive oil contains oleocanthal, a phenolic compound with anti-inflammatory properties similar to ibuprofen. Research suggests it inhibits the same inflammatory enzymes (COX-1 and COX-2) that drive periodontal tissue destruction. Oleic acid and other fatty acids in EVOO also show antimicrobial activity against some oral pathogens.

How does the Mediterranean diet compare to a Western diet for oral health?

Studies comparing the two patterns find consistently better periodontal outcomes, lower salivary inflammatory markers, and more diverse oral microbiomes in Mediterranean diet adherents versus those with high Western diet scores. The difference is greatest in populations with pre-existing periodontal disease.

Does red wine in the Mediterranean diet harm teeth?

Red wine is acidic (pH 3.3-3.7) and can contribute to enamel erosion with frequent consumption. Its polyphenols may partially offset this through anti-inflammatory effects on gum tissue, but the erosion risk is real. Rinsing with water after drinking, avoiding sipping slowly over extended periods, and waiting before brushing are practical mitigation steps.

Can following the Mediterranean diet improve existing gum disease?

A 2020 randomized controlled trial published in the Journal of Clinical Periodontology found that patients with mild to moderate periodontitis who followed a Mediterranean diet intervention alongside standard periodontal treatment showed greater reductions in gingival bleeding and probing depths compared to those receiving standard treatment alone.

Sources

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  11. How Periodontal Disease and Presence of Nitric Oxide Reducing Oral Bacteria Can Affect Blood Pressure (PMC)
  12. The blood pressure lowering effect of beetroot juice is impaired in periodontitis and recovered after periodontal treatment (PMC)
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  14. The Cardioprotective Role of Nitrate-Rich Vegetables (PMC)
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  16. Saliva and dental erosion (PMC, NIH)
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  21. The role of micronutrients in periodontal disease prevention and therapy - European Federation of Periodontology
  22. Dietary acids and your teeth - American Dental Association MouthHealthy
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