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Periodontal disease is linked to coronary artery disease and carries a risk of bacteremia. A study of 6707 participants from the atherosclerosis Ruskin Community found that those with periodontal disease were more likely to develop heart failure. The study looked at incident heart failure data from 1996 to 2018, including heart failure with preserved and reduced ejection fraction. Participants were classified as having healthy gums, periodontal disease, or adendalus. The association between these classifications and heart failure was calculated, as well as inflammation and congestion biomarkers.