Promoted by the American Academy of Periodontology Foundation, with SEPA Playing a Leading Role Through the Levi-Richman Integration Initiative
- One of the most significant global efforts to strengthen dentistry’s contribution to overall health and to raise awareness among health care professionals and the general public about the strong association between periodontal diseases and systemic conditions such as diabetes, metabolic syndrome, and cardiovascular disease
- The Levi-Richman Integration Initiative is currently funded at $2.5 million, and its scope is expected to expand in the coming years
- The SEPA Foundation, the charitable arm of the Spanish Society of Periodontology and Osseointegration, is playing a particularly prominent role as a strategic partner and recipient of a $200,000 philanthropic gift, which is expected to grow to $500,000, to implement the Working Together initiative.
- “Our goal is to reconnect the mouth to the body,” says Dr. Paul Levi Jr., who has highlighted SEPA’s important role in advancing periodontal health.
- The American Academy of Periodontology Foundation (AAP Foundation) has launched an ambitious initiative to deepen understanding of the relationship between oral health and systemic health. The effort is part of the Levi-Richman Integration Initiative, which will mobilize more than $2.5 million in existing and new investments to highlight the role of periodontal health as a critical link between oral and overall health.
- A new program developed under the umbrella of the Levi-Richman Integration Initiative is called Working Together, and the SEPA Foundation, the charitable arm of the Spanish Society of Periodontology and Osseointegration, will play a central role in its implementation. As explained by Dr. Paula Matesanz, President of SEPA, “The goal is to foster collaboration between oral health professionals and key public health stakeholders in alignment with global health priorities.”
An Extraordinary Philanthropic Gift
The Levi-Richman Integration Initiative, named in honor of its founding donors Patty and Paul Levi and Dr. Colin Richman, is supported by major philanthropic contributions totaling approximately $2 million to date, including a $1 million gift made by Dr. Richman in 2020 and more than $250,000 previously contributed by the Levis and other donors. Patty and Paul Levi have now committed additional previously undisclosed funds and have also established a planned gift to further increase their support in the future.
Specifically, a $200,000 philanthropic contribution has been awarded, through an endowment model (permanent donation), to the SEPA Foundation, the charitable arm of the Spanish Society of Periodontology, to support implementation of the Working Together program. The AAP Foundation has committed to sustaining this effort over the next five years and is actively seeking additional funding to expand the initiative further, with the goal of reaching $500,000.
According to President Paula Matesanz, “The collaboration between the SEPA Foundation and the AAP Foundation, made possible through Professor Levi’s extraordinary generosity, represents a shared global effort to place oral health and the professionals who work in this field at the forefront of addressing major modifiable risk factors for diseases such as periodontitis, which also have important implications for overall health.”
Reconnecting Oral Health and Overall Health
“My family and I are proud to support this ambitious project,” said Dr. Colin Richman, “and to advance understanding of the bidirectional relationship between oral health and systemic health. Our existing Periodontics-Orthodontics (Perio-Ortho) grants have already sought to strengthen collaboration between periodontists and orthodontists. With this new initiative, we are extending that same spirit of integration to our colleagues in systemic health and addressing another subject that is deeply important to me: the oral-systemic connection.”
“Our goal is to reconnect the mouth to the body,” added Dr. Paul Levi Jr., quoting the late Dr. Bruce Donoff, a dentist and physician who served as Dean of Harvard School of Dental Medicine for 28 years. “For many years, evidence has continued to accumulate demonstrating the strong association between periodontal diseases and systemic conditions such as diabetes, metabolic syndrome, and cardiovascular disease. More recently, emerging research has linked oral health to an expanding list of conditions ranging from Alzheimer disease to erectile dysfunction. Although these relationships are well known among periodontists, they remain largely unfamiliar to the general public and to many physicians, including cardiologists, pulmonologists, and endocrinologists, whose patients may be in urgent need of periodontal care.”
“Periodontal and peri-implant diseases, as well as the dysbiosis and inflammation associated with these conditions, have been linked to the development and progression of numerous systemic diseases,” said Dr. Mia Geisinger, Past President of the American Academy of Periodontology and Chair of the Advisory Committee for the Levi-Richman Integration Initiative. Although these associations do not necessarily establish causation, patients with systemic conditions are known to be at increased risk for periodontal disease and should be evaluated for periodontal treatment, particularly when they present with one or more warning signs of periodontal disease.
In this regard, Dr. Geisinger noted that greater medical-dental integration, including the widespread adoption of electronic health records, could significantly improve assessment of the bidirectional effects of periodontal and systemic diseases. “Future longitudinal and epidemiologic studies may help further clarify best practices to improve diagnostic and treatment outcomes.” In response to this need, the Levi-Richman Integration Initiative will fund research exploring causal links between periodontal disease and systemic conditions and will help disseminate those findings through education and advocacy.
Planned Activities
The Levi-Richman Integration Initiative will support new research, disseminate knowledge through educational programs for dentists, physicians, and allied health professionals, and raise awareness about periodontal and peri-implant diseases, the importance of their treatment, and the specialists who are uniquely qualified to provide this care.
Programs supported by the Initiative will include:
- A new and ambitious research grants program focused on interdisciplinary investigation of the relationship between oral health and systemic health.
- The existing Richman Family Foundation Perio-Ortho Grants, established in 2021 through Dr. Richman’s generous support.
- Expanded Patty and Paul Levi Research Awards, originally created in 2016 to recognize prevention-related research conducted by predoctoral dental students and funded by contributions from the Levi family and more than 100 donors. These awards will now include a second prize for postgraduate residents in periodontology.
- Educational programs for dentists, physicians, and allied health professionals.
- Funding for key initiatives within the American Academy of Periodontology, including the upcoming Best Evidence Consensus on the prevention of peri-implant diseases.
- Collaborations with the SEPA Foundation, Europe’s leading charitable organization dedicated to periodontology, including:
- A biennial global online symposium on prevention, beginning in 2027.
- International expansion of the AAP Foundation’s PerioDash 5K run/walk.
- A series of educational webinars for dentists and physicians held in conjunction with observances such as World No Tobacco Day and World Diabetes Day.
The SEPA Foundation: A Key Strategic Partner
One example of this outreach effort is PerioDash, the AAP Foundation’s annual 5K run/walk designed to raise awareness about periodontal diseases, the importance of treatment, and the specialists who can help. Now incorporated into the Levi-Richman Integration Initiative, PerioDash will expand to Europe through a partnership with the SEPA Foundation.
With financial support from the Initiative, the SEPA Foundation will also develop educational programs open to oral health and systemic health professionals worldwide, in collaboration with the AAP Foundation and other organizations. These efforts will begin in 2026 with a series of webinars held in conjunction with international health awareness observances, including World No Tobacco Day (May 31) and World Diabetes Day (November 14). The programs will include both global and local components, enabling periodontists to connect with physicians in their communities, broaden understanding of the oral-systemic relationship, and strengthen referral networks.
This Initiative marks an important new chapter for the AAP Foundation, which in 2025 celebrated surpassing $10 million in cumulative grants, scholarships, and financial awards over its 35-year history, including support for programs of the American Academy of Periodontology and the American Board of Periodontology. “The AAP Foundation is proud to continue its longstanding commitment to academic periodontics,” said its President, Dr. Christopher R. Richardson, “and now complements that core mission with this ambitious initiative, which is designed to directly support clinicians in private practice and improve both periodontal and overall health.”
About the American Academy of Periodontology Foundation
Founded in 1990, the American Academy of Periodontology Foundation (AAP Foundation) advances the specialty of periodontics and dental implant surgery through advocacy, research, and education. Over the past 35 years, more than 350 dental students, periodontology residents, faculty members, and practicing clinicians have received educational and research awards from the AAP Foundation, totaling more than $10 million. These awards have been made possible through support from more than 150 corporate and organizational donors, as well as nearly 5,000 individual professionals.
About the SEPA Foundation
The SEPA Foundation is the charitable arm of one of the world’s leading scientific societies in periodontology and implant therapy. It is widely recognized nationally and internationally for its role in promoting periodontal and peri-implant health through education, research, and scientific outreach. The Foundation is governed by a distinguished Board of Trustees that reflects the spirit of an open, collaborative institution committed to society and to improving people’s health by advancing initiatives that connect scientific knowledge with clinical practice and the broader community.
About Colin Richman
Born in Johannesburg, Dr. Colin Richman studied in South Africa and England before earning his certificate in periodontics from the University of Connecticut. A highly respected periodontist based in Georgia, Dr. Richman has extensive training and experience in periodontics and has delivered more than 350 lectures throughout the United States and internationally. He has served as an Adjunct Professor at Emory University School of Dentistry and as a Clinical Instructor at the University of Connecticut. He is currently a professor at the Medical College of Georgia.
About Patty and Paul Levi
Patty and Paul Levi Jr. have been married for nearly 60 years, with Patty playing an essential role in supporting Dr. Levi throughout his teaching and professional career in periodontics. After completing his postgraduate training in periodontics at the Tufts University School of Dental Medicine, Dr. Levi established his private practice in Burlington and taught at the University of Vermont School of Dental Hygiene for 27 years. He later began commuting to Boston to teach part-time at Harvard School of Dental Medicine and Tufts University School of Dental Medicine, where he currently serves as a faculty member. Patty and Paul share a deep commitment to prevention. Their connection with the Spanish periodontal community began when Dr. Levi taught in Barcelona for one academic year. Since then, he has maintained close ties with SEPA and has been a frequent speaker at its congresses.

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