Methods and systems for reducing an identified systemic inflammatory marker associated with cardiovascular disease in a patient is provided through periodontal treatment that includes identifying an oral periopathogen related to the systemic inflammatory marker and a biofilm and an environment associated with the periopathogen, preparing a periodontal tray for direct application of a selected medicament having a efficacy in regard to the identified oral periopathogen and biofilm of the gum tissue associated with the one application region in which the medicament is to be placed and applying the tray with the placed selected medicament to the treatment region of the patient such that at least a portion of the selected medicament is forced into a gingival sulcus or periodontal pocket of the gum tissue of the treatment region and monitoring and continuing treatment to reduce the identified systemic inflammatory marker.
