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The oral microbiome – an update for oral healthcare professionals
Open accessAbstract
For millions of years, our resident microbes have coevolved and coexisted with us in a mostly harmonious symbiotic relationship. We are not distinct entities from our microbiome, but together we form a 'superorganism' or holobiont, with the microbiome playing a significant role in our physiology and health. The mouth houses the second most diverse microbial community in the body, harbouring over 700 species of bacteria that colonise the hard surfaces of teeth and the soft tissues of the oral mucosa. Through recent advances in technology, we have started to unravel the complexities of the oral microbiome and gained new insights into its role during both health and disease. Perturbations of the oral microbiome through modern-day lifestyles can have detrimental consequences for our general and oral health. In dysbiosis, the finely-tuned equilibrium of the oral ecosystem is disrupted, allowing disease-promoting bacteria to manifest and cause conditions such as caries, gingivitis and periodontitis. For practitioners and patients alike, promoting a balanced microbiome is therefore important to effectively maintain or restore oral health. This article aims to give an update on our current knowledge of the oral microbiome in health and disease and to discuss implications for modern-day oral healthcare.
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“Accumulation of subgingival biofilms initiates development of clinical signs of gingivitis”
From The dental plaque biofilm matrix (2021) · cites this paper as [278]
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“Thus, the abundance covariations observed in both stomatotypes may partly reflect the underlying diversity of biofilm succession stages comprised in our samples and would support the main axis of previously observed core community changes in dental plaque.”
From Citizen science charts two major “stomatotypes” in the oral microbiome of adolescents and reveals links with habits and drinking water composition (2018) · cites this paper as [1]
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“As a result of complex interactions between subgingival biofilms and the host immune response, gingivitis can further develop to periodontitis with concomitant loss of periodontal supportive tissues (Figure 7B).239,278,279”
From The dental plaque biofilm matrix (2021) · cites this paper as [278]
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“Periodontitis is a chronic inflammatory disease driven by dysbiosis of dental biofilms (Baker et al., 2023; Kilian et al., 2016; Kinane et al., 2017).”
From Enhanced control of periodontitis by an artificial intelligence‐enabled multimodal‐sensing toothbrush and targeted mHealth micromessages: A randomized trial (2024) · cites this paper as Kilian et al., 2016
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BackgroundDisparities in Access to Oral Health Care
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Metadata
- Authors
- Kilian, M., Chapple, I. L. C., Hannig, M., Marsh, P. D., Meuric, V., Pedersen, A. M. L., Tonetti, M. S., Wade, W. G., & Zaura, E.
- Affiliations
- Aarhus University (DK)
- University of Birmingham (GB)
- Saarland University (DE)
- University of Leeds (GB)
- Centre Hospitalier Universitaire de Rennes (FR)
- University of Copenhagen (DK)
- University of Hong Kong (HK)
- Queen Mary University of London (GB)
- Academic Center for Dentistry Amsterdam (NL)
- Corresponding author
- Kilian, M.
- ORCID
- Venue
- British Dental Journal
- Published
- 2016-11
- Volume
- 221
- Issue
- 10
- Pages
- 657-666
- ISSN
- 0007-0610 (ISSN-L)
- 1476-5373
- OpenAlex
- W2550762460
- Cited by
- 1,269
- References
- 96
- Citations by year
- 2026: 123 · 2025: 140 · 2024: 163 · 2023: 169 · 2022: 144 · 2021: 157 · 2020: 139 · 2019: 109 · 2018: 85 · 2017: 34 · 2016: 2
- FWCI
- 114.50
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- BDJ (publishedVersion, cc-by)
- PubMed (publishedVersion)
- VU Research Portal (publishedVersion, other-oa)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- HAL (submittedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion, cc-by)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion, cc-by-nc-nd)
- Research Portal (King's College London) (submittedVersion, cc-by)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion, cc-by)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Keywords
- oral microbiota, holobiont, dysbiosis, oral bacteria, oral health, dental caries, gingivitis, periodontitis, oral mucosa, lifestyle factors, oral care
- MeSH terms
- Dental Caries, Humans, Mouth, Oral Health, Periodontitis, Microbiota
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