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Oral microbiome: Unveiling the fundamentals
Open accessAbstract
The oral cavity has the second largest and diverse microbiota after the gut harboring over 700 species of bacteria. It nurtures numerous microorganisms which include bacteria, fungi, viruses and protozoa. The mouth with its various niches is an exceptionally complex habitat where microbes colonize the hard surfaces of the teeth and the soft tissues of the oral mucosa. In addition to being the initiation point of digestion, the oral microbiome is crucial in maintaining oral as well as systemic health. Because of the ease of sample collection, it has become the most well-studied microbiome till date. Previously, studying the microbiome was limited to the conventional culture-dependent techniques, but the abundant microflora present in the oral cavity could not be cultured. Hence, studying the microbiome was difficult. The emergence of new genomic technologies including next-generation sequencing and bioinformatics has revealed the complexities of the oral microbiome. It has provided a powerful means of studying the microbiome. Understanding the oral microbiome in health and disease will give further directions to explore the functional and metabolic alterations associated with the diseased states and to identify molecular signatures for drug development and targeted therapies which will ultimately help in rendering personalized and precision medicine. This review article is an attempt to explain the different aspects of the oral microbiome in health.
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“After the colon, the oral microbiome represents the second most diverse microbiota in the human host, with over 700 bacterial species presently identified.35”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [35]
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“due to improved understanding of the crucial role played by the oral microbiome in initiating food digestion and maintaining oral and systemic health.”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [35]
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Olejnik, P., Golenia, A., & Małyszko, J. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26041590 · Cited by 10
“Oral microbiota usually form a biofilm, whose main role is to maintain oral homeostasis and prevent disease development [77].”
Li, Z., Yang, X., Zhang, D., Shi, X., Lei, L., Zhou, F., Li, W., Xu, T., Liu, X., Wang, S., et al. (2025) · BMC Cardiovascular Disorders · doi:10.1186/s12872-025-04555-5 · Cited by 10
Streptococcus anginosus: the potential role in the progression of gastric cancer
Xia, K., Zhou, Y., Wang, W., & Cai, Y. (2025) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-025-06201-1 · Cited by 10
“The human oral microbiome is a highly complex eco-system, predominantly composed of bacteria, with a richness and diversity second only to that of the gut (Deo and Deshmukh 2019).”
Mahendrarajan, V., Lazarus, H. P. S., Muthukaliannan, G. K., Varghese, S. S., & Easwaran, N. (2025) · Frontiers in Oral Health · doi:10.3389/froh.2025.1607931 · Cited by 12
Dysbiotic relationship between arthritis and the oral‐gut microbiome. A critical review
de Oliveira, R. C. G., Gardev, E., & Shaddox, L. M. (2022) · Journal of Periodontal Research · doi:10.1111/jre.13002 · Cited by 10
Fernandes, M., Azevedo, M. J., Campos, C., Ferreira, A. F., Azevedo, Á. F., Falcão‐Pires, I., Zaura, E., Ramalho, C. M. A., Campos, J., & Sampaio‐Maia, B. (2023) · Pathogens · doi:10.3390/pathogens12010080 · Cited by 10
“The oral cavity houses one of the most diverse microbiomes in the human body, harboring hundreds of species [7,8].”
BackgroundImpact of oral microbiota on pathophysiology of GVHD
Yamamoto, A., Kambara, Y., & Fujiwara, H. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1132983 · Cited by 12
Oral Microbiome Traits of Type 1 Diabetes and Phenylketonuria Patients in Latvia
Abola, I., Gudrā, D., Ustinova, M., Frīdmanis, D., Emulina, D. E., Skadiņš, I., Brinkmane, A., Lauga-Tuņina, U., Gailīte, L., & Auzenbaha, M. (2023) · Microorganisms · doi:10.3390/microorganisms11061471 · Cited by 10
“For this complex ecosystem to maintain a healthy balance, its environment must be consistently humid, with a temperature between 35 and 37 ◦C and a neutral pH [1].”
BackgroundThe Effect of Ficin Immobilized on Carboxymethyl Chitosan on Biofilms of Oral Pathogens
Baidamshina, D. R., Trizna, E. Y., Гончарова, С. С., Сорокин, А. В., Lavlinskaya, M. S., Melnik, A. P., Гафарова, Л. Ф., Харитонова, М. А., Ostolopovskaya, O. V., Artyukhov, V. G., et al. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms242216090 · Cited by 11
“…were obtained and vortexed together. and CMCh200-immobilized Ficin in destroying oral biofilms was assessed on model biofilms grown Next, a fraction was used as an inoculum, while the rest was kept as a tooth plaque sample for metagenomic analysis via 16S rRNA barcoding. from tooth swabs obtained…”
BackgroundMethodSimpson, C. A., Schwartz, O., Eliby, D., Butler, C. A., Huang, K., O’brien-simpson, N. M., Callaghan, B. L., Dashper, S. G., Gooley, P. R., Whittle, S., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-043221 · Cited by 14
Microbial community signatures for estimation of postmortem time intervals
Dash, H. R., & Das, S. (2022) · Advances in applied microbiology · doi:10.1016/bs.aambs.2022.02.002 · Cited by 10
Choi, S.-G., Lee, E.-Y., Lee, O.-J., Kim, S., Kang, J.-Y., & Lim, J. S. (2022) · BMC Oral Health · doi:10.1186/s12903-022-02201-6 · Cited by 11
Moreira, R. S. D. S., Novais, J. S., da Silva, R. F., Nunes, R. P., de Abreu, L. C. L., Dias, E. P., Castro, H. C., do Carmo, F. A., Rodrigues, C. R., de Sousa, V. P., et al. (2022) · Food Science and Technology · doi:10.1590/fst.118022 · Cited by 10
Moraes, M. M., Mendes, T. T., Borges, L., Marques, A. L., Núñez-Espinosa, C. A., Gonçalves, D. A. P., Simões, C. B., Vieira, T. S., Ladeira, R. V. P., Lourenço, T. G. B., et al. (2023) · Microorganisms · doi:10.3390/microorganisms11020339 · Cited by 11
“The oral cavity has the second largest and most diverse microbiota in the human body [20], with the microbiome representing approximately 30–60% of total saliva DNA [19,21].”
BackgroundPatridge, E. V., Gorakshakar, A., Molusky, M. M., Ogundijo, O., Janevski, A., Julian, C., Hu, L., Vuyisich, M., & Banavar, G. S. (2024) · Computational and Structural Biotechnology Journal · doi:10.1016/j.csbj.2024.01.018 · Cited by 9
“Since digestion begins in the oral cavity [18,19], the impairment of either component can lead to digestion-related health issues, including putrefaction of foods and host proteins within the mouth [20].”
BackgroundAge-correlated changes in the canine oral microbiome
Kislik, G., Zhou, L., Rubbi, L., & Pellegrini, M. A. (2024) · Frontiers in Microbiology · doi:10.3389/fmicb.2024.1426691 · Cited by 9
The Effects of Recreational and Pharmaceutical Substance Use on Oral Microbiomes and Health
Esposito, M. M., Kalinowski, J., & Mikhaeil, M. (2024) · Bacteria · doi:10.3390/bacteria3030015 · Cited by 9
“The second largest and most varied microbiome after the gut is the oral microbiome, which includes about 700 species of bacteria, fungi, viruses, and protozoa [4].”
BackgroundThe Ocular Microbiome: Micro-Steps Towards Macro-Shift in Targeted Treatment? A Comprehensive Review
Trojacka, E., Izdebska, J., Szaflik, J. P., & Przybek-Skrzypecka, J. (2024) · Microorganisms · doi:10.3390/microorganisms12112232 · Cited by 10
Albani, R., Habib, S. R., Alqahtani, A. M., AlHelal, A. A., & Alrabiah, M. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e40276 · Cited by 10
Garay‐Sarmiento, M., Yayci, A., Rutsch, Y., Kadaoui, H. E., Apelt, S., Englert, J., Boes, A., Kohse, M., Jakob, F., Bergs, T., et al. (2025) · ACS Applied Materials & Interfaces · doi:10.1021/acsami.4c21111 · Cited by 9
Faisal, R. H., & Ali, A. O. (2025) · Frontiers in Oral Health · doi:10.3389/froh.2025.1543030 · Cited by 9
Exploring the impact of orthodontic appliances on the oral microbiome and inflammatory parameters
Nemec, M., Ringl, P., Spettel, K., Schneider, L., Kriz, R., Galazka, S., Sedlak, M., Jonke, E., Andrukhov, O., & Makristathis, A. (2025) · Progress in Orthodontics · doi:10.1186/s40510-025-00560-8 · Cited by 9
“Depending on location, the bacterial composition varies drastically with biofilms on the supra-or subgingival surfaces of teeth, plaques on tooth surfaces or oral mucosa, each inhabiting a specialized set of microbiotas [7, 8].”
Seenivasan, M. K., Natarajan, S., Ks, S., Sundarajan, S. K., Natarajan, S., & Arockiam, S. (2025) · Evidence-Based Dentistry · doi:10.1038/s41432-025-01149-0 · Cited by 9
Recent advancements in artificial intelligence‐powered cancer prediction from oral microbiome
Soghli, N., Khormali, A., Mahboubi, D., Peng, A., & Miguez, P. A. (2025) · Periodontology 2000 · doi:10.1111/prd.70000 · Cited by 13
Technology landscape and a short patentometric review for antibiofilm technologies
Speziali, M. G., Lívio, D. F., Tarabal, V. S., & Granjeiro, P. A. (2022) · World Patent Information · doi:10.1016/j.wpi.2022.102158 · Cited by 9
Positive feedback loop between dietary nitrate intake and oral health
Zhang, H., & Qin, L. (2023) · Nutrition Research · doi:10.1016/j.nutres.2023.04.008 · Cited by 10
Tomić, U., Nikolić, N., Čarkić, J., Mihailovic, D., Jelovac, D. B., Milašin, J., & Pucar, A. (2023) · Pathogens · doi:10.3390/pathogens12101194 · Cited by 9
“One of the most important factors in maintaining oral homeostasis is the oral microbiome, which is the second most diverse microbial community in the human body, harboring over 700 bacterial species so far identified [1].”
BackgroundSalivary signatures of oral-brain communication in sleep bruxers
Deng, Y., Zhu, C., Jiang, R., Yu, C., Zhao, J., Jiang, X., & Wen, J. (2023) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2023.1321855 · Cited by 9
Czarnowski, M., Słowińska, M., Sawieljew, M., Wnorowska, U., Daniluk, T., Król, G., Karasiński, M., Okła, S., Savage, P. B., Piktel, E., et al. (2024) · Pharmaceuticals · doi:10.3390/ph17020204 · Cited by 9
“…constituting the second largest microbiota within the human body and consisting of various microorganisms such as bacteria, fungi, viruses, and protozoa [5], it is increasingly recognized that microbes occupying the mouth may give rise to systemic diseases if proper hygiene is not maintained [6].”
BackgroundUnveiling the Immunomodulatory Potential of Phenolic Compounds in Food Allergies
Simões, R., Ribeiro, A. C., Dias, R., de Freitas, V. A. P., Soares, S., & Pérez-Gregório, R. (2024) · Nutrients · doi:10.3390/nu16040551 · Cited by 10
“First, the human gut microbiome has a crucial role in the digestion of food [144], increasing nutrient harvest [145,146] and altering appetite signalling [147,148].”
BackgroundZirk, M., Zöeller, J. E., Peters, F., Ringendahl, L., Buller, J., & Kreppel, M. (2020) · Clinical Oral Investigations · doi:10.1007/s00784-020-03492-1 · Cited by 9
“In regard to beta-lactamase-positive Prevotella strains, cefazolin and cefotaxime showed decreased activity, while the activity of ampicillin/ sulbactam continues to be effective against such strains [19] In general, the causative factor for the published variety of odontogenic head and neck infections is the oral cav…”
BackgroundIn vitro Candida albicans biofilm formation on different titanium surface topographies
Mouhat, M., Moorehead, R., & Murdoch, C. (2020) · Biomaterial Investigations in Dentistry · doi:10.1080/26415275.2020.1829489 · Cited by 9
“Non-bacterial species such as protozoa, viruses and fungi (mainly Candida, Cladosporium, Aureobasidium, Saccharomycetales, Aspergillus, Fusarium and Cryptococcus) are also present [6].”
Lee, K., Kaspar, J., Rojas-Carreño, G., Walker, A., & Burne, R. (2021) · Molecular Microbiology · doi:10.1111/mmi.14703 · Cited by 8
“…to accumulate from research on the oral microbiome, some of which has established a substantial and robust foundation that identifies microbes with the potential for the most significant impact on health and disease (Deshmukh & Nimish Deo, 2019; Dewhirst et al., 2010; Marsh & Zaura, 2017).”
BackgroundHealthy microbiome – a mere idea or a sound concept?
Najmanová, L., Vídeňská, P., & Cahová, M. (2022) · Physiological Research · doi:10.33549/physiolres.934967 · Cited by 22
What’s next for computational systems biology?
Voit, E. O., Shah, A. M., Olivença, D. V., & Yoram Vodovotz, B. (2023) · Frontiers in Systems Biology · doi:10.3389/fsysb.2023.1250228 · Cited by 11
“Even our mouth microbiome varies in different niches (Deo and Deshmukh, 2019).”
Metadata
- Authors
- Deo, P., & Deshmukh, R.
- Affiliations
- Bharati Vidyapeeth (Deemed to be University) (IN)
- Venue
- Journal of Oral and Maxillofacial Pathology
- Published
- 2019
- Volume
- 23
- Issue
- 1
- Pages
- 122
- ISSN
- 0973-029X (ISSN-L)
- PMC
- PMC6503789
- OpenAlex
- W2952216579
- Semantic Scholar
- 011d7d246666d3378bdbf330e6a83816e349f558
- Cited by
- 1,121
- References
- 48
- Citations by year
- 2026: 162 · 2025: 214 · 2024: 238 · 2023: 191 · 2022: 140 · 2021: 129 · 2020: 38 · 2019: 7
- FWCI
- 87.84
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- Journal of Oral and Maxillofacial Pathology (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- 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 › Oral Health Pathology and Treatment
- Keywords
- oral microbiota, oral health, oral diseases, microbial colonization, oral mucosa, dental plaque, next-generation sequencing, precision medicine
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