2013
DOI: 10.4103/0972-124x.118334
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Microbial dysbiosis in periodontitis

Abstract: Periodontitis is a biofilm-associated inflammatory disease of the periodontium. This disease appears to have multiple etiologies with microbial factor contributing to initiation of the disease and immunological factor of the host propagating the disease. This review is on the concept of “microbial dysbiosis” and molecular nature of periodontitis, and the scope of traditional and emerging technologies for treating this disease.

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Cited by 46 publications
(45 citation statements)
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“…T he two principal clinical phenotypes of periodontal disease are chronic periodontitis (CP) and aggressive periodontitis (AgP), which present distinctive clinicopathologic features, such as: 1) age of onset; 2) progression rate; 3) destruction pattern; 4) clinical signs of inflammation; and 5) presence and formation of dental biofilm and calculus. 1,2 In contrast to CP, early onset and rapid periodontal tissue destruction, usually attributed to an altered immune response against periodontal pathogens, 3 are characteristics of AgP. 1,[3][4][5][6][7][8][9] In this context, host immune response has a central role in pathogenesis of periodontitis.…”
mentioning
confidence: 99%
“…T he two principal clinical phenotypes of periodontal disease are chronic periodontitis (CP) and aggressive periodontitis (AgP), which present distinctive clinicopathologic features, such as: 1) age of onset; 2) progression rate; 3) destruction pattern; 4) clinical signs of inflammation; and 5) presence and formation of dental biofilm and calculus. 1,2 In contrast to CP, early onset and rapid periodontal tissue destruction, usually attributed to an altered immune response against periodontal pathogens, 3 are characteristics of AgP. 1,[3][4][5][6][7][8][9] In this context, host immune response has a central role in pathogenesis of periodontitis.…”
mentioning
confidence: 99%
“…Bacterial phyla Firmicutes, Actinobacteria, Fusobacteria, Proteobacteria , and Bacteroidetes dominate the oral microbiota, accounting for 80-95 % of the total species (5). These microorganisms normally harmoniously co-exist with their host due to coevolution, however, behavioral factors such as poor oral hygiene and diet, debilitated immune systems, genetics, medication and, certain diseases can lead to a dysbiotic oral ecosystem (6). This microbial imbalance is normally associated with an overgrowth of pathogenic microorganisms, which can lead to more susceptibility to oral illness (7, 8).…”
Section: Introductionmentioning
confidence: 99%
“…By dropping the mouth pH below a critical value (5.5), the dissolution of enamel and so the progressive loss of HA leading to the tooth decay is triggered. Bacteria are also responsible for periodontitis . Nowadays, the main therapies involve the replacement of the damaged tissues; however, the current trend in dentistry is to preserve as much as possible the natural organ and regenerate the lost parts of the teeth and their components.…”
Section: Introductionmentioning
confidence: 99%