Journal of clinical practice and research

How Mouth Bacteria May Be Linked to Facial Pain and Brain Degeneration

Updated

Abstract

The human oral cavity hosts more than 700 microbial species that are essential for oral and systemic health.

  • Oral dysbiosis may contribute to periodontal disease and is associated with orofacial pain and neurodegenerative diseases.
  • Key pathogens like Porphyromonas gingivalis, Treponema denticola, and Fusobacterium nucleatum may release factors that activate immune pathways and nociceptors.
  • These pathogens could breach mucosal and vascular barriers, potentially entering the systemic circulation and affecting the central nervous system.
  • Evidence links oral pathogens to conditions such as Alzheimer's disease, Parkinson's disease, autism spectrum disorder, and multiple sclerosis.
  • P. gingivalis and its gingipains have been found in brain tissue of Alzheimer's patients, suggesting a role in neuroinflammation and amyloid plaque formation.
  • Changes in salivary microbes are noted in burning mouth syndrome and temporomandibular disorders, indicating the oral microbiome's influence on neuropathic pain.

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