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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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