Association of Oral Microbiome with Periodontal Disease Progression: A Longitudinal Study
Oral Microbiome with Periodontal Disease Progression
DOI:
https://doi.org/10.54393/pjhs.v5i08.1754Keywords:
Oral Microbiome, Periodontal Disease, Porphyromonas Gingivalis, Tannerella ForsythiaAbstract
Periodontal disease, a prevalent oral health condition, is characterized by the inflammation and destruction of the supporting tissues around the teeth and poses significant challenges to global public health. Objectives: To examine the association between the oral microbiome and periodontal disease progression in a Pakistani population. Methods: A total of 350 patients aged ≥ 18 years, diagnosed with periodontal disease, were registered from August 2023 to February 2024. Participants were evaluated for periodontal health indicators, including probing depth and clinical attachment loss, and their oral microbiome profiles were analyzed using high-throughput sequencing of the 16S rRNA gene. Machine learning algorithms, including Random Forest and Support Vector Machines, were applied to predict disease progression based on microbial profiles. Results: Porphyromonas gingivalis and Tannerella forsythia were strongly associated with greater probing depths and clinical attachment loss (β = 0.45, p < 0.01), indicating their role in disease progression. Conversely, Streptococcus and Lactobacillus were linked to reduced disease severity (β = -0.30, p < 0.05). The oral microbiome exhibited high diversity, with Firmicutes (35%), Bacteroidetes (25%), Proteobacteria (20%), and Actinobacteria (15%) being the predominant species. The Random Forest model predicted disease progression with 85% accuracy (Area under the curve (AUC) = 0.87), emphasizing the predictive value of microbial profiles. Conclusions: It was concluded that the study confirms a strong link between specific oral microbiota and periodontal disease progression, emphasizing the importance of microbial analysis in predicting and managing periodontal health.
References
Zhang X, Wang X, Wu J, Wang M, Hu B, Qu H et al. The global burden of periodontal diseases in 204 countries and territories from 1990 to 2019. Oral Diseases. 2024 Mar; 30(2): 754-68. doi: 10.1111/odi.14436. DOI: https://doi.org/10.1111/odi.14436
Chen MX, Zhong YJ, Dong QQ, Wong HM, Wen YF. Global, regional, and national burden of severe periodontitis, 1990–2019: An analysis of the Global Burden of Disease Study 2019. Journal of Clinical Periodontology. 2021 Sep; 48(9): 1165-88. doi: 10.1111/jcpe.13506. DOI: https://doi.org/10.1111/jcpe.13506
Wu L, Zhang SQ, Zhao L, Ren ZH, Hu CY. Global, regional, and national burden of periodontitis from 1990 to 2019: Results from the Global Burden of Disease study 2019. Journal of Periodontology. 2022 Oct; 93(10): 1445-54. doi: 10.1002/JPER.21-0469. DOI: https://doi.org/10.1002/JPER.21-0469
Cui Y, Tian G, Li R, Shi Y, Zhou T, Yan Y. Epidemiological and sociodemographic transitions of severe periodontitis incidence, prevalence, and disability‐adjusted life years for 21 world regions and globally from 1990 to 2019: An age‐period‐cohort analysis. Journal of Periodontology. 2023 Feb; 94(2): 193-203. doi: 10.1002/JPER.22-0241. DOI: https://doi.org/10.1002/JPER.22-0241
Bourgeois D, Bouchard P, Mattout C. Epidemiology of periodontal status in dentate adults in France, 2002–2003. Journal of periodontal research. 2007 Jun; 42(3): 219-27. doi: 10.1111/j.1600-0765.2006.00936.x. DOI: https://doi.org/10.1111/j.1600-0765.2006.00936.x
Fahim A, Shakeel S, Shahid TN, Anwar HM, Raja AA, Khan A. Prevalence of periodontitis in Pakistan: A systematic review. Journal of University College of Medicine and Dentistry. 2022 Jan; 1(1): 30-4. doi: 10.51846/jucmd.v1i1.1375. DOI: https://doi.org/10.51846/jucmd.v1i1.1375
Shafique M, Masood A, Mubeen H, Waseem A, Manan A, Naveed Q. The Prevalence of Periodontal Disease in Different Age Groups and Different Populations of Pakistan. Pakistan Journal of Scientific & Industrial Research Series A: Physical Sciences. 2024 Jul; 67(2): 113-9.
Santacroce L, Passarelli PC, Azzolino D, Bottalico L, Charitos IA, Cazzolla AP et al. Oral microbiota in human health and disease: A perspective. Experimental Biology and Medicine. 2023 Aug; 248(15): 1288-301. doi: 10.1177/15353702231187645. DOI: https://doi.org/10.1177/15353702231187645
Peng X, Cheng L, You Y, Tang C, Ren B, Li Y et al. Oral microbiota in human systematic diseases. International Journal of Oral Science. 2022 Dec; 14(1): 14. doi: 10.1038/s41368-022-00163-7. DOI: https://doi.org/10.1038/s41368-022-00163-7
Cai Z, Zhu T, Liu F, Zhuang Z, Zhao L. Co-pathogens in periodontitis and inflammatory bowel disease. Frontiers in Medicine. 2021 Sep; 8: 723719. doi: 10.3389/fmed.2021.723719. DOI: https://doi.org/10.3389/fmed.2021.723719
Ying XX, Hou Y, Zheng X, Ma JX, Wu ML, Liu M et al. Exploring Putative Causal Associations between Diet and Periodontal Disease Susceptibility. JDR Clinical & Translational Research. 2024 May. doi: 10.1177/23800844241247485. DOI: https://doi.org/10.1177/23800844241247485
Moosa Y, Samaranayake L, Pisarnturakit PP. The gingival phenotypes and related clinical periodontal parameters in a cohort of Pakistani young adults. Heliyon. 2024 Jan; 10(2): e24219. doi: 10.1016/j.heliyon.2024.e24219. DOI: https://doi.org/10.1016/j.heliyon.2024.e24219
Mira A, Simon‐Soro A, Curtis MA. Role of microbial communities in the pathogenesis of periodontal diseases and caries. Journal of Clinical Periodontology. 2017 Mar; 44(18): S23-38. doi: 10.1111/jcpe.12671. DOI: https://doi.org/10.1111/jcpe.12671
Relvas M, Regueira-Iglesias A, Balsa-Castro C, Salazar F, Pacheco JJ, Cabral C et al. Relationship between dental and periodontal health status and the salivary microbiome: bacterial diversity, co-occurrence networks and predictive models. Scientific Reports. 2021 Jan; 11(1): 929. doi: 10.1038/s41598-020-79875-x. DOI: https://doi.org/10.1038/s41598-020-79875-x
Xu W, Zhou W, Wang H, Liang S. Roles of Porphyromonas gingivalis and its virulence factors in periodontitis. Advances in Protein Chemistry and Structural Biology. 2020 Jan; 120: 45-84. doi: 10.1016/bs.apcsb.2019.12.001. DOI: https://doi.org/10.1016/bs.apcsb.2019.12.001
Sharaf S and Hijazi K. Modulatory mechanisms of pathogenicity in porphyromonas gingivalis and other periodontal pathobionts. Microorganisms. 2022 Dec; 11(1): 15. doi: 10.3390/microorganisms11010015. DOI: https://doi.org/10.3390/microorganisms11010015
Ardila CM and Bedoya-García JA. Antimicrobial resistance of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis and Tannerella forsythia in periodontitis patients. Journal of Global Antimicrobial Resistance. 2020 Sep; 22: 215-8. doi: 10.1016/j.jgar.2020.02.024. DOI: https://doi.org/10.1016/j.jgar.2020.02.024
Zhang Y, Ding Y, Guo Q. Probiotic species in the management of periodontal diseases: an overview. Frontiers in Cellular and Infection Microbiology. 2022 Mar; 12: 806463. doi: 10.3389/fcimb.2022.806463. DOI: https://doi.org/10.3389/fcimb.2022.806463
Minić I, Pejčić A, Bradić‐Vasić M. Effect of the local probiotics in the therapy of periodontitis A randomised prospective study. International Journal of Dental Hygiene. 2022 May; 20(2): 401-7. doi: 10.1111/idh.12509. DOI: https://doi.org/10.1111/idh.12509
Na HS, Kim SY, Han H, Kim HJ, Lee JY, Lee JH, Chung J. Identification of potential oral microbial biomarkers for the diagnosis of periodontitis. Journal of Clinical Medicine. 2020 May; 9(5): 1549. doi: 10.3390/jcm9051549. DOI: https://doi.org/10.3390/jcm9051549
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