THE INFLEUNCE OF GRAM-NEGATIVE BACTERIA ON ORAL HEALTH: A MINIREVIEW
Main Article Content
Abstract
The human body hosts a diverse microbial community, with Gram-negative bacteria playing a key role in oral health due to their virulence factors that contribute to tissue destruction and inflammation. The Human Microbiome Project (HMP) emphasizes the importance of understanding the oral microbiota to improve health outcomes, the oral cavity is particularly vulnerable to imbalances caused by these bacteria, leading to periodontal diseases and other oral infections. Among them, Porphyromonas gingivalis is the most harmful, producing gingipains that degrade host tissues and evade immune responses, promoting chronic inflammation. As a keystone pathogen, it drives periodontitis, causes systemic inflammation, and has been linked to cardiovascular diseases, diabetes, and adverse pregnancy outcomes. Its resilience in anaerobic conditions and ability to form biofilms make it difficult to treat, further complicating oral health management. Understanding the role of Gram-negative bacteria, particularly P. gingivalis, is essential for advancing prevention and treatment strategies in oral health.
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Abdellatif, H. M., Hebbal, M., Alsagob, E., Alsaleh, A., Mwena, A., Almusaad, M., ... & Alreshaidan, S. W. (2024, October). Comparative Effectiveness of Miswak and Toothbrushing on Dental Plaque and Gingivitis: A Randomized Controlled Trial. In Healthcare (Vol. 12, No. 21, p. 2150). MDPI.
Adeghe, E. P. (2024). The multifaceted role of fluoride in preventing early childhood caries: A comprehensive review. International Journal of Life Science Research Updates, 2(01), 009-017.
Adeghe, E. P., Okolo, C. A., & Ojeyinka, O. T. (2024). Integrating IoT in pediatric dental health: A data-driven approach to early prevention and education. International Journal of Frontiers in Life Science Research, 6(01), 022-035.
Adeghe, E. P., Okolo, C. A., & Ojeyinka, O. T. (2024). Optimizing dental screening protocols for children with special healthcare needs: Enhancing access and prevention. International Journal of Frontiers in Science and Technology Research, 6(01), 054-061.
Aghili, S., Rahimi, H., Hakim, L. K., Karami, S., Soufdoost, R. S., Oskouei, A. B., ... & Hosseini, Z. S. (2024). Interactions between oral microbiota and cancers in the aging community: A narrative review. Cancer Control, 31, 10732748241270553.
Alimyar, O., Nahiz, A., Monib, A. W., Baseer, A. Q., Hassand, M. H., Kakar, U. M., ... & Niazi, P. (2024). Coffea plant (Caffeine): Examining its Impact on Physical and Mental Health. European Journal of Medical and Health Research, 2(2), 143-154.
Asmatullah, U., Abdul, Q. B., Bilal, A. R., Ajmal, J., Parwiz, N., Abdul, W. M., & Wais, M. L. (2020). Coronavirus disease 2019 (COVID-19) pandemic: What is the level of knowledge, attitude, and practice in Kandahar, Afghanistan?. African Journal of Microbiology Research, 14(9), 465-470.
Awulachew, M. T. (2024). The Possible Use of Herbs and Spices in the Food Processing and Food Safety. In Herbs and Spices-New Perspectives in Human Health and Food Industry. IntechOpen.
Azizi, A., Mahboob, M., Monib, A. W., Hassand, M. H., Sediqi, S., & Niazi, P. (2023). The Role of Plants in Human Health. British Journal of Biology Studies, 3(1), 08-12.
Baima, G., Ferrocino, I., Del Lupo, V., Colonna, E., Thumbigere-Math, V., Caviglia, G. P., ... & Aimetti, M. (2024). Effect of periodontitis and periodontal therapy on Oral and gut microbiota. Journal of Dental Research, 103(4), 359-368.
Baker, J. L., Mark Welch, J. L., Kauffman, K. M., McLean, J. S., & He, X. (2024). The oral microbiome: diversity, biogeography and human health. Nature Reviews Microbiology, 22(2), 89-104.
Basic, A., Blomqvist, S., Charalampakis, G., & Dahlén, G. (2024). Antibiotic resistance among Aerobic Gram-Negative Bacilli isolated from patients with oral inflammatory dysbiotic conditions—a retrospective study. Frontiers in Dental Medicine, 5, 1293202.
Bloch, S., Hager-Mair, F. F., Andrukhov, O., & Schäffer, C. (2024). Oral streptococci: modulators of health and disease. Frontiers in Cellular and Infection Microbiology, 14, 1357631.
Bostanghadiri, N., Kouhzad, M., Taki, E., Elahi, Z., Khoshbayan, A., Navidifar, T., & Darban-Sarokhalil, D. (2024). Oral microbiota and metabolites: key players in oral health and disorder, and microbiota-based therapies. Frontiers in Microbiology, 15, 1431785.
Chan, A. K. Y., Chu, C. H., Ogawa, H., & Lai, E. H. H. (2024). Improving oral health of older adults for healthy ageing. Journal of Dental Sciences, 19(1), 1-7.
Chan, W. S. H. (2024). The Role of Oral Health in the Prevention of Systemic Diseases. Universal Library of Medical and Health Sciences, 1(1).
Chatzopoulos, G. S., Jiang, Z., Marka, N., & Wolff, L. F. (2024). Periodontal disease, tooth loss, and systemic conditions: an exploratory study. International dental journal, 74(2), 207-215.
Chen, W. (2024). The Role and Research Progress of Drug-Resistant Oral Microorganisms in the Pathogenesis of Periodontitis. International Journal of Public Health and Medical Research, 1(2), 60-69.
Cherry-Peppers, G., Fryer, C., Jackson, A. D., Ford, D., Glascoe, A., Smith, D., ... & Watkins-Bryant, T. (2024). A Review of the Risks and Relationships Between Oral Health and Chronic Diseases. Journal of the National Medical Association.
de Medeiros Silva, W. A., de Oliveira, A. M. B. M., & de Oliveira Coelho, L. F. (2024). CURATIVE EVALUATION OF MEMALEUCA ALTERNIFOLIA OIL IN ORAL CANDIDIASIS IN IMMUNOSUPPRESSED PATIENTS. ARACÊ, 6(3), 9377-9392.
Di Spirito, F., Giordano, F., Di Palo, M. P., D’Ambrosio, F., Scognamiglio, B., Sangiovanni, G., ... & Gasparro, R. (2024). Microbiota of Peri-Implant Healthy Tissues, Peri-Implant Mucositis, and Peri-Implantitis: A Comprehensive Review. Microorganisms, 12(6), 1137.
Fahmi, A., Syukur, S., Chaidir, Z., & Melia, S. (2024). PHYTOCHEMICAL, ANTIMICROBIAL, ANTIOXIDANT, AND CATECHIN ANALYSIS OF GREEN TEA (Camellia sinensis var assamica) FROM NORTH SUMATERA, INDONESIA. Rasayan Journal of Chemistry, 17(2).
Fallea, A., Vetri, L., L’Episcopo, S., Bartolone, M., Zingale, M., Di Fatta, E., ... & Costanza, C. (2024). Oral Health and Quality of Life in People with Autism Spectrum Disorder. Journal of Clinical Medicine, 13(17), 5179.
fouad Merza, R., Alqahtani, N. S., Al-sulami, S. B. B., Aljohani, R. B., Saleh, M. A., Hawsawi, S. M. A., ... & Alata, A. J. A. (2024). Oral Health and Systemic Disease: A Systematic Review of the Impact of Dental Care on Overall Health. Journal of Ecohumanism, 3(7), 2843-2852.
Gaurivaud, P., & Tardy, F. (2022). The Mycoplasma spp. 'Releasome': A New Concept for a Long-Known Phenomenon. Frontiers in microbiology, 13, 853440.
George, S. D., Van Gerwen, O. T., Dong, C., Sousa, L. G., Cerca, N., Elnaggar, J. H., ... & Muzny, C. A. (2024). The Role of Prevotella Species in Female Genital Tract Infections. Pathogens, 13(5), 364.
Gholami, E. (2024). The Connection Between Socioeconomic Status and Oral Hygiene Practices Among Patients at Canarsie Family Dentistry (Master's thesis, Icahn School of Medicine at Mount Sinai).
Gohil, D., Patel, K., & Maheshwari, R. (2024). Herbal Wisdom of Ayurveda: Remedies for Optimal Oral Health. Journal of Natural Remedies, 1499-1504.
Guo, J., Wang, P., Li, Y., Liu, Y., Ye, Y., Chen, Y., ... & Tong, F. (2024). Advances in hybridized nanoarchitectures for improved oro-dental health. Journal of Nanobiotechnology, 22(1), 469.
Hassan, S., Saqib, W., Nazami, A., Asim, A. S., & Mehmood, F. (2024). EXPLORING THE GREEN ALTERNATIVE: A COMPARATIVE ANALYSIS OF MISWAK AND PLASTIC TOOTHBRUSH IN MAINTAINING GINGIVAL HEALTH. Pakistan Oral & Dental Journal, 44(1), 51-56.
Heilmann, A., & Watt, R. G. (2024). Strategic public health considerations for caries control in populations. Dental Caries: The Disease and its Clinical Management, 17.
Hejran, A. B., Alimyar, O., Afghan, R., & Niazi, P. (2024). Exploring the Multifaceted Role of Viruses in Sustaining Biodiversity: Mechanisms, Implications, and Contributions to Ecosystems Stability. Scientia. Technology, Science and Society, 1(2), 35-49.
Hejran, A. B., Ashrafi, H., Baseer, A. Q., Sarwari, A., Monib, A. W., Hassand, M. H., ... & Rahime, M. (2024). The Importance of Hyaluronic Acid in Biological Systems. European Journal of Theoretical and Applied Sciences, 2(2), 730-743.
Hejran, A. B., Saken, K., Afghan, R., & Niazi, P. (2024). Antigenic switch potential of influenza D virus. Asia Pacific Journal of Pharmacotherapy and Toxicology, 4(1), 95–111.
Hosseini Hooshiar, M., Salari, S., Nasiri, K., Salim, U. S., Saeed, L. M., Yasamineh, S., & Safaralizadeh, R. (2024). The potential use of bacteriophages as antibacterial agents in dental infection. Virology Journal, 21(1), 258.
Kettle, J., & Warren, L. (2024). Capturing the smile: Exploring embodied and social acts of smiling. Sociology of Health & Illness.
Khan, O., Das, S. C., & Bedoura, S. (2024). Microencapsulation of Azadirachta indica oil and Tinospora cordifolia extracts blend for single-use applications. Heliyon, 10(20).
Krishnamurthy, H. K., Bosco, J., Jayaraman, V., Krishna, K., Wang, T., Bei, K., & Rajasekaran, J. J. (2024). Oral Microbiome: A Comprehensive Review of its Impact on Oral and Systemic Health.
Leonovich, O. A. (2024). Mycoplasma: Properties, Detection, and Decontamination Methods of Cell Cultures and Viral Strains. Applied Biochemistry and Microbiology, 60(5), 785-793.
Lipsky, M. S., Singh, T., Zakeri, G., & Hung, M. (2024). Oral health and older adults: A narrative review. Dentistry Journal, 12(2), 30.
Liu, H., Yu, Y., Dong, A., Elsabahy, M., Yang, Y. W., & Gao, H. (2024, February). Emerging strategies for combating Fusobacterium nucleatum in colorectal cancer treatment: Systematic review, improvements and future challenges. In Exploration (Vol. 4, No. 1, p. 20230092).
Liu, Y., Qiao, F., Wang, Z., Meng, G., Gu, Y., Wu, H., ... & Niu, K. (2024). Analysis of the microbial community diversity in various regions of the healthy oral cavity. BMC Oral Health, 24(1), 978.
Malsch, A. K., Killin, A., & Kaiser, M. I. (2024). Health-Oriented Environmental Categories, Individual Health Environments, and the Concept of Environment in Public Health. Health Care Analysis, 1-24.
Mansoor, A., Mansoor, E., Amir, N., & Hussain, K. (2024). Clinical efficacy of Azadirachta indica based herbal mouthwash in treating the hypersensitivity of teeth. Pakistan Journal of Medical Sciences, 40(10), 2331.
Maurotto, M., Costa, L. G., Manso, M. C., Mosley, G. A., Fernandes, J. C. H., Fernandes, G. V. O., & Castro, F. (2024). Correlation between Periodontitis and Gastritis Induced by Helicobacter Pylori: A Comprehensive Review. Microorganisms, 12(8), 1579.
McNeil, D. W., Pereira, D. B., Ensz, O. S., Lukose, K., Harrell, G., & Feller, D. B. (2024). Toward a comprehensive model of medical-dental-behavioral integration. JDR Clinical & Translational Research, 9(1_suppl), 23S-31S.
Mei, E. H., Yao, C., Chen, Y. N., Nan, S. X., & Qi, S. C. (2024). Multifunctional role of oral bacteria in the progression of non-alcoholic fatty liver disease. World Journal of Hepatology, 16(5), 688.
Mikelis, F., Karamalaki, D., Mikeli, A., Tzanetakis, G. N., & Koletsi, D. (2024). Data sharing and transparency indicators in published RCTs in oral health between 2017 and 2023. Journal of Dentistry, 149, 105263.
Mishu, M. P., Aggarwal, V., Shiers, D., Peckham, E., Johnston, G., Joury, E., ... & Palmier‐Claus, J. (2024). Developing a consensus statement to target oral health inequalities in people with severe mental illness. Health Expectations, 27(4), e14163.
Mitra, A. (2024). Combatting biofilm-mediated infections in clinical settings by targeting quorum sensing. The Cell Surface, 100133.
Nagari, L. S., Mahirawatie, I. C., & Larasati, R. (2024). Relationship between Dental and Oral Health Maintenance in Elders with the Occurance of Periodontitis (Case Study at the Posyandu Lansia RW 07 Gunung Anyar Tambak Village, Surabaya. International Journal of Advanced Health Science and Technology, 4(4), 157-163.
Nalage, D., Kale, R., Sontakke, T., Pradhan, V., Biradar, A., Senevirathna, J. D. M., ... & Kudnar, P. S. (2024). Bacterial phyla: microbiota of kingdom animalia. Academia Biology, 2, 0-1.
Naorem, R. S., Pangabam, B. D., Bora, S. S., Fekete, C., & Teli, A. B. (2024). Immunoinformatics Design of a Multiepitope Vaccine (MEV) Targeting Streptococcus mutans: A Novel Computational Approach. Pathogens, 13(10), 916.
Niazi, P. (2024). Caffeine, Human Health and Sustainability. Scientific Research Reports, 97.
Niazi, P. (2024). Isolation and Characterization of a (Surfactin-Like Molecule) Produced by Bacillus subtilis: Antagonistic Impact on Root-Knot Nematodes. Scientific Research Communications, 4(2).
Niazi, P., & Monib, A. W. (2024). The role of plants in traditional and modern medicine. Journal of Pharmacognosy and Phytochemistry, 13(2), 643-647.
Niazi, P., Alimyar, O., Azizi, A., Monib, A. W., & Ozturk, H. (2023). People-plant Interaction: Plant Impact on Humans and Environment. Journal of Environmental and Agricultural Studies, 4(2), 01-07.
Niazi, P., Monib, A. W., & Azizi, A. (2023). A Review on Plants and Plant/Microbial Systems in Reducing Exposure. Journal for Research in Applied Sciences and Biotechnology, 2(2), 1-7.
Niazi, P., Monib, A. W., Ozturk, H., Mansoor, M., Azizi, A., & Hassand, M. H. (2023). Review on surface elements and bacterial biofilms in plant-bacterial associations. Journal for Research in Applied Sciences and Biotechnology, 2(1), 204-214.
Nix, N. L., Zusman, N. T., & Düzgüneş, N. (2024). Opportunistic Prevotella and the Odontogenic Infection: A Case Series and Review of the Literature.
Oezdemir, Z. (2024). The multifactorial etiology of dental caries disease (Doctoral dissertation, Vilniaus universitetas.).
Pandey, N., Bodduluri, S., Mathis, S., Bodduluri, H., & Kumar, A. (2024). Role of Oral Microbiota in Preserving Health and Disease Management. Journal of Clinical Immunology & Microbiology, 1-17.
Periferakis, A., Periferakis, A. T., Troumpata, L., Dragosloveanu, S., Timofticiuc, I. A., Georgatos-Garcia, S., ... & Caruntu, C. (2024). Use of biomaterials in 3D printing as a solution to microbial infections in arthroplasty and osseous reconstruction. Biomimetics, 9(3), 154. Reed, G. M. (2024). What's in a name? Mental disorders, mental health conditions and psychosocial disability. World Psychiatry, 23(2), 209.
Qilichovna, A. M. (2024). THE ROLE OF PATHOGENESIS IN THE GROWTH FACTORS OF PERIODONTITIS DISEASE. Journal of new century innovations, 49(3), 25-32.
Rajasekaran, J. J., Krishnamurthy, H. K., Bosco, J., Jayaraman, V., Krishna, K., Wang, T., & Bei, K. (2024). Oral Microbiome: A Review of Its Impact on Oral and Systemic Health. Microorganisms, 12(9), 1797.
Ramabrahmareddy, D. (2024). AN OVERVIEW ON HERBAL DRUG MOUTHWASHES. World Journal of Pharmaceutical Sciences.
Rotaru, M., Singeap, A. M., Ciobica, A., Huiban, L., Stanciu, C., Romila, L., ... & Trifan, A. (2024). Oral Health and “Modern” Digestive Diseases: Pathophysiologic and Etiologic Factors. Biomedicines, 12(8), 1854.
Sabbah, W., Folayan, M. O., & El Tantawi, M. (2019). The Link between Oral and General Health. International journal of dentistry, 2019, 7862923.
Salama, A., EL-Kassaby, M. I., Refaat, A., & Mohasib, R. M. (2024). GC–MS and Molecular Docking Analyses of Phytochemicals from Calendula officinalis L. Hexane Extract and Evaluation of its Antioxidant and Wound Healing Properties in Rats. Egyptian Journal of Chemistry, 67(13), 1037-1058.
Sasaki T. (1991). Evidence that mycoplasmas, gram-negative bacteria, and certain gram-positive bacteria share a similar protein antigen. Journal of bacteriology, 173(7), 2398–2400.
Schäffer, C., & Andrukhov, O. (2024). The intriguing strategies of Tannerella forsythia's host interaction. Frontiers in Oral Health, 5, 1434217.
Senthil Kumar, S., Johnson, M. D., & Wilson, J. E. (2024). Insights into the enigma of oral streptococci in carcinogenesis. Microbiology and Molecular Biology Reviews, e00095-23.
Shehab, E. Y., Abdullah, B. A., & AlTaie, A. A. (2024). Phenotypic Identification of Streptococcus mutans and Attendant Bacteria From Dentin Caries and Necrotic Pulp, and Its Correlation with Caries Activities Tests. Medical Journal of Babylon, 21(Suppl 2), S189-S194.
Silva, M. V., de Lima, A. D. C. A., Silva, M. G., Caetano, V. F., de Andrade, M. F., da Silva, R. G. C., ... & Vinhas, G. M. (2024). Clove essential oil and eugenol: A review of their significance and uses. Food Bioscience, 105112.
Soiniemi, L., Solje, E., Suominen, A. L., Kanninen, K. M., & Kullaa, A. M. (2024). The association between oral diseases and neurodegenerative disorders. Journal of Alzheimer’s Disease, 13872877241289548.
Talapko, J., Juzbašić, M., Meštrović, T., Matijević, T., Mesarić, D., Katalinić, D., ... & Škrlec, I. (2024). Aggregatibacter actinomycetemcomitans: From the oral cavity to the heart valves. Microorganisms, 12(7), 1451.
Tiwari, T., & Randall, C. L. (2024). A Framework for the Integration of Behavioral Health and Oral Health in Predoctoral Dental Education. Journal of the California Dental Association, 52(1), 2353747.
Uppal, B., Goyal, P., & Walia, N. K. (2024). Association of Oral Health and Periodontal Disease with Hypertension: A Cross-Sectional Study. Indian Journal of Cardiovascular Disease in Women, 1-7.
Uzunoğlu, E., Kalkancı, A., Kılıç, E., Kızıl, Y., Aydil, U., Diker, K. S., & Uslu, S. S. (2024). Bacterial and fungal communities in chronic rhinosinusitis with nasal polyps. Plos one, 19(5), e0304634.
Varoni, E. M., & Rimondini, L. (2022). Oral Microbiome, Oral Health and Systemic Health: A Multidirectional Link. Biomedicines, 10(1), 186.
Vastel, M., Pau‐Roblot, C., Ferré, S., Tocqueville, V., Ambroset, C., Marois‐Créhan, C., ... & Gaurivaud, P. (2024). Capsular Polysaccharide Production in Bacteria of the Mycoplasma Genus: A Huge Diversity of Pathways and Synthases for So‐Called Minimal Bacteria. Molecular Microbiology.
Wadhwa, K., Kapoor, N., Kaur, H., Abu-Seer, E. A., Tariq, Mohd., Siddiqui, S., … Alghamdi, S. (2024). A Comprehensive Review of the Diversity of Fungal Secondary Metabolites and Their Emerging Applications in Healthcare and Environment. Mycobiology, 1–53.
Wang, B., Deng, J., Donati, V., Merali, N., Frampton, A. E., Giovannetti, E., & Deng, D. (2024). The roles and interactions of Porphyromonas gingivalis and Fusobacterium nucleatum in oral and gastrointestinal carcinogenesis: A narrative review. Pathogens, 13(1), 93.
Wang, B., Farhan, M. H. R., Yuan, L., Sui, Y., Chu, J., Yang, X., ... & Cheng, G. (2024). Transfer dynamics of antimicrobial resistance among gram-negative bacteria. Science of the Total Environment, 176347.
Wang, F., Zhan, Q., Yu, A., Chen, H., Zhang, Y., Yang, Q., & Qu, T. (2024). Mediastinitis caused by Mycoplasma hominis in immunocompetent patients: A case series report and literature review. Heliyon, 10(22).
Wei, X., Wang, W., Cheng, H., Huang, Y., Zhou, Q., & Yuan, X. (2024). Distinct lower respiratory tract microbiota profiles linked to airway mucus hypersecretion in children with Mycoplasma pneumoniae pneumonia. Frontiers in Microbiology, 15, 1491506.
Williams, S. C., Garcet, S., Hur, H., Miura, S., Gonzalez, J., Navrazhina, K., ... & Krueger, J. G. (2024). Gram‐negative anaerobes elicit a robust keratinocytes immune response with potential insights into HS pathogenesis. Experimental Dermatology, 33(5), e15087.
World Health Organization. (2024). Global oral health status report: towards universal health coverage for oral health by 2030. Regional summary of the Eastern Mediterranean Region. World Health Organization.
Wu, Z., Song, J., Zhang, Y., Yuan, X., & Zhao, J. (2024). Inhibitory and preventive effects of Arnebia euchroma (Royle) Johnst. root extract on Streptococcus mutans and dental caries in rats. BDJ open, 10(1), 15.
Yi, Z. (2024). Prediction methods for oral diseases. Highlights in Science, Engineering and Technology, 92, 235-240.
Yuan, L., Lai, L. M., Zhu, X., Rui, Z., Liu, Y., & Chen, Q. (2024). Haemophilus aphrophilus and Eikenella corrodens Coinfection of Brain: An Unusual Case from China. Infection and Drug Resistance, 1439-1445.
Yusoff, M. E., Hamdan, R. H., Taib, M. D. H., Peng, T. L., Mohamed, M., & Shaari, M. D. R. (2024). Overview of Gram-negative anaerobic pathogens associated with periodontal disease: A review. Asian Journal of Medicine and Biomedicine, 8(2), 98-110.
Zafer, M. M., Mohamed, G. A., Ibrahim, S. R., Ghosh, S., Bornman, C., & Elfaky, M. A. (2024). Biofilm-mediated infections by multidrug-resistant microbes: A comprehensive exploration and forward perspectives. Archives of Microbiology, 206(3), 101.
Zhang, S., Zhao, Y., Lalsiamthara, J., Peng, Y., Qi, L., Deng, S., & Wang, Q. (2024). Current research progress on Prevotella intermedia and associated diseases. Critical Reviews in Microbiology, 1-18.
Zhang, Z., Wen, S., Liu, J., Ouyang, Y., Su, Z., Chen, D., ... & Guo, L. (2024). Advances in the relationship between periodontopathogens and respiratory diseases. Molecular Medicine Reports, 29(3), 42.