Bacterial endotoxins in periodontal health and diseases

Nusrat, Fariha and Rahman, Mohammad Tariqur and Karim, Muhammad Manjurul (2023) Bacterial endotoxins in periodontal health and diseases. Biocell, 47 (1). pp. 81-89. ISSN 0327-9545, DOI https://doi.org/10.32604/biocell.2023.024635.

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Abstract

Bacterial endotoxins are a major concern in periodontal health and diseases owing to their structure and biological activity. With up-to-date knowledge of endotoxins and the recent findings about the influence of endotoxins in dental health, their probable mode of pathogenesis, and standard detection methods, this review analyzes the potential efficacy and benefits of probiotics in combination with conventional and contemporary treatment measures. In the oral cavity, Gram-negative bacteria are documented to predominate in the pulpal lesions with radiolucent areas and in the root canal with pulp necrosis, where they pose an absolute threat by promoting a series of inflammatory reactions. Endotoxin, a constituent of Gram-negative bacteria establishes a nexus between cytokine stimulation and proinflammatory reactions, therefore plays a critical role in decaying dental pulp and modulating periodontal diseases. Currently, the treatment regimen involves several biochemical preparations. In addition, probiotics have been reported to control endotoxin in gingivitis and contribute to the overall improvement of dental health. A potential benefit of a combination of probiotics as a complementary treatment along with the conventional treatment warrant more empirical evidence to elucidate its role and mechanism in resolving the clinical manifestations associated with endotoxins in the periodontal region.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: Dental health; LPS; Oral probiotics; Periodontitis
Subjects: R Medicine > RK Dentistry
Divisions: Faculty of Dentistry
Depositing User: Ms Zaharah Ramly
Date Deposited: 23 Jun 2023 07:19
Last Modified: 23 Jun 2023 07:19
URI: http://eprints.um.edu.my/id/eprint/39078

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