by Tanja Walbrunn

From Mouth to Brain:
The Surprising Connections of the Oral Microbiome

Oral Microbiome

The oral cavity is a fascinating ecosystem that hosts a variety of microbes that can be both beneficial and harmful. Especially during the Christmas season, when the consumption of sugary treats increases, it is important to pay attention to the health of our oral microbiome. An unbalanced diet can disrupt this microbiome and potentially lead to serious health issues.

The Oral Microbiome and Its Importance

The oral microbiome consists of trillions of bacteria, viruses, and fungi that live in the mouth. These microbes play a crucial role in our health by supporting the immune system and warding off pathogenic germs. However, when the balance of these microbes is disturbed—a condition known as dysbiosis—it can lead to various diseases including periodontal disease and even Alzheimer's.

Connection Between Oral Microbiome and Alzheimer’s Disease

Numerous studies have shown a connection between the oral microbiome and Alzheimer's disease (AD). Research has indicated that certain bacteria like Porphyromonas gingivalis, which are found in the mouth, are linked to an increased risk of developing Alzheimer's. These bacteria can enter the brain through the bloodstream and promote inflammatory processes that damage nerve cells[1][2][4]. Notably, patients with Alzheimer's exhibit lower diversity in their oral microbiome compared to healthy controls[1][3].

Some studies even show that individuals with mild cognitive impairment (MCI) who have a higher burden of these harmful bacteria experience faster memory decline[4][5]. The mechanisms are complex: inflammation in the mouth can travel through the lymphatic system or bloodstream to the brain and trigger neuroinflammatory processes[5].

Mouthwashes and Their Impact on the Oral Microbiome

In many households, mouthwashes are a popular tool for oral hygiene. However, there is evidence suggesting that frequent use of antibacterial mouthwashes can disrupt the natural balance of the oral microbiome. Studies have shown that such products not only kill harmful bacteria but also eliminate beneficial microbes. This leads to dysbiosis, which can cause long-term health issues[4].

For example, research has found that using chlorhexidine mouthwashes can significantly alter the composition of the oral microbiome, which is associated with an increased susceptibility to infections and other diseases[3]. Therefore, one should be cautious when choosing oral care products and consider milder alternatives.

Conclusion

The oral microbiome is a complex system whose health is crucial for our overall well-being. Particularly during festive seasons, it is important to be aware of how sugar and careless oral hygiene practices can affect the balance of these microbes. A healthy lifestyle and mindful oral care are essential to minimize the risk of dysbiosis.

Sources

  1. Association Between Oral Bacteria and Alzheimer's Disease - PubMed: https://pubmed.ncbi.nlm.nih.gov/36404545/
  2. Disease- and stage-specific alterations of the oral and fecal microbiota - PNAS Nexus: https://academic.oup.com/pnasnexus/article/3/1/pgad427/7468631
  3. The role of microbiome-host interactions in the development of Alzheimer's disease - Frontiers in Cellular and Infection Microbiology: https://www.frontiersin.org/journals/cellular-and-infection-microbiology/articles/10.3389/fcimb.2023.1151021/full
  4. The Oral-Gut-Brain AXIS: The Influence of Microbes in Alzheimer's - Frontiers in Cellular Neuroscience: https://www.frontiersin.org/journals/cellular-neuroscience/articles/10.3389/fncel.2021.633735/full
  5. Oral Dysbiosis and Alzheimer's Disease Risk - Institute for Natural Medicine: https://www.ifm.org/news-insights/oral-microbiome-and-brain-health/

 

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