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Editorial
Oral Microbes and NCDs
India is noted to increasingly suffer from a burden of Balaji SM noncommunicable diseases (NCDs) such as diabetes, Executive Editor, Indian Journal of Dental Research, Director and cardiovascular diseases (CVDs), tobacco/alcohol‑related Consultant Oral and Maxillofacial Surgeon, Balaji Dental and disorders, and mental health issues. The burden posed Craniofacial Hospital, Chennai, Tamil Nadu, India E‑mail: smbalaji@gmail.com by these NCDs are expected to pose a huge challenge to the existing entire public healthcare system.[1] The References interrelationship of dental diseases, oral microbiome, 1. India State‑level Disease Burden Initiative Collaborators. Nations systemic illness, and national level difference is well within a nation: Variations in epidemiological transition across known.[2,3] the states of India, 1990‑2016 in the global burden of disease A healthy normal oral microbiome is an important study. Lancet 2017;pii: S0140‑6736(17)32804‑0. contributor to an adequate systemic health. Alteration of 2. Balaji SM. Noncommunicable diseases and dental diseases. Indian J Dent Res 2018;29:699. normal oral commensals and shift to pathogenic organisms 3. Balaji SM, Seeberger GK, Hennedige O. Burden of oral diseases may lead to several pathological conditions, lesions, and noncommunicable diseases: An Asia‑Pacific perspective. and disorders. Such a shift is associated with many oral Indian J Dent Res 2018;29:820‑9. bacterial species. Most of these bacterial species are often 4. Gao L, Xu T, Huang G, Jiang S, Gu Y, Chen F. Oral associated with oral and systemic diseases. Gingival and microbiomes: More and more importance in oral cavity and periodontal diseases still remain as the major influence of whole body. Protein Cell 2018;9:488‑500. other systemic diseases, notably diabetes and increased 5. Deans E. Microbiome and mental health in the modern risk of CVD.[4] Recently, the influence of shift of oral environment. J Physiol Anthropol 2017;36:1. and gut microbiome has been associated with mental 6. Bruce‑Keller A, Salbaum JM, Berthoud H. Harnessing Gut microbes for mental health: getting from here to there. Biol diseases too. There have been several studies and recent Psychiatry 2018;83:214‑23. evidence emerging in this arena. The new knowledge sheds interesting pattern of influence of microbiota and the This is an open access journal, and articles are distributed under the terms of the Creative method by which they influence mental well‑being.[5,6] Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is Given the large number of people with diabetes, CVD, given and the new creations are licensed under the identical terms. rampant tobacco/alcohol abuse, and mental illness in India, the role of oral microbiome is significant.[1] The Access this article online study of association and interaction of oral microbes in Quick Response Code: Website: these disorders would help improve our understanding www.ijdr.in of the relationships. Such an understanding would lead to improved intervention and treatment possibilities. Subsequently, there would be decreased public health DOI:
burden. Therefore, it is crucial that Indian dentists need 10.4103/ijdr.IJDR_558_19
to work on these arena that could contribute to the fundamental knowledge of how the oral microbiome relates to systemic health, specifically CVD, diabetes, and mental How to cite this article: Balaji SM. Oral microbes and NCDs. Indian J health. Dent Res 2019;30:331.