Oral Microbiome Testing

Question 1

The oral microbiome

Answer 1

The oral microbiome is another niche microbiome in the body, harbouring approximately 2 billion bacteria.

• Dysbiosis of the oral microbiome is associated with tooth decay, periodontitis and even oral cancer.
• Some of these bacteria can also be associated with cardiovascular disease, autoimmune conditions (e.g., RA) and Alzheimer’s disease, as the more pathogenic ones can release endotoxins (LPS) into the bloodstream

Question 2

Periodontitis

Answer 2

Periodontitis = chronic inflammation of the tissues that surround and support the teeth

Question 3

Pathogens in the oral microbiota

Answer 3

• The ‘orange complex’ bacteria are ones that are starting to biofilm together and recruit an unhealthy biofilm in the mouth.
• The ‘red complex’ are pathogens highly associated with disease.

Question 4

Support the oral microbiome

Answer 4

• Diet: Optimise levels of prebiotic fibres and polyphenols.

Probiotic foods (e.g., kombucha, kefir). Minimise processed carbohydrates and trans-fats. Avoid snacking (it does not allow time for the oral pH to recover between meals).

• Avoid mercury fillings / remove them using a specialist dentist.
• Brush your teeth at least twice a day. Floss with a ‘water-pik’. Oil pull. Rinse salt water around the mouth.
• Scrape your tongue (balances the oral microbiome).
• Use a probiotic mouthwash. Avoid smoking, antibiotics.
• Use biofilm disruptors such as NAC where appropriate.